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  • Age Extra

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    jay h chaudhary
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    This document provides consent for an age extra premium of Rs. 1.50 per Rs. 1,000 of sum assured due to non-standard age proof. It notes that for ULIP plans, the extra premium will be adjusted by cancelling allocated policy units on a monthly basis. The document includes fields for application number, name, plan opted for, and age proof submitted.

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    This document provides consent for an age extra premium of Rs. 1.50 per Rs. 1,000 of sum assured due to non-standard age proof. It notes that for ULIP plans, the extra premium will be adjusted by cancelling allocated policy units on a monthly basis. The document includes fields for application number, name, plan opted for, and age proof submitted.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    4 views1 page

    Age Extra

    Uploaded by

    jay h chaudhary
    This document provides consent for an age extra premium of Rs. 1.50 per Rs. 1,000 of sum assured due to non-standard age proof. It notes that for ULIP plans, the extra premium will be adjusted by cancelling allocated policy units on a monthly basis. The document includes fields for application number, name, plan opted for, and age proof submitted.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    Consent for Age Extra

    Application No. Name of the Life Assured / Proposer Plan opted for Age proof submitted

    I hereby give my consent to pay extra premium of Rs. 1.50 per Rs. thousand Sum Assured toward non standard age proof extra premium as per the underwriting norms of the company.

    Note: Also I agree that the Extra premium would be adjusted by way of cancellation of units allocated to me on every month anniversary. (Only applicable for ULIP plan)

    Date ____________________ Place ____________________ Name of the Life to be Assured / Proposer

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