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Appendix II FORM NO : 3784 CLAIM FORM Divisional Office Branch OfficeMEDICAL ATTENDANTS CERTIFICATE (To be completed by the Medical Attendant of the Deceased in his last illness) In connection with
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How to fill out lic form no 3784

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How to fill out LIC form no 3784:

01
Begin by gathering all the necessary documents and information required for the form, such as identification proof, address proof, and income details.
02
Carefully read the instructions provided on the form to understand the requirements and sections.
03
Start with filling out your personal details accurately, including your name, address, and contact information.
04
Proceed to provide the required information regarding the policy for which you are filling the form, such as policy number and type.
05
Fill in the necessary details related to the nominee, including their name, address, and relationship with the policyholder.
06
Provide accurate information regarding the medical history and other relevant details required by the form.
07
Review the filled form to ensure all the information provided is correct and complete.
08
Sign and date the form at the designated spaces.
09
Submit the form to the LIC office along with the required supporting documents.

Who needs LIC form no 3784?

01
Individuals who wish to apply for a new LIC policy.
02
Existing policyholders who want to make changes or update their policy details.
03
Nominees or beneficiaries of LIC policies who need to claim the policy benefits in case of the policyholder's demise.
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LIC Form No 3784 is a specific form used by the Life Insurance Corporation of India for policy-related purposes, such as claims or changes in policy details.
Policyholders who need to make specific requests or changes regarding their insurance policies are required to file LIC Form No 3784.
To fill out LIC Form No 3784, provide the required personal information, policy details, and any additional information requested in the form. Ensure all sections are completed accurately before submission.
The purpose of LIC Form No 3784 is to facilitate requests related to insurance policies, such as claims processing or modification of policy information.
Information that must be reported on LIC Form No 3784 includes the policyholder's personal details, policy number, nature of the request, and any supporting documents required.
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