Get Application Form Cum Declaration Of Good Health Lfq - Exidelife

Filling out the Application Form Cum Declaration of Good Health LFQ for Exidelife is an essential step in securing insurance coverage. This guide provides a step-by-step approach to help you complete the form accurately and efficiently online.

Follow the steps to complete the application form online.

1. Click the ‘Get Form’ button to obtain the document and open it for editing.
2. Enter your policy number at the top of the form. This helps in linking your application to your existing policies.
3. Fill in the group policy holder's name, agreement/loan application number, and loan account number in the designated fields.
4. Use block letters to complete the customer name, gender (select either male or female), and date of birth (in the specified DD/MM/YYYY format).
5. Indicate if there are co-borrowers and whether the premium is financed by a bank by selecting 'Yes' or 'No'.
6. Input the period of insurance and the period of loan in years. Enter the loan amount, rate of interest, and premium amounts in the respective fields.
7. Provide your designation and nature of work/business, the full name of your employer/business, and your communication address including landmarks, city, and state.
8. Fill in your contact information including mobile number, landline number, email ID, and nationality. If you select 'Others' for nationality, specify your place of residence.
9. Respond to the health-related questions regarding your height, weight, smoking and alcohol usage, occupational hazards, medical history, and family history. Ensure to provide accurate and honest answers.
10. If you answered 'Yes' to any health questions, provide complete details in the designated section to ensure transparency.
11. Review the declaration section carefully. Acknowledge your understanding that the information provided is complete and accurate by signing or providing a thumb impression.
12. Input the date and place of signing the form. Specify the name of the beneficiary and their relationship with you.
13. If applicable, complete the vernacular declaration section by a declarant if you have signed the form in a language other than English.
14. After filling out all sections, save your changes. You can also download, print, or share the completed form as necessary.

Complete your application form online today to ensure a smooth insurance process.