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Aadhaar No.

Email Id:
You will receive updates on your request via email only, hence please provide your id above.

I hereby authorise Max Life to process my payouts to my Aadhaar linked bank account and to use the same to validate/update my KYC details. I accept to receive all future
communication from Max Life Insurance vide email ID only (strike if you want to continue by hard copies).

Version 1.3 April'17


Max Life Insurance Co. Ltd, Plot No 90 A, Sector 18, Udyog Vihar, Gurugram 122 015
Aadhaar No.

Mobile No. Email id


You will receive updates on your request via email only, hence please provide your id above.

I hereby authorise Max Life to process my payouts to my Aadhaar linked bank account and to use the same to validate/update my KYC details. I accept to receive all future communication
from Max Life Insurance vide email ID only (strike if you want to continue by hard copies).

Version 1.3 April'17


Aadhaar No.

I hereby authorise Max Life to process my payouts to my Aadhaar linked bank account and to use the same to validate/update my KYC details. I accept to receive all
future communication from Max Life Insurance vide email ID only (strike if you want to continue by hard copies).

Email id
You will receive updates on your request via email only, hence please provide your id above.

Version 1.3 April'17


Aadhaar No.

Mobile No. Email id


You will receive updates on your request via email only, hence please provide your id above.

I hereby authorise Max Life to process my payouts to my Aadhaar linked bank account and to use the same to validate/update my KYC details. I accept to receive all future communication
from Max Life Insurance vide email ID only (strike if you want to continue by hard copies).

Version 1.3 April'17


Aadhaar No.

Mobile No. Email id


You will receive updates on your request via email only, hence please provide your id above.

I hereby authorise Max Life to process my payouts to my Aadhaar linked bank account and to use the same to validate/update my KYC details. I accept to receive all
future communication from Max Life Insurance vide email ID only (strike if you want to continue by hard copies).

Version 1.3 April'17


Aadhaar No.

Mobile No. Email id


You will receive updates on your request via email only, hence please provide your id above.

I hereby authorise Max Life to process my payouts to my Aadhaar linked bank account and to use the same to validate/update my KYC details. I accept to receive all future communication
from Max Life Insurance vide email ID only (strike if you want to continue by hard copies).

Version 1.3 April'17


Aadhaar No.

Mobile No. Email id


You will receive updates on your request via email only, hence please provide your id above.

I hereby authorise Max Life to process my payouts to my Aadhaar linked bank account and to use the same to validate/update my KYC details. I accept to receive all future communication
from Max Life Insurance vide email ID only (strike if you want to continue by hard copies).

Version 1.3 April'17


Version 1.3 April'17

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