Assignment of My Life Insurance Policy as Collateral for my Home Loan (Sample Letter)

Attention : To Whom It May Concern

The End-financier

Date of this letter:


Reference : Assignment of My Life Insurance Policy as Collateral for my Home Loan

The Applicant(s) :
Policy Number(s) :
Loan Account Reference :


Kindly find enclosed herein two (2) copies of Absolute Assignment forms for your action.
The following details are requested of Your Company.

1. The authorized signatory’s / signatories’ signature & company stamp from Your Company within the `Signature of Assignee’ box on the top right of Page 2 of 2.

2. The authorized signatory’s / signatories’ signature from Your Company at the `Witnessed by’ space and also to fill in the `Name’ and `NRIC No.’ (or Company No. in place) space on the top left of Page 2 of 2.

Note: Part 1 / Bahagian 1 is to be ignored / left blank *

You may contact my financial planning consultant, the undersigned on the bottom right of this letter with regards to the absolute assignment arrangement of my life insurance policy / policies as collateral to Your Company.

Your kind consideration, co-ordination and the highest degree of attention are fully appreciated herein.


Yours faithfully, Verified & witnessed by




______________________ ______________________

Signed by applicant / Signed by the representative /
co-applicant / guarantor the agent / the staff / the facilitator

Name : Name :

NRIC : Contact(s) :