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Get Sbi Life Insurance Life Certificate

SBI Life Insurance Company Limited CERTIFICATE OF EXISTENCE Policy/ Master Policy No Annuitant Name / No. I hereby certify that Shri/Smt Annuitant s name son/daughter of was alive on and having personally seen him/her. Signature of Annuitant Signature of Certifying Authority Address applicable only if it is changed Phone No Mobile No Email Id Name Designation / Seal Address Please attach self attested address proof if any change of address is required Acceptable address proofs - Telephone Bill/ Bank Pass-Book /Electricity bill/ Ration Card/ Letter from Recognized Public Authority/ Employer s Certificate/ Valid Lease Agreement. This Form should be signed by the Annuitant before a Gazetted Officer / Registered Medical Practitioner with Registration No* / Post Master / Head Master of the School / Officer of SBI Life above Assistant Manager / Authorized person of Group Master Policyholder / Bank Manager or Officer with his Specimen Signature No* Note of Authority To be filled in if there is change in Bank Account Details Account No Type IFSC Code No* Bank Name Branch Address Please attach a pre-printed cancelled cheque leaf OR self attested copy of bank passbook OR note of authority attested by Branch Manager of the bank Signature with Stamp Full Name with designation SS NO Disclaimer - Please note direct transfer to be made only if otherwise possible and allowed by banks as per banking regulations EFT will be possible only if either a cancelled cheque leaf is attached or above stated account details are attested by branch manager of the bank where the bank account is being maintained* SBI life will not be responsible and liable for any losses occurred due to incorrect account details provided by policyholder. Tel* 022 6645 6000 Fax 022 6645 6105 Website www. Sbilife. co. in* Regd Office NATRAJ M. V. Road Western Express Highway Junction Andheri East Mumbai 400 069. Signature of Annuitant Signature of Certifying Authority Address applicable only if it is changed Phone No Mobile No Email Id Name Designation / Seal Address Please attach self attested address proof if any change of address is required Acceptable address proofs - Telephone Bill/ Bank Pass-Book /Electricity bill/ Ration Card/ Letter from Recognized Public Authority/ Employer s Certificate/ Valid Lease Agreement. This Form should be signed by the Annuitant before a Gazetted Officer / Registered Medical Practitioner with Registration No* / Post Master / Head Master of the School / Officer of SBI Life above Assistant Manager / Authorized person of Group Master Policyholder / Bank Manager or Officer with his Specimen Signature No* Note of Authority To be filled in if there is change in Bank Account Details Account No Type IFSC Code No* Bank Name Branch Address Please attach a pre-printed cancelled cheque leaf OR self attested copy of bank passbook OR note of authority attested by Branch Manager of the bank Signature with Stamp Full Name with designation SS NO Disclaimer - Please note direct transfer to be made only if otherwise possible and allowed by banks as per banking regulations EFT will be possible only if either a cancelled cheque leaf is attached or above stated account details are attested by branch manager of the bank where the bank account is being maintained* SBI life will not be responsible and liable for any losses occurred due to incorrect account details provided by policyholder.

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