Certificate Of Existence Form - Sbi Life Insurance
ADVERTISEMENT
1SBI Life Insurance Company Limited
CERTIFICATE OF EXISTENCE
Policy/ Master Policy No: __________________ Annuitant Name / No.: _______
I__________________________ hereby certify that Shri/Smt ____________________________________
(Annuitant’s name) son/daughter of _______________________________was alive on ________________
and having personally seen him/her.
Signature of Annuitant_________________
Signature of Certifying Authority_______________
(Self Attested ID Proof to be submitted)
Address (applicable______________________
Name _____________________________________
_
only if it is changed)______________________
Designation and Seal_________________________
_______________________________________
Date _____________________________________
Address ___________________________________
Phone No_____________ Mobile No____________
______________________________________
Email Id__________________________________
___
(Please attach self attested address proof if any change of address is required, request for Address change has to be
submitted in person at any of the branches of SBI Life Insurance Co. Ltd.)
a
-
Acceptable
ddress proofs
Telephone Bill/ Bank Pass-Book (Last 3 months)/Electricity bill/ Ration Card/ Letter from
Recognized Public Authority/ Employer’s Certificate/ Valid Lease Agreement.
(This Form should be signed by the Annuitant before a Gazetted Officer / Registered Medical Practitioner with
Registration No. / Post Master / Head Master of the School / Officer of SBI Life above Assistant Manager / Authorized
person of Group Master Policyholder / Bank Manager or Officer with his Specimen Signature with Seal)
Note of Authority
(Please attach a pre-printed cancelled cheque leaf OR self attested copy of bank
*
passbook in case of bank details different from recorded one. If no change please just mention the details
below without any proof)
I __________________________________________________ (Annuitant’s Name) hereby authorize
SBI Life Insurance Co. Ltd. to credit the annuity amount to my bank account as per details given below.
Account No _________________________________________________________________________
Type ___________________________ IFSC Code No.______________________________________
__
Bank Name ______________________ Branch Address _____________________________________
___________________________________________________________________________________
*Disclaimer - Please note direct transfer to be made only if otherwise possible and allowed by banks as per banking regulations, EFT
will be possible only if either a cancelled cheque leaf is attached or above stated account details are attested by branch manager of the
bank where the bank account is being maintained. SBI life will not be responsible and liable for any losses occurred due to incorrect
account details provided by policyholder.
SBI Life Insurance Company Limited,
Central Processing Centre : Kapas Bhavan, Plot No.3A, Sector No.10, CBD Belapur, Navi Mumbai - 400 614.
Board No. : 022 6645 6000 Fax : 022 6645 6653. Email : groupannuity@sbilife.co.in / annuity@sbilife.co.in
Website : IRDAI Regn. No 111. CIN: U99999MH2000PLC129113
Regd. Office : “Natraj”, M.V. Road & Western Express Highway Junction, Andheri (East), Mumbai – 400069.
SBI Life
Co Ltd. CLM/LB/Ver 1.03
Insurance
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business