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LIFE INSURANCE CORPORATION OF INDIA POLICYHOLDERS MANDATE FORM FOR PAYING PREMIUM THROUGH ELECTRONIC CLEARANCE SERVICE (DEBIT CLEARING) OR DIRECT DEBIT Page : 1 FORM A :ECS / DIRECT DEBIT Mandate
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How to fill out policyholders mandate form for

01
Read and understand the instructions on the policyholder mandate form.
02
Provide your personal information such as name, address, contact details, and policy number.
03
Include the type of policy you hold and its effective date.
04
Specify the insurance company or organization that issued the policy.
05
Indicate the name and contact details of the policyholder's nominee or assignee.
06
Provide relevant details regarding the policyholder's bank account, including bank name, branch, account number, and type (savings, checking, etc.).
07
Include any supporting documents required by the form, such as identification proof, policy documents, or medical certificates.
08
Double-check all the information provided and ensure its accuracy.
09
Sign and date the form to validate your authorization.
10
Submit the filled-out policyholder mandate form to the appropriate authority or insurance company.

Who needs policyholders mandate form for?

01
Policyholders who wish to nominate a beneficiary or assignee for their insurance policy.
02
Individuals who want to authorize direct debit or automatic payment of insurance premiums from their bank account.
03
Anyone who needs to update or make changes to their existing policyholder information.
04
Policyholders who are unable to manage their insurance policy due to health or other reasons and want to assign someone else to act on their behalf.
05
Those who want to claim the policy benefits on behalf of the policyholder.
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The policyholders mandate form is used to authorize a third party to make decisions regarding an insurance policy on behalf of the policyholder.
The policyholder or their legal representative is required to file the policyholders mandate form.
The policyholders mandate form can be filled out by providing personal information, policy details, and the authorization for the third party to act on behalf of the policyholder.
The purpose of the policyholders mandate form is to ensure that decisions regarding the insurance policy can be made by a trusted third party if the policyholder is unable to do so.
The policyholders mandate form typically requires personal details of the policyholder, policy information, and the details of the authorized third party.
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