Renewal/Extension Form for Chola MS Travel and Student

I hereby declare that there has been NO CLAIM whatsoever till date, against the above Chola MS Insurance Policy and further state and confirm that there has been NO CHANGE till now in my Personal physical & medical condition since the date of issue of the first policy.

You are now requested to kindly treat this letter as an Application / Proposal to renew this Insurance Policy as requested above.

I declare that the information provided in this application is correct.

Please do the needful at the earliest and oblige.

Thanking You,