YUVA RAKSHA (GROUP INSURANCE SCHEME FOR STUDENTS) STUDENTS REGISTRATION FORM (Copy to be submitted alongwith the Admission Form) 1.Name of Insured (Student): 2.Class: 3.Residential Address: 4.Students.

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How to fill out the Yuva Raksha Form online

The Yuva Raksha Form is an essential document for students enrolling in the group insurance scheme. This guide will provide step-by-step instructions on how to accurately fill out the form online, ensuring that all necessary information is recorded correctly.

Follow the steps to successfully complete the Yuva Raksha Form.

  1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
  2. Enter the name of the insured (student) in the designated field. Ensure that the spelling is correct and matches official documents.
  3. Indicate the class that the student is currently enrolled in by filling in the appropriate section.
  4. Provide the complete residential address of the student, ensuring all lines are filled for clarity.
  5. Input the student’s date of birth in the specified format to confirm age eligibility.
  6. Enter the blood group of the student, as this information is crucial for emergency situations.
  7. Provide the name of the guardian in the corresponding space to ensure proper contact information is available.
  8. Obtain the guardian's signature in the designated area to validate the information provided.
  9. Fill in the amount of premium paid either in cash or by cheque, including its details.
  10. Finally, have the student sign in the specified section to confirm the accuracy of the information provided.
  11. After completing the form, be sure to save your changes, and you can choose to download, print, or share the form as needed.

Complete your Yuva Raksha Form online today to ensure your enrollment in the group insurance scheme.

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