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  • Direct Credit Mandate Discharge Voucher For Survival Benefit - 17062019

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    This document is a direct credit mandate that authorizes SBI Life Insurance Co. Ltd. to directly credit claim proceeds to a bank account. It requires the policy holder to provide their bank account details including account number, bank name, branch details, account type and IFSC code. The policy holder must also provide their PAN, residential status and contact information. To process the direct credit, the policy holder needs to attach a cancelled cheque or bank statement to verify the account details.

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    sbi life form

    Original Title

    Direct Credit Mandate Discharge Voucher for Survival Benefit_17062019

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    This document is a direct credit mandate that authorizes SBI Life Insurance Co. Ltd. to directly credit claim proceeds to a bank account. It requires the policy holder to provide their bank account details including account number, bank name, branch details, account type and IFSC code. The policy holder must also provide their PAN, residential status and contact information. To process the direct credit, the policy holder needs to attach a cancelled cheque or bank statement to verify the account details.

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    © All Rights Reserved
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    229 views1 page

    Direct Credit Mandate Discharge Voucher For Survival Benefit - 17062019

    Uploaded by

    Anonymous fLgaidVBhz
    This document is a direct credit mandate that authorizes SBI Life Insurance Co. Ltd. to directly credit claim proceeds to a bank account. It requires the policy holder to provide their bank account details including account number, bank name, branch details, account type and IFSC code. The policy holder must also provide their PAN, residential status and contact information. To process the direct credit, the policy holder needs to attach a cancelled cheque or bank statement to verify the account details.

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    of 1

    DIRECT CREDIT MANDATE

    I/We _________________________________hereby authorize SBI Life insurance Co. Ltd. to directly credit the claim proceeds of ` ____________ to
    my Bank Account, as per details given below:

    Account No:

    Bank Name

    Branch Name Branch Code No:

    Type of Account IFSC Code No:

    Please enclose copy of PAN Card and provide your PAN here :

    Residential status (NRI) Yes No If Yes, Country of Residence:

    Policy Holder’s Name:

    Email ID: Please attach any one of the following

    Contact number: Cancelled Cheque with pre-printed name of


    account holder

    OR/
    Policy holder’s Signature
    Self Attested Copy of Bank Passbook

    Policy Number: OR/

    Date: D D M M Y Y Y Y Bank Statement with latest 3 month transaction,


    duly attested by the bank.

    Place:

    *Disclaimer - Please note direct transfer to be made only if otherwise possible and allowed by banks as per banking regulations, EFT will be
    possible only if either a cancelled pre-printed cheque leaf is attached or self attested copy of bank passbook/statement with 3 months latest
    transactions. SBI life will not be responsible and liable for any losses occurred due to incorrect account details provided by policyholder.

    SBI Life Insurance Company Limited: Registered and Corporate Office: Natraj, M.V. Road & Western Express Highway Junction, Andheri(East), Mumbai- 400 069. Tel.: (022) 61910000.
    Central Processing Center: 7th Level (D-Wing) & 8th Level, Seawoods Grand Central, Tower 2, Plot No. R-1, Sector-40, Seawoods, Nerul Node, Navi Mumbai- 400 706.
    Tel.: (022) 66456000. IRDAI Registration No. 111. CIN: L99999MH2000PLC129113. Toll Free No. 1800 267 9090 (From 9.00am to 9.00pm). Visit: www.sbilife.co.in E-mail: info@sbilife.co.in

    Page 1 of 1 CLM/LB-10/Ver 2.1/06-19

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