Get Consent Cum Declaration Form

Filling out the Consent Cum Declaration Form online is a straightforward process designed to facilitate the enrollment in the Pradhan Mantri Jeevan Jyoti Bima Yojana. This guide provides clear, step-by-step instructions to ensure that you complete the form accurately and efficiently.

Follow the steps to complete the form correctly.

1. Click ‘Get Form’ button to obtain the Consent Cum Declaration Form and open it in an accessible online format.
2. Begin by entering the details of the agent or banking correspondent. This includes their name, account details, and signature, which must be filled accurately to validate the form.
3. In the consent section, affirm your agreement to join the Pradhan Mantri Jeevan Jyoti Bima Yojana by declaring your authorization to debit your savings bank account with the premium amount specified.
4. Fill in your personal details as per the bank or KYC records, ensuring that the name of the account holder, savings bank account number, email ID, and mobile number are correct.
5. Provide the name, address, and relationship of the nominee you are designating under the scheme. If the nominee is a minor, you must include the name and address of their guardian.
6. Review the declaration statement where you confirm the accuracy of the information provided. Make sure to sign and date the form to officially submit your consent.
7. Finally, after completing all sections, you can save, download, or print the form for your records or share it as necessary. Ensure you keep a copy for future reference.

Complete your documents online today to secure your enrollment in the scheme.