| Forms
to be filled up |
Proposal
form
N.R.I. Questionnaire
(Form C) |
| Proof
of Income
|
Income
Tax Return for last 3 years |
| Medical
Examination |
By
Local Doctor details on LIC's pre-printed
form or all its contents on Doctor's Letter
Head. This will be sent to you by Mailer. |
| Payment
of Premium |
Business
through Mail Order Only. |
| Special
reports as per Sum Assured |
CLICK
HERE TO VIEW |
Signature
in Proposal Form
|
Signature
on Form should be witnessed by a designated
official of Local Indian Embassy or Indian
Diplomatic Representative.
If no Diplomatic Representative available
locally, then witness by a
NOTARY PUBLIC. or
BY JUSTICE OF PEACE or
BY MEDICAL EXAMINER |
Witness
for signature
|
Witness to
be done only on verification of passport
The attested
copy of 1st page of passport to be submitted
with proposal papers (form + NRI Questionnaire)
Students
proposal can be witnessed by Dean / Principal
or College or Medical Examiner.
WITNESS SHOULD
PUT HIS OFFICIAL SEAL BELOW HIS SIGNATURE
|
Xerox
copy of Passport should be attested
|
Xerox
copy of passport should be attested i.e. signed
under the witnessing official's official seal.
(Medical Examiner may also verify) |
Medical
Examiner's Signature
|
Proposal
Form (filled up) + NRI
Questionnaire (Form C) + Passport(issued
by Govt. of India) to be handed over to the
Medical Examiner.
Proposer
and Doctor to sign on the Proposal form
space provided for.
|
Fees
for Medical Examination
|
(a)
ROUTINE MEDICAL REPORT
Rs.200/- OR FEES PAID OR Rs.4 (Four) PER 1000
of Sum Assured Whichever is less
(b) Routine
Medical Report + Special Report
Fees Paid up OR Rs.4 (Four) per 1000 Sum
Assured whichever is less.
Medical fees
to be paid by the pro poser and obtain a
receipt of Doctor.
The receipt should be sent to the Branch
Office.This amount will be credited to towards
premium payable by the proposer.
|
