Mar I the above named do hereby endorse my consent to the above appointment Date Policy No Name of the Policyholder Address Contact No Email ID All fields are mandatory At least one contact no is m

Mar  I the above named do hereby endorse my consent to the above appointment Date Policy No Name of the Policyholder Address Contact No Email ID All fields are mandatory At least one contact no is m Mar  I the above named do hereby endorse my consent to the above appointment Date Policy No Name of the Policyholder Address Contact No Email ID All fields are mandatory At least one contact no is m - Start

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Contact nos mentioned above will b e updated for future communication NOTICE OF CHANGE IN APPOINTEE To SBI Life Insurance Co Ltd Branch Dear Sir Re Notice for change in Appointee for Policy Number The nominee being a minor I hereby give you notice t ID: 36163 Download Pdf

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Mar I the above named do hereby endorse my consent to the above appointment Date Policy No Name of the Policyholder Address Contact No Email ID All fields are mandatory At least one contact no is m




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Presentations text content in Mar I the above named do hereby endorse my consent to the above appointment Date Policy No Name of the Policyholder Address Contact No Email ID All fields are mandatory At least one contact no is m


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7 Mar 2013 I the above named do hereby endorse my consent to the above appointment Date Policy No Name of the Policyholder Address: Contact No Email ID All fields are mandatory (At least one contact no is mandatory for processing your request. Contact nos. mentioned above will b e updated for future communication) NOTICE OF CHANGE IN APPOINTEE To SBI Life Insurance Co. Ltd Branch_________________ Dear Sir, Re: Notice for change in Appointee for Policy Number The nominee being a minor, I hereby give you notice that I hereby appoint the _____________________(Relationship to Nominee) of the nominee, r esiding at ___________ __________________ _____ ____________ _______ and whose Date of Birth is _______________(dd/mm/yyyy) as the Appointee under the policy to whom the moneys secured by the above Policy shall be paid in the event of my death during the minority of the nominee . I also confirm that this shall automatically cancel any previous Appointee made by me nd named in the text / vide endorsements to t he above Policy. Yours faithfully, ______________________________________ Signature or Thumb Impression of Policyholder ----------------------- ------------------------------------------------------------------- ------------------------------------------------------------------------------ ---------------------- Endorsement for Appointee on the Policy Document The nominee being a minor, I hereby appoint the _____________________(Relationship to Nominee) of the nominee, residing at ________________________________________________ _____ and whose Date of Birth is _______________(dd/mm/yyyy) as the Appointee under the policy to whom the moneys secured by the above Policy shall be paid in the event of my death during the minority of the nominee. This shall automatically cancel any previous Appointee made by me nd named in the text / vide endorsements to the above Policy. _______________ ______________________________________ ________________ Signature of Witness Signature or Thumb Impression of Policyholder Signature of Appointee Name & _____________________________ Address of Witness____________________ In case of signatures in a vernacular language or Thumb Impression, the vernacular language declaration below is to be filled ----------------------- ------------------------------------------------------------------- ------------------------------------------------------------------------------ ---------------------- DECLARATION FOR SIGNING IN VERNACULAR LANGUAGE / THUMB IMPRESSION Certification by an English knowing person where Life Assured has signed in a vernacular language or has affixed thumb Impressi on I hereby declare that I have read out and explained the contents of this form to the Policy Holder in ______________ Language a nd that I have truly and correctly recorded the information given by him/her and that he/she has affixed his/ her signature / thumb impression on th is form in my presence, after fully understanding the contents thereof. ___________________________________________ Signature of the Person making the Declaration Name & Address ___________________________ _____________________________________________ Signature/ Thumb Impression of the Policy Holder Terms & Conditions 1) Appointee MUST be named in all cases where the nominee is a minor. 2) Appointee must be major and competent to contract. Appointee should give his consent to his appointment 3) The registration of this appointment of appointee is subject to the receipt of this notice and the form by SBI Life Insuranc e Co. Ltd 4) All previous Appointments shall be automatically cancelled on execution of this form and the Appointment details last receiv ed by the company shall prevail over all previous appointments. 5) On Assignment of a policy the existing nomination and appointment, if any, shall automatically stand cancelled.. 6) The Company expresses no opinion as to the validity of this appointment. d d m m y y y y s t d r e s i d e n c e s t d o f f i c e e x t m o b i l e Mr Mrs Ms f i r s t m i d d l e l a s t Mr Mrs Ms f i r s t m i d d l e l a s t

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