DETAILS FOR LOAN INSURANCE(SBI LIFE-RINNRAKSHA)

Name

Father’s name

Mother’s name

DOB

PAN

Aadhar

Occupation

Address

Mobile No.

Email Id

Nominee Name

Relationship DOB Of Nominee

Education Loan A/C No.

Branch Code: 17263 IFSC Code: SBIN0017263

(Signature)

DECLARATION FOR EXEMPTION FROM LOAN INSURANCE

SWATI SALONI PATRO
I,………………………………………………………………………….., do not wish to avail loan insurance on my
education loan account. In case of any mishappening, legal proceedings may be taken against
my family for the recovery of the outstanding amount loan.

(Signature)

Date: