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    Lic Data Sheet Male PDF

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    Anonymous UfOB6i6V
    This document is an application for a male life insurance policy. It requests personal information such as name, address, date of birth, occupation, income, family history, health details, and documents required for the application such as age, ID, and address proofs, photos, pay slips, tax returns, previous policy details, and discharge summaries for any hospitalizations. The applicant is also asked to provide nominee details, policy term and premium information, and provide a signature.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Lic Data Sheet Male PDF

    Uploaded by

    Anonymous UfOB6i6V
    2K views1 page
    This document is an application for a male life insurance policy. It requests personal information such as name, address, date of birth, occupation, income, family history, health details, and documents required for the application such as age, ID, and address proofs, photos, pay slips, tax returns, previous policy details, and discharge summaries for any hospitalizations. The applicant is also asked to provide nominee details, policy term and premium information, and provide a signature.

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    Lic Data Sheet Male.pdf

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    This document is an application for a male life insurance policy. It requests personal information such as name, address, date of birth, occupation, income, family history, health details, and documents required for the application such as age, ID, and address proofs, photos, pay slips, tax returns, previous policy details, and discharge summaries for any hospitalizations. The applicant is also asked to provide nominee details, policy term and premium information, and provide a signature.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    2K views1 page

    Lic Data Sheet Male PDF

    Uploaded by

    Anonymous UfOB6i6V
    This document is an application for a male life insurance policy. It requests personal information such as name, address, date of birth, occupation, income, family history, health details, and documents required for the application such as age, ID, and address proofs, photos, pay slips, tax returns, previous policy details, and discharge summaries for any hospitalizations. The applicant is also asked to provide nominee details, policy term and premium information, and provide a signature.

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    © All Rights Reserved
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    LIC DATA SHEET / MALE LIFE

    Please fill in Capital letters only.


    Track Id. No. :- ___________ Mob. No. :- ________________________ Phone No ______________________
    Name in full :- ___________________________________Fathers full name :- _________________________
    Present address :- ___________________________________________________________________________
    __________________________________________________________________________________________
    Occupation :- ______________________________ Nature of work :-__________________________________
    Name of Employer :- __________________________ Length of service :- ____ Yrs. PAN :-_______________
    Date of birth :- ___________ Place of birth :-____________________ Age. :-______Education :- ___________
    Table / Term _____________ Sum Assured______________ Premium______________ Mode_____________
    Income :- ______________ Tax Payer :- Yes / No Name of Nominee :-________________________________
    Relationship :-_________________________________ Nominee DOB :-__________________ Age :-_______
    FAMILY HISTORY

    Relationship Age State of Health Age at Death Cause of Death

    Father
    Mother
    Brothers
    Sisters
    Husband/Wife
    Children

    Height :-____ Weight :- ______ Specs Power :- _____________Identification :-_________________________


    Surgery if any ______________________________________________________________________________
    Hospitalisations if any _______________________________________________________________________
    Documents Required :-
    1) Age Proof,
    2) ID Proof,
    3) Address Proof,
    4) Passport size photo,
    5) Latest pay slip,
    6) Professionl certificates
    7) Previous Policy Details
    8) Last 3years IT Returns or Form 16
    9) Discharge Summary in case of Hospitalizations
    10) Cheque in favorer of LIC OF INDIA A/C payee.
    11) Annexure A&B with proposer assets and liabilitys details (If sum assured exceeding Rs.20lakhs and above)

    Date :- ________________ Specimen Signature :- ___________________

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