Transcription of Pradhan Mantri Jeevan Jyoti Bima Yojana - canarahsbclife
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Pradhan Mantri Jeevan Jyoti Bima Yojana - canarahsbclife
Pradhan Mantri Jeevan Jyoti Bima YojanaProposal Form for Canara HSBC Oriental Bank of Commerce Life Insurance Pradhan Mantri Jeevan Jyoti Bima Yojana , a Non-participating Non-Linked Group Term Insurance Plan for <<Master Policyholder>>1. Details of Proposer2. Brief Scheme Details:Agent/ Broker codeApplication received datea. Name of Proposerb. PAN of Proposerc. Type of Business/ Trade/ Activity Type of organization (MFI,SHG,Bank)d. Address & Pincodee. Mailing Addressf. Contact Person s Name/ Designationg. E-mail addressh. Telephone NumberPlan nameCanara HSBC Oriental Bank of Commerce Life Insurance Pradhan Mantri Jeevan Jyoti Bima YojanaEntry AgeMinimum 18 50 years Max age at Maturity 55 yearsPolicy Term 1 year (annually renewable)Sum AssuredR`2,00,000 YearNo. of lives in the schemeNo. of deathsCause of Death(Natural/ Accidental)Total Claim AmountYear 1 Year 2 Year 3 Year 4 Year 5 Quotation Number/ Version Date / / , Proposed Date of commencement of policy:_____Subject to payment of premium for minimum number of member specified, submission of all required details, and fulfillment of other applicable terms and conditions3.
Pradhan Mantri Jeevan Jyoti Bima Yojana Proposal Form for Canara HSBC Oriental Bank of Commerce Life Insurance Pradhan Mantri Jeevan Jyoti Bima Yojana, a Non-participating Non-Linked Group Term Insurance Plan for <<Master Policyholder>> 1. Details of Proposer 2. Brief Scheme Details:
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