SURAKSHA PLUS SAVING BANK ACCOUNT. No. 1 Name of the Product Suraksha Plus Saving Bank A/c 2 Product Code SBCHQ-GEN-IND- SURAKSHA-INR
|
|
- Marybeth Atkins
- 8 years ago
- Views:
Transcription
1 SURAKSHA PLUS SAVING BANK ACCOUNT Sr. Parameters Particulars No. 1 Name of the Product Suraksha Plus Saving Bank A/c 2 Product Code SBCHQ-GEN-IND- SURAKSHA-INR SBCHQ-GEN-STF-IND- SURAKSHA-INR 3 Segment Applicable to the Personal Segment including NRI Customers 4 Mode of holding Single or jointly. In case of joint accounts insurance cover will be provided to first named person only. 5 Type of Account Saving Bank Account 6 Minimum quarterly average balance ` 25,000/- 7 Penalty for non-maintenace of minimum balance ` 300/- per quarter. However, if the balance continues below the stipulated minimum balance for more than six months, insurance cover will not be available from the next renewal onwards. 8 Rate of interest As applicable to Saving Bank deposits 9 Insurance cover An accidental death insurance cover for ` 5.00 lacs will be provided to the depositor free of cost for one year. The premium will be paid by the Bank. This benefit will be subject to yearly review. 10 Debit entries allowed free of charges 100 per half year ( as against 30 per half year allowed in normal SB account) 11 Cheque leaves issued free of charges 50 leaves free in a year as against 25 leaves free only at first instance given with welcome kit for normal SB account 12 Multicity Cheques 25 leaves free in a year (as against ` 3/- per leaf for normal SB account) 13 Other conditions All the facilities available for ordinary Saving Bank deposit i.e. ATM, Internet, Mobile Banking etc. will be applicable to Saving Bank Account. Existing Saving Bank account holder can shift to Suraksha Plus Saving Bank account by giving an application. Claim if any, will be settled in favour of the nominee of the deposit only. No separate nomination to be obtained for insurance cover. Maximum claim settlement per person would be ` 5.00 lacs collectively in all schemes/account at various branches.
2 Annexure-III (Revised) CONSENT FOR GROUP PERSONAL ACCIDENT INSURANCE SCHEME AND IRREVOCABLE LETTER OF AUTHORITY The Branch Manager State Bank of Patiala Place: Date:... Dear Sir, Reg: Group Personal Accident Insurance Scheme-State Bank of Patiala I hereby give my unconditional consent to join Group Personal Accident Insurance Scheme of SBI General Insurance Co.Ltd. which has been explained to me and I have also gone through the coverage / terms / conditions of this policy. I understand that the sum insured will be minimum Rs.2.00 Lac for individual account holders having quarterly average balance above Rs /- and Rs Lac for individual account holders having quarterly average balance above Rs.25000/-.* Even in the case of multiple accounts, the maximum aggregate sum assured would be limited to Rs.5.00 Lac. In case of joint Account, Insurance cover will be available to first named person only. This insurance cover is valid from the date of acceptance to the valid period of insurance as indicated in MOU between SBI General Insurance Co. Ltd. and State Bank of Patiala and can be renewed only on mutual consent and subject to maintenance of minimum average quarterly balance as agreed above. Account No... Sum Insured: Rs...Lacs Name, relation and address of nominee; (Name of Appointee if nominee is minor Date of Birth:... Age...years (Insured should be aged between 5yrs-65yrs) Sex (Male/Female):... PAN No... (If available) as mentioned in the Saving Bank Account Opening Form) I agree that in case I close my account with your branch, I will cease to be a member of this scheme from the closure. I understand that no liability and / or risks relating to this Group Personal Accident Insurance shall get devolve on the Bank. In other words, all claim arising out of accidental death will be settled by SBI General Insurance Co.Ltd. In the event of any claim arises, my nominee /legal hair(s) will lodge along with the claim forms and other relevant documents to SBI General Insurance Co.Ltd. through your branch for settlement of claim. I authorize you to collect the claim amount on my behalf / my nominee / Legal heir(s) and credit the amount to my account/account of my nominee / legal hair(s) as the case may be. I agree to abide by the terms and conditions of the above scheme and agree to your conveying the above particulars regarding my admission into the Group Insurance Scheme to the concerned Insurance company. Signature:... Full Name:... S/o. w/o:... Address:... Witness Signature:... Full Name:... Address:...
3 Note: (1) This consent to be obtained from the account holder or from the first named person in case of Joint accounts on the opening day of the account, and the insurance will be accordingly arranged by Bank through SBI General Insurance Co.Ltd. (2) Account holder is required to submit fresh consent letter in case of increase in the sum insured at the time of annual review. (3) Existing SB Suraksha/Suraksha plus account holders need to submit fresh consent letter at the time of renewal of the policy. * Delete the clause which is not applicable.
4 Annexure-IV (Revised) STATE BANK OF PATIALA BRANCH TERMS AND CONDITIONS OF THE INSURANCE TO Shri/Smt, (Name of the depositor) Account No. OBJECTIVE: To provide Personal Accident Death Insurance cover to the deposit holder of the bank under Suraksha Saving Bank account and Suraksha plus Saving account and as per the terms and conditions hereinafter stated. COVERAGE: The deposit holders of the aforesaid deposit accounts, whether held singly or jointly with one or more persons, first name depositor only will be provided with a Personal accident death insurance cover to an extent of Rs.2 lacs & Rs.5 lacs as the case may be depending upon the scheme, for which appropriate premium has been remitted by the bank to the Insurance company. In case of joint accounts the insurance cover shall be available for the first named depositor only. The cover is provided for one year. COMMENCEMENT OF COVERAGE: Each depositor shall stand covered with the insurance policy from the date of acceptance to the valid period of insurance as indicated in MOU between State Bank of Patiala and SBI General Insurance Co. Ltd. The premium for the insurance cover will be paid by the Bank. Complete details of deposit holders will be maintained by Bank. In the event of any claim, details/documents pertaining to the depositors will be submitted to the Insurance Company by the Bank. SCOPE OF COVER: The Insurance shall cover risk of Accidental death only (as defined in the policy) arising solely and directly from accident caused by violent and visible means during the period of Insurance in force, subject to the terms, conditions & exclusions as specified in the Insurance Policy. SUM INSURED UNDER THE POLICY FOR EACH DEPOSIT HOLDER: Sum insured for Suraksha Saving account holders Rs.2 lacs * Sum insured for Suraksha plus Saving account holders- Rs.5 lacs * *subject to maximum claim settlement of Rs.5 lacs per person, regardless of the number of deposits held in various schemes / Branches. NOMINEE UNDER THE POLICY: The respective branch of the Bank shall be authorised to receive claim under the policy who in turn will remit to the depositor s nominee/legal heir.
5 PROCEDURE FOR CLAIMS: All the claims correspondence will only be with the Bank s branches where the insured person having his/ her deposit account. The information about accidental death of the insured person / depositor shall be informed to the Bank branch within 60 days from the date of accident. The following documents are required to be submitted to the branch for processing of the claim. 1) Claim form duly completed. 2) Death certificate. 3) Post-mortem Report 4) FIR/Police panchanama/inquest report 5) Any other document relevant to the claim All documents should be attested by the Branch Manager of the Bank. Manager Date Received a copy of the terms of insurance together with the details of the scheme. Depositor signature Date:
6 SBI General Insurance Company Limited GROUP PERSONAL ACCIDENT INSURANCE POLICY Claim Form (For Saving Account holders of Suraksha & Suraksha Plus of State Bank of Patiala) Call (Toll Free) Issuance of this form does not amount to admission of any liability or a waiver of any of the terms and conditions of the insurance contract. If any claim is in any manner dishonest or fraudulent, or is supported by any dishonest or fraudulent means or devices, whether by the Insured Person/Claimant or anyone acting on behalf of the Insured Person, then the benefits under this policy shall be void and all benefits payable under it shall be forfeited. Policy No. Claim No. Period of Insurance From D D M M Y Y Y Y To D D M M Y Y Y Y A. DETAILS OF INSURED/CLAIMANT 1. Name of Bank Branch 2. Name of the Insured S U R N A M E M I D D L E N A M E F I R S T N A M E 3. Date of Birth D D M M Y Y Y Y Gender Male Female 4. Profession / Occupation 5. Address Plot No/Door No. Building Name Road City State Area District Pincode 6. Contact Details Phone No. Mobile Id B. DETAILS OF ACCIDENT/INCIDENCE 1. Date of Accident/Incidence D D M M Y Y Y Y Time of Accident : A.M. / P.M. 2. Cause of Accident/Incidence 3. Details of Accident/Incidence 4. Accident/Incidence Location Address City State District Pincode 5. Were there any witness to the Accident/Incidence? Yes No If Yes, provide details, Name of Witness Address of Witness Plot No/Door No. Road City Building Name Area District State Pincode Contact Details Phone No. Mobile Id 6. Is Witness relative of Claimant? Yes No 1 Corporate & Registered Office: Natraj, 101, 201 & 301, Junction of Western Express Highway & Andheri - Kurla Road, Andheri (East), Mumbai Version 1.0, Nov 2012
7 C. DETAILS OF OTHER INSURANCE/INTEREST 1. Is the Accident/Incidence covered under any other Insurance? Yes No If 'Yes', specify details and attach a copy of the policy Name of Insurer Policy Issuance Office Location Policy No. Sum Insured (Rs.) Period of insurance From D D M M Y Y Y Y To D D M M Y Y Y Y D. FOR WHICH BENEFIT DO YOU CLAIM? [PLEASE TICK ( ) THE APPROPRIATE BOX] Benefit Accidental Death Amount claimed E. PAYEE DETAILS 1. Payable to 2. Payment Mode Cheque NEFT 3. Bank Name Bank Branch 4. Bank Account No. IFSC Code 5. MICR No. PAN No. G. ENCLOSURES CHECKLIST Accidental Death: Duly signed Claim Form to be filled in by the Legal Heir of the deceased duly attested by an official of State Bank of Patiala Branch Copy of Death Certificate attested by issuing authorities or by State Bank of Patiala Branch Manager Copy of Final Police Report attested by issuing authorities or by State Bank of Patiala Branch Manager Copy of Post Mortem Report attested by issuing authorities or by State Bank of Patiala Branch Manager Copy of FIR / MLC Copy / Spot Panchnama / Inquest Panchnama attested by issuing authorities or by State Bank of Patiala Branch Manager Statement of bank with opening balance Attested translated copies of FIR and other documents if in local language Note: The Company reserves the right to seek additional documents (including KYC documents) and information as and when necessary for processing of the Claim. H. STATE BANK OF PATIALA AUTHENTICATION This is to certify that Mr / Ms having account number in SBOP Branch, Branch Code is / was covered under Group Personal Accident Policy covering Saving Account holders of Suraksha & Suraksha Plus of State Bank of Patiala. The above information is true to best of my knowledge and we agree to provide any further information that may be required. Place: Date: D D M M Y Y Y Y Signature of Authorized Personnel: Name of Authorized Personnel: Bank Branch Seal: 2
INDIVIDUAL PERSONAL ACCIDENT INSURANCE POLICY Claim Form
SBI General Insurance Company Limited IRDA Reg. No. 144 dated 15/12/2009 CIN: U66000MH2009PLC190546 INDIVIDUAL PERSONAL ACCIDENT INSURANCE POLICY Claim Form Call (Toll Free) 1800 22 1111 1800 102 1111
More informationTata AIA Life Insurance Company Limited (hereinafter called the Company ) DEATH CLAIM INTIMATION - CUM - CLAIMANT S STATEMENT
Tata AIA Life Insurance Company Limited (hereinafter called the Company ) DEATH CLAIM INTIMATION - CUM - CLAIMANT S STATEMENT Guidelines / Notes: 1. Death benefit is payable subject to policy being inforce
More informationBIRLA SUN LIFE INSURANCE COMPANY LIMITED CLAIMANT S STATEMENT FORM (DEATH CLAIMS)
BIRLA SUN LIFE INSURANCE COMPANY LIMITED CLAIMANT S STATEMENT FORM (DEATH CLAIMS) Points to Note This form is to be filled in by the beneficiary under the policy or by the person legally entitled for the
More informationProduct FAQs. Canara HSBC Oriental Bank of Commerce Life Insurance Group Secure - Home Loan
Canara HSBC Oriental Bank of Commerce Life Insurance Group Secure - Home Loan 1. What are the Unique Selling Propositions of Group Secure Home Loan? Group Secure Home Loan proposition is exclusively designed
More informationCLAIM FORM FOR HEALTH INSURANCE POLICIES OTHER THAN TRAVEL AND PERSONAL ACCIDENT PART A
SBI General Insurance Company Limited IRDA Reg. No. 144 dated 15/12/2009 CIN: U66000MH2009PLC190546 CLAIM FORM FOR HEALTH INSURANCE POLICIES OTHER THAN TRAVEL AND PERSONAL ACCIDENT PART A TO BE FILLED
More informationAnnexure-I. Yours faithfully, Date: (Claimant(s))
Annexure-I Application Form for settlement of claim in deceased depositors accounts (To be used when account has nomination or is a joint account with survivorship clause) From To The Branch Manager, Bank
More informationHANDOUT-DEATH CLAIM. Our mailing address is as follows. Claims Department, Aviva Life Insurance Company India Limited,
HANDOUT-DEATH CLAIM KIND ATTENTION: CLAIMANT We deeply regret the sad demise of your loved one. We assure you of our support throughout the claims process to help and assist you to complete the formalities
More informationADVISORY : PERSONAL ACCIDENT INSURANCE COVER TO SBIDSP ACCOUNT HOLDER
ADVISORY : PERSONAL ACCIDENT INSURANCE COVER TO SBIDSP ACCOUNT HOLDER 1. As part of MoU with Indian Army, all Defence Salary Package(DSP) Accounts holders have been provided benefits of free Personal Accident
More informationEasy Domestic Travel Insurance
Issuance of this form does not amount to admission of any liability or a waiver of any of the terms and conditions of the Policy. If any claim is in any manner dishonest or fraudulent, or is supported
More informationTATA AIG General Insurance Company Limited Address CLAIM FORM
CLAIM FORM CLAIM FORM PART A TO BE FILLED IN BY THE INSURED The issue of this Form is not to be taken as an admission of liability SECTION A DETAILS OF PRIMARY INSURED a) Policy No b) Sl. No/ Certificate
More informationPART A TO BE FILLED IN BY THE INSURED / INSURED PERSON. (The issue of this form is not to be taken as an admission of liability)
Group Medisure Insurance Claim Form Toll Free Number 1800-209-5846 (1800-209-LTIN) Website www.ltinsurance.com SMS LTI to 5607058 (56070LT) GUIDELINES TO FILL THE FORM 1. Please fill the form in BLOCK
More informationPERSONAL ACCIDENT INSURANCE DEATH COVER (PAI): POLICY DETAILS
Annexure 1 PERSONAL ACCIDENT INSURANCE DEATH COVER (PAI): POLICY DETAILS Eligibility: Salary Package Accounts Extent of Cover: Salary Package Variant PAI cover (Rs in lakhs) CSP, SGSP, CGSP, RSP, Jawans
More information10 BASIC PLAN DETAILS (Select any one option by ticking the box) 10.1 Annuity Provider (1)- Share out of 100%- 10.1.1 10.1.2 10.1.
SBI Life - Swarna Jeevan (UIN - N09V0) To be filed in by employee/ nominee Details of the member on whose life annuity is to be effected Name of the Employee: First Name Second Name Last Name. Name of
More informationStandard Chartered Bank Outline on settlement of deceased accounts
Standard Chartered Bank Outline on settlement of deceased accounts This policy document on deposits outlines the process followed on deceased deposit accounts. It is expected that this document will impart
More informationFrequently Asked Questions (FAQs) Group Easy Health Plan
1. Can a customer buy multiple policies of Rs. 2 lacs each? Yes, customer can buy multiple policies of 2 lacs each as per current underwriting policy. 2. If the account holder is an NRI, what is the procedure
More informationLast modified on 16-3-15. IEC Code : c INR Account. c FCY Account* c EEFC Account* Permanent Account Number : Registered Address : Fax : Mobile
The form should be signed after all details are completely filled. All information in the "Entity Details" section is Mandatory. Please complete all sections in BLOCK LETTERS and tick boxes where applicable.
More informationDeath Claim Application Form
Death Claim Application Form Please accept our condolences on your untimely loss. We understand that this is a difficult time for you and it is our responsibility to offer you the best support in this
More informationPAYMENT OF BALANCE IN ACCOUNTS OF THE DECEASED CUSTOMERS TO SURVIVORS/CLAIMANTS
PAYMENT OF BALANCE IN ACCOUNTS OF THE DECEASED CUSTOMERS TO SURVIVORS/CLAIMANTS The bank may not insist on succession certificate from legal heirs irrespective of amount involved if there are no disputes
More informationUnited Foreign Domestic Worker Insurance
United Foreign Domestic Worker Insurance UNITED FOREIGN DOMESTIC WORKER INSURANCE United Foreign Domestic Worker Insurance is a package insurance plan that meets the new requirement, set by the Ministry
More informationEquifax Credit Information Services Pvt Ltd. Credit Report Request Form
Credit Report Request Form You can access your credit report in four easy steps as mentioned below; Step 1: Fill the KYC Request form for getting a Credit Report Step 2: Attached the self-attested copy
More informationCLAIM FORM FOR PERSONAL ACCIDENT INSURANCE
CLAIM FORM FOR PERSONAL ACCIDENT INSURANCE (The issuance of this form is not to be taken as an Admission of Liability) Address to dispatch Claim Documents : ICICI Lombard Health Care ICICI Bank Tower,
More informationHDFC Life New Immediate Annuity Plan
VER - 2 HDFC Life New Immediate Annuity Plan Guidelines for filling up the form This form is to be filled by the Proposer himself in BLOCK LETTERS in BLACK INK. Please tick boxes where appropriate. Please
More informationAccount opening form (For Non Resident Indians- Individuals)
Photograph (To be filled in by Bank) Account No Customer ID Date/Month/Year Scheme Code ORIENTAL BANK OF COMMERCE (A GOVT. OF INDIA UNDERTAKING) Account opening form (For Non Resident Indians- Individuals)
More informationon or before 31 st May 2013,
ALLAHABAD BANK Personnel Administration Department (Human Relations Section) Head Office: 2 N. S. Road, Kolkata 700 001 Instruction Circular No. 12370/ADMN (HR)/2012-2013/17 Date : 30-03-2013 To All Offices
More informationTo Demat Centre. With Dt and time. South Indian Bank Head Office, Thrissur - 680 001. Demat Application Check list
To Demat Centre Marketing Department South Indian Bank Head Office, Thrissur - 680 001 Received Seal of Br With Dt and time Demat Application Check list YES 1. Whether applicant is an SB/CD holder in SIB?
More informationCLAIM APPLICATION FORM FOR WORKMEN'S COMPENSATION INSURANCE
CLAIM APPLICATION FORM FOR WORKMEN'S COMPENSATION INSURANCE NOTE: In the event of any occurrence which may give rise to a claim under the Policy for Workmen's Compensation Insurance, the Insured shall,
More informationEasy Travel Insurance
Issuance of this form does not amount to admission of any liability or a waiver of any of the terms and conditions of the insurance contract. If any claim is in any manner dishonest or fraudulent, or is
More informationCURRENT DEPOSIT ACCOUNT. with Cheque Book Monthly Instalment Rs. without Cheque Book
UNITED BANK OF INDIA ACCOUNT OPENING FORM (Individual) Branch Date Account No. Please tick ( ) type of account SAVINGS ACCOUNT CURRENT DEPOSIT ACCOUNT RECURRING DEPOSIT with Cheque Book Monthly Instalment
More informationApplication Form for Opening a Demat Account
CENTRAL BANK OF INDIA Branch Depository Participant Name/Address Application Form for Opening a Demat Account Individual NRI Foreign National (To be filled by the Depository Participant) Application No.
More informationDeath Claim Application Form
Death Claim Application Form Please accept our condolences on your untimely loss. We understand that this is a difficult time for you and it is our responsibility to offer you the best support in this
More informationClaims Process-RuPay Card for Personal Accident Benefit Policy No - 2999200723397400000
ANNEX - A Claims Process-RuPay Card for Personal Accident Benefit Policy No - 2999200723397400000 Claim intimation All the claims will intimate to the dedicated claims id npcirupay@hdfcergo.com and HDFC
More informationFORM-I SAVING BANK ACCOUNT OPENING FORM
FORM-I SAVING BANK ACCOUNT OPENING FORM For Bank Use Only Name & Code of the Branch Cust ID A/C No. [FOR SMALL ACCOUNT] Affix Passport size Photo 1. Name in Full (Mr/Ms) 2. Father/ Husband/Guardian Name
More informationRULES FOR THE PRADHAN MANTRI SURAKSHA BIMA YOJANA
RULES FOR THE PRADHAN MANTRI SURAKSHA BIMA YOJANA DETAILS OF THE SCHEME: The scheme will be a one year cover, renewable from year to year, Accident Insurance Scheme offering accidental death and disability
More informationMAHARASHTRA GRAMIN BANK
For Bank Use Only Name & Code of the Branch Cust ID A/C No. SAVING BANK ACCOUNT OPENING FORM Customer ID Account No. I Know Shri/Smt. for the past Years/months. He/she is residing at the address given
More informationSAVING BANK ACCOUNT OPENING FORM 1
SAVING BANK ACCOUNT OPENING FORM 1 (for BASIC/SMALL SB A/c) For Bank Use Only Name & Code of the Branch Cust ID A/C No. Affix Passport size Photo 1. Name in Full (Mr/Ms) 2. Father/ Husband/Guardian Name
More informationMOTOR INSURANCE POLICY Claim Form
SBI General Insurance Company Ltd. www.sbigeneral.in MOTOR INSURANCE POLICY Claim Form If any detail or information Is not readily available please do not delay the dispatch of this form and such particulars
More informationFORM-I SAVING BANK ACCOUNT OPENING FORM
For Bank Use Only Name & Code of the Branch Cust ID A/C No. FORM-I SAVING BANK ACCOUNT OPENING FORM Affix Passport size Photo [FOR SMALL ACCOUNT] 1. Name in Full (Mr/Ms) 2. Father/ Husband/Guardian Name
More informationANNEXURE POLICY ON BANK DEPOSITS
ANNEXURE POLICY ON BANK DEPOSITS 1. TYPES OF DEPOSIT ACCOUNTS: While various deposit products offered by the Bank are assigned different names, the deposit products can be categorized broadly into the
More informationCLAIM SETTLEMENT (Deceased Depositor Claim Cases) SAVINGS BANK ACCOUNTS
CLAIM SETTLEMENT (Deceased Depositor Claim Cases) SAVINGS BANK ACCOUNTS When the depositor dies, the proceeds can be paid to the Nominee or legal heir, following the procedure for deceased depositor s
More informationTTK Healthcare TPA Private Limited
TTK Healthcare TPA Private Limited Page -1 of 4 #2, H.B Complex,100 Feet BTM Ring Road,BTM First Stage, BTM Lay Out,Bangalore 560 068, PH: 080-40125678 CLAIM FORM Form no : 9 TTK ID No : (Issuance of this
More informationPOLICY ON BANK DEPOSITS
POLICY ON BANK DEPOSITS 1. Preamble One of the important functions of the Bank is to accept deposits from the public for the purpose of lending. In fact, depositors are the major stakeholders of the Banking
More informationAccount Type Current Saving Fixed Others (Specify) Constitution: Private Ltd. Co. Public Ltd. Co. NGO Others(Specify)
NEPAL SBI BANK LIMITED...Branch ACCOUNT NUMBER Account Type Current Saving Fixed Others (Specify) Constitution: Private Ltd. Co. Public Ltd. Co. NGO Others(Specify) Currency NPR USD EURO Others ((Specify)
More informationHow To Get A Liability Insurance Policy From Bangalore Based Insurance Company (Besp)
1 ~ coa... BANGALORE ELECTRICITY SUPPLY COMPANY LIMITED (Wholly owned Government of Karnataka Undertaking) No:BESCOMI BC-50/2535/2015-16 ~ ~91 Corporate Office K.R. Circle Bengaluru -560 001 Date: To,
More information1. Application for Deceased claim (To be filled up when account has nomination or MOP is ERS or Any One or Survivor )
1. Application for Deceased claim (To be filled up when account has nomination or MOP is ERS or Any One or Survivor ) The Branch Manager ICICI Bank Ltd. Branch From Dear Sir, DECEASED ACCOUNT - LATE SHRI/SMT
More informationAPPLICATION FORM FOR SOVEREIGN GOLD BOND 2016 Series II (Put wherever required)
APPLICATION FORM FOR SOVEREIGN GOLD BOND 2016 Series II (Put wherever required) Name of Receiving Office Name of Branch: Mode of Subscription Cash Cheque / DD Electronic Transfer Grams of Gold Applied
More informationPolicy for Settlement of Claims for deceased depositors - Personal Banking customers of The Hongkong and Shanghai Banking Corporation Limited, India
Policy for Settlement of Claims for deceased depositors - Personal Banking customers of The Hongkong and Shanghai Banking Corporation Limited, India Version 2: Updated Oct10-1 - Table of Contents I. Introduction...
More informationSBI LIFE -PRODUCT FEATURES
SBI LIFE -PRODUCT FEATURES KEYMAN INSURANCE Why a keyman policy? Person covered Min. & Max. at entry Maximum Cover Age Minimum Term To protect the Corporate against the financial consequences due to the
More informationCelebrate being a part of the group
IDBI Federal Termsurance Group Premium Return Insurance Plan Celebrate being a part of the group A life cover that protects your key relationships. THIS PRODUCT BROCHURE ONLY GIVES THE SALIENT FEATURES
More informationPhotograph. Pleas affix a recent passport size photograph. To PUNJAB & SIND BANK Branch Office.. Date:..
ACCOUNT OPENING FORM FOR INDIVIDUALS/SOLE PROPRIETOR/HUF/TRUST/FIRM/CORPORATE (To be filled in by Bank) Account No. Customer ID Date/Month/Year Branch Name Photograph Pleas affix a recent passport size
More informationClaim form. Overseas Officers Insurance Policy. Accidental Death and Capital Benefits and Compassionate Travel YOUR DETAILS
Claim form Overseas Officers Insurance Policy Accidental Death and Capital Benefits and Compassionate Travel M U T U A L B R O K E R S P T Y L T D Arranged by Mutual Brokers ABN 73 008 602 266 AFSL Number
More information(FOR OFFICE USE ONLY)
PUNJAB NATIONAL BANK ACCOUNT OPENING FORM (All BRANCHES) The Manager, Branch Office.. Dist. No. Customer ID No: (Sole/first A/c holder only) Account No. (16 digits) FOR RESIDENT INDIVIDUALS (SINGLE/ JOINT)
More information14 ways to celebrate your retired life.
14 ways to celebrate your retired life. Choose from 14 Annuity Options. SBI LIFE- A TRADITIONAL IMMEDIATE ANNUITY PLAN UIN: 111N083V01 Although change is the only constant in life some things should just
More informationAnnexure - 11 LIFE INSURANCE CORPORATION OF INDIA (Established by the Life Insurance Corporation Act, 1956)
Annexure - 11 LIFE INSURANCE CORPORATION OF INDIA (Established by the Life Insurance Corporation Act, 1956) Form 440 (IA) Inward No Divisional Office. Branch Office.. Proposal No. Amount of Deposit:..
More information(To be filled in by Bank) Account No. Customer ID Date/Month/Year. Photograph. Pleas affix a recent passport size photograph
(To be filled in by Bank) Account No. Customer ID Date/Month/Year Photograph Pleas affix a recent passport size photograph ACCOUNT OPENING FORM NON-RESIDENT INDIANS (NRE/FCNR/NRO) Photograph Pleas affix
More informationKARAD URBAN BANK THE KARAD URBAN CO-OPERATIVE BANK LTD. KARAD (Scheduled Bank)
ESTD. 1917 KARAD URBAN BANK THE KARAD URBAN CO-OPERATIVE BANK LTD. KARAD (Scheduled Bank) Head Office 516/2 Shahu Chowk, Shaniwar Peth, Karad 415 110. E-mail contact@karadurbanbank.com Website www.karadurbanbank.com
More informationEquifax Credit Information Services Pvt Ltd.
Credit Report Request Form You can access your credit report in four easy steps as mentioned below; Step 1: Fill the KYC Request form for getting a Credit Report Step 2: Attached the self-attested copy
More informationPETANQUE FEDERATION AUSTRALIA LTD
Willis Australia Limited ABN: 90 000 321 237 AFS License Number 240600 Office use only Claim Number:. PETANQUE FEDERATION AUSTRALIA LTD PERSONAL INJURY CLAIM FORM Willis Australia Limited HEAD OFFICE Level
More informationINSTANT SAVER 2 ACCOUNT
INSTANT SAVER 2 ACCOUNT Provided by Scottish Widows Bank APPLICATION FORM This form is only for the use of personal customers. Account Number (For office use only) Please complete this form in BLOCK CAPITALS
More informationStock Holding Corporation of India Limited
(To be filled by the Depository Participant) Application No. DP Internal Reference No. DP ID Stock Holding Corporation of India Limited Regd. Office : 301, Centre Point, Dr. Babasaheb Ambedkar Road, Parel,
More informationVisa Number. (please specify) Gender Male Female. Nationality. Marital Status Married Single Other. Education Status.
Application 02/2014 Please note that this application form is also available in Arabic upon your request. á«hô dg á لdÉH ké jcg ôaƒàe Öل dg Gòg êpƒ CÉH á MÓŸG Lôjى.Öل dg Ö ùm As this is your first application
More informationSimplified Procedure adopted by the Bank For Settlement of Deceased Claim Cases And Forms to be filled up by the Claimant
Simplified Procedure adopted by the Bank For Settlement of Deceased Claim Cases And Forms to be filled up by the Claimant The bank has adopted a simplified procedure for settlement of claims of the deceased
More informationClaim Form-Part A DETAILS OF PRIMARY INSURED (SECTION A) DETAILS OF INSURANCE HISTORY (SECTION B) DETAILS OF INSURED PERSON HOSPITALIZED (SECTION C)
MediPrime Best Product Innovation Award The Indian Insurance Awards 2013 Claim Form-Part A To be filled in by the insured The issue of this Form is not to be taken in as admission of liability (To be filled
More informationDemat Account Opening Form (For Individuals only)
Demat Account Opening Form (For Individuals only) Demat Account Opening Form (For Individuals only) Vinay Bhavya Complex, C.S.T. Road, Kalina, Santacruz (East), Mumbai-400 098. Kotak Mahindra Bank DP ID
More informationWith Small Investment... Get Protection Along With Happiness Invest in SBI Life CSC Saral Sanchay to gain benefits of both Life Insurance and Saving.
D GUARANTEE RATE # ly Conditions App ER ES T MI NIM UM INT #Refer to page 2 for details With Small Investment... Get Protection Along With Happiness Invest in SBI Life CSC Saral Sanchay to gain benefits
More informationEmail. Name of Intermediary (if any) Gender Male Female Age Date of Birth D D / M M / Y Y Y Y. Date of Employment D D / M M / Y Y Y Y.
TRAVEL INSURANCE Claim Form *SG021* *SG021* TO FACILITATE THE PROCESSING OF YOUR CLAIM, YOU ARE REQUIRED TO COMPLETE SECTIONS A, B AND C FOR ALL CLAIM SUBMISSIONS. The issue and acceptance of this form
More informationFUNERAL FUND RATES. Male non-smoker
Personal Funeral Fund ABOUT FUNERAL COVER Funeral expenses usually have to be paid well before estate settlement and insurance payouts. Funeral Fund can provide you with peace of mind, knowing that cover
More informationCopy of the Resolution passed in the meeting of the Board of Directors of Ltd. Held on.
Annexure A Proposal No:- Board Resolution in respect of SBI Life Shield used as a Keyman Insurance Policy Copy of the Resolution passed in the meeting of the Board of Directors of Ltd. Held on. Resolved
More informationPERSONAL INJURY CLAIM FORM
Willis Australia Limited ABN: 90 000 321 237 AFS License Number 240600 Office use only Policy Number: SUA/002395 Claim Number:. TABLE TENNIS AUSTRALIA PERSONAL INJURY CLAIM FORM INSURANCE BROKER FOR TABLE
More informationUNION BANK OF INDIA Good People to Bank with
UNION BANK OF INDIA Good People to Bank with For Bank use only BRANCH CODE The Branch Manager Union Bank of India Account No. Account Type ACCOUNT OPENING FORM FOR NON-RESIDENT INDIAN (NRI) I/We request
More informationPOLICY ON BANK DEPOSITS
POLICY ON BANK DEPOSITS PREAMBLE One of the important functions of the Bank is to accept deposits from the public for the purpose of lending. In fact, depositors are the major stakeholders of the Banking
More informationHDFC Standard Life Insurance Company Limited Policy Provisions for HDFC Life Group Credit Protect Plus Insurance Plan. <<Policyholder s Name>>
> Dear , Sub: Your Master Policy Number > We are glad to inform you that your Proposal has been accepted and the Insurance
More informationDIRECT TRANSFER ACCOUNT 2
DIRECT TRANSFER ACCOUNT 2 Provided by Scottish Widows Bank APPLICATION FORM Account Number (For office use only) Please complete this form in BLOCK CAPITALS and in ink. APPLICATION CHECKLIST In order for
More informationCompany Introductory Form
Company Introductory Form Acuity Stockbrokers (Pvt) Ltd Level 05, Acuity House No.53, Dharmapala Mawatha, Colombo 03 Tel: 0112-206206 Fax: 0112-206298/73 1of 3 Note: This form should be completed and retained
More informationPOLICY BANK DEPOSITS. Operations & Services Dept. Head Office,Baroda Date: 01.03.2012
POLICY ON BANK DEPOSITS Approved by Board vide agenda item O-2 in its meeting dated 19.03.2012 Operations & Services Dept. Head Office,Baroda Date: 01.03.2012 POLICY ON BANK DEPOSITS 1. PREAMBLE One of
More informationECS FORM AUTHORISATION TO PAY CITIBANK CREDIT CARD PAYMENTS THROUGH THE ELECTRONIC DEBIT CLEARING MECHANSIM. 1) Name
ECS FORM To, Citibank Card Center P.O.Box 4830, Anna Salai P.O. Chennai - 600002 Dear Sir, RE: AUTHORISATION TO PAY CITIBANK CREDIT CARD PAYMENTS THROUGH THE ELECTRONIC DEBIT CLEARING MECHANSIM 1) Name
More informationTitle: Mr Mrs Ms Others... Family Name (in block letters):... First Names (in block letters):... NIC No:...Nationality:...
Business Credit Card Application Form (Nominee) Nominee Details Title: Mr Mrs Ms Others... Family Name (in block letters):... First Names (in block letters):... Embossing name on card (in block letters
More informationPERSONAL INJURY CLAIM FORM
Office use only Policy Number: ATCSI00035 Claim Number: PERSONAL INJURY CLAIM FORM INSURANCE BROKER FOR TABLE TENNIS AUSTRALIA V-Insurance Group Pty Ltd Authorised Representative No. 432898 an authorised
More informationReliance Inland Travel Care Policy Claim Form For Group Travel Insurance
Reliance Inland Travel Care Policy Claim Form For Group Travel Insurance IMPORTANT: Please contact our 24-hour helpline/toll Free (RGICL Call Center) for intimating a Claim Certificate/Policy No. Period
More informationThe issuance and acceptance of this form does NOT constitute an admission of liability by ACE Insurance Limited (ACE) or waiver of its rights.
HOME INSURANCE Claim Form *SG011* *SG011* IMPORTANT INFORMATION The information requested and documents mentioned in this form are a general guide. Further documents or information may be required depending
More informationMELBOURNE NETBALL PERSONAL INJURY CLAIM FORM
Willis Australia Limited ABN: 90 000 321 237 AFS License Number 240600 Office use only Policy Number:.SUA/002646 Claim Number:. MELBOURNE NETBALL PERSONAL INJURY CLAIM FORM INSURANCE BROKER FOR MELBOURNE
More information(please specify) Gender Male Female. Nationality. Marital Status Married Single Other. Education Status. Residence Type. Street / Area P.O.
Application 06/2014 Please note that this application form is also available in Arabic upon your request. á«hô dg á لdÉH ké jcg ôaƒàe Öل dg Gòg êpƒ CÉH á MÓŸG Lôjى.Öل dg Ö ùm As this is your first application
More informationSTATE BANK OF PATIALA POLICY ON BANK'S DEPOSITS
STATE BANK OF PATIALA POLICY ON BANK'S DEPOSITS 1 INDEX S.No. Particulars PN 1 Preamble 3 2 Types of Deposit Accounts 3 2(a) Withdrawals 4 2(b) Deposits 4 3. Account Opening and Operation of Deposit accounts
More informationLIFE INSURANCE CORPORATION OF INDIA CENTRAL OFFICE
LIFE INSURANCE CORPORATION OF INDIA CENTRAL OFFICE Dept.: Product Development "Yogakshema", Jeevan Bima Marg, Mumbai - 400 021 Ref: CO/PD/58 13 th August, 2014 All HODs of Central Office All Zonal Offices
More information3 YEAR FIXED TERM DEPOSIT ACCOUNT
3 YEAR FIXED TERM DEPOSIT ACCOUNT Provided by Scottish Widows Bank APPLICATION FORM (For office use only) Issue Interest Rate Account Number APPLICATION CHECKLIST In order for us to open your account,
More informationPERSONAL INJURY CLAIM FORM
Office use only Policy Number: AN A038364 PAD Claim Number: PERSONAL INJURY CLAIM FORM INSURANCE BROKER FOR TRIATHLON AUSTRALIA V-Insurance Group Pty Ltd Level 28, Angel Place, 123 Pitt Street, SYDNEY
More informationMANONMANIAM SUNDARANAR UNIVERSITY, TIRUNELVELI, TAMILNADU - 627 012 Ph.D Registration
I. Instruction to Candidates: MANONMANIAM SUNDARANAR UNIVERSITY, TIRUNELVELI, TAMILNADU - 27 02 Ph.D. Candidates are instructed to read the Revised Regulations (w.e.f. July 20) for Ph.D Programme given
More informationPERSONAL INJURY CLAIM FORM
Office use only Policy Number: Claim Number: 01PO527349 PERSONAL INJURY CLAIM FORM INSURANCE BROKER FOR V-Insurance Group Pty Ltd Authorised Representative No. 432898 an authorised representative of Willis
More informationPERSONAL INJURY CLAIM FORM
Office use only Policy Number: SUA/002202 Claim Number: Willis Australia Limited ABN 90 000 321 237 AFS 240600 PERSONAL INJURY CLAIM FORM INSURANCE BROKER FOR TRIATHLON AUSTRALIA Willis Australia Limited
More informationSBI Life Insurance Company Limited
SBI Life Insurance Company Limited Registration Number: 111 Regulated by IRDA Policy Document SBI Life RiNn Raksha Group Credit Life Insurance Plan Registered and Corporate Office: SBI Life Insurance Co.
More informationPERSONAL INJURY CLAIM FORM
Office use only Policy Number: 0028332 Claim Number: s PERSONAL INJURY CLAIM FORM INSURANCE BROKER FOR TENPIN BOWLING AUSTRALIA V-Insurance Group Pty Ltd Authorised Representative No. 432898 an authorised
More informationAPPLICATION FOR OPENING OF A DEPOSITORY ACCOUNT (For Individuals Only)
APPLICATION FOR OPENING OF A DEPOSITORY ACCOUNT (For Individuals Only) Date : D D M M Y Y Y Y Employee ID Code: Branch : Sol ID : BDE Code: CLIENT ID : (To be filled by Participant) Scheme Code : DP ID
More informationOnce we have received all the above required documents, we will process your claim and inform you of the outcome as soon as possible.
ACCIDENT CLAIM FORM Dear Claimant, We are sorry to learn of your accident. In order for us to process your claim, we require the following: 1) Claimant s Statement. 2) 1 Clinical Abstract Application Form.
More informationBank of Baroda (New Zealand) Ltd.
APPLICATION FOR OPENING INDIVIDUAL ACCOUNT (Current/Savings/Term Deposit) The Branch Manager 114, Dominion Road, Mt. Eden Branch: AUCKLAND Email: aucknz@bankofbaroda.com Phone: +64 9 632 1020 Fax: +64
More informationFuneral Fund. At a glance. Why you need it. Funeral Fund rates. Standard benefits. Funeral Fund rates. Key facts. Risk FF 1114
Funeral Fund Risk FF 1114 At a glance Cover your funeral expenses Pays an immediate lump sum on the death of the insured. Designed to cover most, if not all, funeral expenses in the event of an unexpected
More informationPaste Photograph of All Claimants
SETTLEMENT OF DECEASED S ASSETS WITHOUT LEGAL REPRESENTATION/NOMINATION DETAIL OF CLAIMANTS / DOCUMENTS SUBMITTED NAME OF DECEASED : DATE & PLACE OF DEATH : / /20 & ACCOUNT(S) NO : ********************************************************************************
More informationIDBI BANK DEPOSIT POLICY
IDBI BANK DEPOSIT POLICY Page 1. Preamble 1 2. Types of Deposit Account 2 3. Account Opening and Operations of Deposit Accounts 3 3.1 Account Opening 3 3.2 Operations of Deposit Accounts 5 3.3 Mandate
More informationChecklist for personal accident, overseas student or foreign maid claim
Checklist for personal accident, overseas student or foreign maid claim Dear person claiming We are sorry to learn of your illness, injury or stay in hospital. Please send us all the documents listed below.
More informationinternet internet website: website: www.clalglobal.co.il. Email: clalglobalservice@clal-ins.co.il Fax: +972-77-6383448 Fax: +972-77-6383448
Dear Customer, Dear Customer, Further Further to your to request your request to exercise to exercise your rights your in rights accordance in accordance with the with Insurance the Insurance Policy Policy
More informationPERSONAL INJURY CLAIM FORM
Office use only Policy NO: CANO01SII-0613 Claim Number: PERSONAL INJURY CLAIM FORM INSURANCE BROKER FOR : V-Insurance Group Pty Ltd Authorised Representative No. 432898 an authorised representative of
More informationPOLICY ON BANK DEPOSITS (2014)
1 POLICY ON BANK DEPOSITS (2014) PREAMBLE One of the important functions of the Bank is to accept deposits from the public for the purpose of lending. In fact, depositors are the major stakeholders of
More information