Get Credit Card Authorisation Form - Bharti Axa Life Insurance

Filling out the Credit Card Authorisation Form for Bharti AXA Life Insurance online is a straightforward process that ensures your premium payments are managed efficiently. This guide provides clear, step-by-step instructions to help you complete the form accurately and securely.

Follow the steps to complete the form correctly.

1. Click the ‘Get Form’ button to obtain the Credit Card Authorisation Form and open it in your preferred editor.
2. Fill in all details in BLOCK LETTERS as specified. Begin with your policy information, including Policy Number and Name of Policyholder, ensuring accuracy in all entries.
3. Provide your Premium Frequency by selecting from options such as Monthly, Quarterly, Half-yearly, or Yearly. State the Premium Amount in Rupees.
4. Answer the question regarding US citizenship or tax residency. If applicable, provide your Tax Identification Number (TIN).
5. Enter your contact details, including Mobile Number and Landline Number. Ensure that your Email ID is accurate, as this will be the primary mode for communication.
6. In the Credit Card Details section, fill in the Name of the Credit Cardholder along with the Credit Card Type and Credit Card Number.
7. Provide the Credit Card Expiry Date and the Name of the Issuing Bank. Make sure all provided information matches that on the actual credit card.
8. Review the Declaration section carefully. Confirm your agreement to the terms and conditions by signing where indicated.
9. If the form is filled by someone other than the Policyholder, complete the Vernacular Declaration section, including required signatures and information.
10. Finally, submit the form by saving any changes, downloading it, printing it, or sharing it as required by Bharti AXA Life Insurance.

Complete your Credit Card Authorisation Form online today to ensure timely premium payments and enjoy peace of mind.