Consent Letter
Consent Letter
Consent Letter
Date: ____________
To,
SBI GENERAL INSURANCE CO.LTD,
3rd Floor, Lotus Park, Plot No:18-19, Near Petrol Pump,
Road No: 16, Wagle Industrial Estate, Thane (West)- 400 604.
Dear Sir,
With reference to the discussions regarding claim of above mentioned vehicle, I Mr. AMIT PARAMANIK
agree to receive a sum of Rs. 2,77,651/- (Rupees Two Lakh Seventy-Seven Thousand Six Hundred Fifty-
One Only) in full and final settlement of my claim on Constructive Total Loss basis.
By virtue of this settlement, I/we discharge the company of their liability & shall have no other claim
whatsoever against the Insurance Company with regard to this claim.
I hereby agree to surrender the captioned Policy & Insurance Certificate for Cancellation without any
refund of premium. It is understood that this settlement will be subject to satisfaction by the authorities
concerned. I/we also understand that this settlement is subject to compliance with all the provisions of
Motor Vehicles Act, 1988 and the Rules made thereof.
I/We undertake to provide any further information or documents, which may be necessary to finalise
the claim.
I/We hereby authorize that the payment shall be made & released in favor of Mr. AMIT PARAMANIK /
Financier as applicable.
Thanking you,
Yours Truly
(………………..…………………………) (…………………………………….)
Insured’s Signature Witness:
Insured‘s Name & Address Witness’ Name & Address