New Business
Proposal forms
Proposal for Insurance under Jeevan Akshay-II
Health Insurance Forms
(A) GENERAL FORMS
POLICY EXTRACT FROM PREVIOUS /PROPOSAL PAPERS
CONSENT FORM FOR CORRECTIONS/EXTRA
PERSONAL FINANCIAL QUESTIONNAIRE
CERTIFICATE OF AGRICULTURAL INCOME
CHARTERED ACCOUNTANT'S CERTIFICATE
APPLICATION FOR FINANCING POLICY FROM EPF
(B) ADDENDUMS
ADDENDUM FOR MULTIPLE PROPOSALS
ADDENDUM FOR MULTIPLE PREVIOUS POLICIES
ADDENDUM FOR DAB IF SA IS MORE THAN 25 LACS
ADDENDUM TO MINOR/MAJOR STUDENTS PROPOSALS
ADDENDUM TO PROPOSAL FOR CONGENITAL DISABILITY BENEFIT RIDER
ADDENDUM TO Proposal -CAT-I FEMALE LIFE
(C) AGE DECLARATION
(D) MEDICAL QUESTIONNAIRES
ADDITIONAL FORM FOR ASTHMA/BRONCHITIS
ULCER QUESTIONNAIRE- WITH OPERATION
ULCER QUESTIONNAIRE - WITHOUT OPERATION
KIDNEY DISEASE, COLIC OR STONE ETC
GOITRE QUESTIONNAIRE (WITH OPERATION)
(E) OCCUPATIONAL QUESTIONNAIRES
GENERAL OCCUPATION QUESTIONNAIRE
AVIATION (ARMED SERVICES) QUESTIONNAIRE
AVIATION (CIVIL) QUESTIONNAIRE
DIVING (ARMED/COMML) QUESTIONNAIRE
(F) BUSINESS/NRI QUESTIONNAIRES
EMPLOYER-EMPLOYEE QUESTIONNAIRE
ANX-C – KEYMAN Declaration for Assignment
SUPPLEMENTARY DEED OF PARTNERSHIP
MAIL ORDER BUSINESS - ACR / MHR
(G) MEDICAL REPORTS FORMS
GLUCOSE TOLERENCE TEST (GTT) OF URINE
X-RAY OF GENITO URINARY TRACT (G U T) KUB AREA
STOMACH & DUODENUM (BARIUM MEAL)
X-RAY - CAECUM AND COLON (BARIUM ENEMA)
SPECIAL BLOOD SUGAR TEST (BST)
Format for Identification by TPA with Computerized Reports
(H) GENERAL
SSS INTRODUCTION - EMPLOYER'S LETTER
SSS INTRODUCTION - QUESTIONNAIRE BY EMPLOYER
SSS INTRODUCTION - REPORT BY SBM/ABM(S)
DGH – Major lives – New Proposal
DGH – Minor lives- Age 10 and above – New/Revival
DGH – Minor lives- Up to age 9 – New/Revival
Direct Debit Form for ICICI and Corporation Bank
NEFT Form for direct credit to bank account
Declaration to be given by Nepali Proposers
AUTHORISATION LETTER TO RECEIVE POLICY BOND
