Example: dental hygienist
PRADHAN MANTRI JEEVAN JYOTI BIMA YOJANA NAME …
PRADHAN MANTRI JEEVAN JYOTI BIMA YOJANA NAME OF INSURER NAME OF BANK / POST OFFICE LOGO LOGO OF SCHEME LOGO CONSENT-CUM-DECLARATION FORM I hereby give my consent to become a member of ‘Pradhan Mantri Jeevan Jyoti Bima Yojana’ of ... premium#) towards premium of life insurance cover of Rs two lakhs under PMJJBY. I further
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