PRADHAN MANTRI JEEVAN JYOTI BIMA YOJANA – CLAIM FORM (to be completed by the Claimant & Bank) 1. NAME OF THE SCHEME
Pradhan Mantri Jeevan Jyoti
Bima Yojana 2. POLICY NO.
3. FULL NAME AND ADDRESS OF THE BANK : 4. NAME OF THE DECEASED MEMBER
5. SAVINGS BANK ACCOUNT NO OF DECEASED MEMBER: 6. AADHAR NO. OF DECEASED (if available): 7. DATE OF ENTRY INTO SCHEME BY MEMBER
8. DATE OF DEATH OF MEMBER
10. NAME OF NOMINEE * NOMINEE:
12. ADDRESS OF THE NOMINEE
9. CAUSE OF DEATH : 11.RELATIONSHIP
13. MOBILE NO. OF THE NOMINEE: AVAILABLE:
14. AADHAR NO. IF
15. DETAILS OF SAVINGS BANK ACCOUNT OF NOMINEE: IFSC CODE:
SAVINGS BANK ACCOUNT NO. :
We hereby declare that the answers to all the above questions are true in every respect and this is the only claim preferred under the Pradhan Mantri Jeevan Jyoti BimaYojana for the above deceased member. We enclose Death Certificate as the proof of death of the Member. *In case the Nominee is a minor, the Guardian/Appointee may fill in the claim form. _____________________________________ (Signature of the Nominee* /Claimant) We hereby certify that the above member was covered under the PMJBY Scheme and premium was debited from his bank account on the renewal date prior to his death and remitted to (Name of Insurance Company). We also certify that as per our records, Shri/Smt. _____________________ is the nominee of the above insured Member for the said scheme. PLACE ______________________ DATE: ____________ (Signature of authorized official of the Bank) Seal Encl: Death Certificate & Discharge Form.
Pradhan Mantri Jeevan Jyoti Bima Yojana - UCO Bank
... BIMA YOJANA â CLAIM FORM. (to be completed by the Claimant & Bank). 1. NAME OF THE SCHEME. : Pradhan Mantri Jeevan Jyoti. Bima Yojana. 2. POLICY NO. : 3. FULL NAME AND ADDRESS. OF THE BANK. : 4. NAME OF THE DECEASED MEMBER : 5. SAVINGS BANK ACCOUNT NO OF DECEASED MEMBER:.
Hyderabad, Patna, Ranchi, Raipur, Chandigarh, Shimla, Bhopal, Jammu, New Delhi,. Bhubaneshwar, Jaipur, Chennai, Nagpur, Dehradun,Lucknow and Kolkata. An eligible candidate who wishes to avail of Pre-Examination Training should fill in the relevant fi
2007 Insurance Regulatory and Development Authority. Please reproduce with due permission. Unless explicitly stated, the information and views published in this. Journal may not be construed as those of the Insurance Regulatory. and Development Autho
Aug 13, 2014 - This is an immediate Annuity plan, which provides for immediate pension in consideration of lump sum amount. This is a Government subsidized scheme. The pension payable is guaranteed for the life time with return of purchase price. Gua
Nov 14, 2013 - for Pl and other insured lives shall be different for same age, same gender and same level of. Cover. The instalment premium payable during the cover period in respect of each Insured will be the sum of: 0 Instalment premium for the Ba
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not for showing on policy document. 2) Annuity rates are different for each option. All annuity rates are on yearly basis payable Mly/Qly/Hly/Yly. 3) In given annuity rates payable per annum for Rs.1000/- purchase price(as given). ,incentive for high