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  • NEFT Form 2324110232404 1-Unlocked

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    Vikram Dalal
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    The document is a NEFT mandate form submitted by Vikram Dalal to the Life Insurance Corporation of India (LIC) to receive policy payments through NEFT transfer to his bank account. It provides his bank account details including name, account number, IFSC code and bank address. Dalal authorizes LIC to make payments to this account and for it to be considered a valid discharge of liability. He encloses a cancelled cheque and Pan card copy with the form.

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    NEFT_Form_2324110232404_1-unlocked

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    The document is a NEFT mandate form submitted by Vikram Dalal to the Life Insurance Corporation of India (LIC) to receive policy payments through NEFT transfer to his bank account. It provides his bank account details including name, account number, IFSC code and bank address. Dalal authorizes LIC to make payments to this account and for it to be considered a valid discharge of liability. He encloses a cancelled cheque and Pan card copy with the form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    15 views1 page

    NEFT Form 2324110232404 1-Unlocked

    Uploaded by

    Vikram Dalal
    The document is a NEFT mandate form submitted by Vikram Dalal to the Life Insurance Corporation of India (LIC) to receive policy payments through NEFT transfer to his bank account. It provides his bank account details including name, account number, IFSC code and bank address. Dalal authorizes LIC to make payments to this account and for it to be considered a valid discharge of liability. He encloses a cancelled cheque and Pan card copy with the form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    LIFE INSURANCE CORPORATION OF INDIA

    NATIONAL ELECTRONIC FUNDS TRANSFER – MANDATE FORM

    To
    LIFE INSURANCE CORPORATION OF INDIA
    Branch : 102 Service Request Number : 2324110232404
    Sub : Receipt of policy payment through NEFT

    I am giving below the details of my Bank account for receiving policy payment through NEFT.

    Policy No: 172865710

    (1) Name of policy holder/ claimant Vikram Dalal,


    (2) Bank Name : Punjab National Bank (3) Account Type : Saving
    (4) Account : 4099000400023762 (5) IFS Code : PUNB0409900
    (6) Mobile : 9350091121 (7) E-Mail Id : vikramdalal007@gmail.com

    (8) Bank Branch Address : Dav Public School, Sector 14, Gurgaon, Haryana

    (9) Are you willing to receive SMS/E-mail, on Yes


    matters related to
    ->if cheque is not having the name of bank holder then
    Photo copy of the page of Bank pass book containing
    details of Bank accounts number, IFS code
    ->I authorize LIC of India to make any payments due to
    me into this account and such payments made shall be
    considered as valid discharge of all the liabilities copy of Pan card
    against my policy for the purpose for which payment is
    made
    -> I declare that the above mentioned policy/ies
    has/have not been assigned

    I have enclosed the following document to this effect.


    A. Cancelled cheque leaf
    B. Copy of Pan card

    ___________________________
    Signature of the policyholder Date :

    Cancelled Cheque

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