PATTNI BROTHERHOOD

NAIROBI, KENYA

GROUP MEDICAL / HEALTH INSURANCE for our members

Dear Members

Jai Mataji,

We are please to inform you that we wish to acquire GROUP MEDICAL / HEALTH INSURANCE for our members.

Please find attached for and kindly submit us before 30th Sep 2009 by email to pattni.nairobi@yahoo.com OR return it to following persons

1. Mr. Ritesh Dhanak - Kruger Kent Chemist (DDMM Centre) Mob: 0721-331177

2. Mr. Hiren Vaya - Mob 0733-334138

3. Mr. Kailash Giri Maharaj

Please note forms are also availabe at Pattni Brother Hood or with above contact persons.

You may print copy of this form and give out to interested members of our community.

Please kindly response back your interest with data as per form by 30th Sep 2009 so that we can negotiate with insurance provider company.

Please Note this form is for collection of data of interested family. It is not bound in any manner till we finalise with any company.

Once we fianalise with such company we will come back to you with full details, terms & condition and applicable premium and benifits.

Thank you,

Bhasker N. Pattni

Hon. Secretary