Get Pmsby Enrollment Form

Filling out the Pmsby Enrollment Form online is a straightforward process designed to facilitate your enrollment in the Pradhan Mantri Suraksha Bima Yojana. This guide will provide you with clear and detailed instructions on how to complete each section of the form accurately.

Follow the steps to successfully complete the Pmsby Enrollment Form online.

1. Click the ‘Get Form’ button to obtain the form and open it for editing.
2. Fill in your agency or BC code in the designated field. This code helps to identify your enrollment agency.
3. Provide your savings bank account number or RuPay card number as required.
4. Select the date of entry into the scheme by choosing either the 1st of June, July, August, or September 2015 from the options provided.
5. Enter your full name as it appears on your identification document.
6. Input your mobile or contact number in the appropriate field to ensure proper communication.
7. Provide your residential address, ensuring all details are accurately included for record-keeping.
8. If available, include your Aadhaar number in the designated field to support your identification.
9. Input your date of birth as per your KYC document, formatted as dd/mm/yyyy.
10. Indicate whether you are suffering from any disability and, if yes, provide further details in the accompanying section.
11. Enter your email address for correspondence regarding your enrollment.
12. If you have a nominee, enter their name, address, and your relationship with them in the specified fields.
13. If the nominee is a minor, provide the name and address of the legal guardian.
14. Review the consent declaration statement and provide your signature to confirm your agreement with the terms outlined.
15. Finally, save your changes, download the completed form, print a copy for your records, or share it as necessary.

Complete your Pmsby Enrollment Form online today to ensure your participation in the scheme.