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Monday, 23 April 2012 15:00

LIC IPP ECS/NEFT Mandate Forms

Document DescriptionSize
IPP-ECS Mandate Form 39 KB
IPP-NEFT Mandate Form 31 KB
Text of the PDF document(for quick reference)

NATIONAL ELECTRONIC FUNDS TRANSFER APPLICATION FORM
To
The IPP Cell
PRE-PRINTED ADDRESS OF IPP CELL NECESSARY
_________________________________
_________________________________
Sub : Option for NEFT
Sir,
I am interested to receive my annuity amount through NEFT.
My details are as follows.
(1) Policy Nos ___________________________________________________
___________________________________________________
(2) Name & Address of Annuitant : ____________________________________
_________________________________________________________________
_________________________________________________________________
(3) Annuitant's Bank Name : ________________________________________
(4) Annuitant's Bank Address : _______________________________________
(5) Annuitant's Account Type : Savings/Current/Cash Credit/NRI _____________
(6) Annuitant's Account No. __________________________________________
(7) Annuitant's Branch IFS Code : _____________________________________
(8) Contact Mobile / Landline No. ______________________________________
(9) E-Mail Id : _____________________________________________________
(10) Do you want to receive SMS/E-mail alert on
payment of annuity to your A/c : Yes / No ____________
Kindly transfer the amount payable to me under the aforestated policies as per
details stated above.
I have enclosed the following document to this effect. (Please  appropriate item)
A. Cancelled cheque leaf
B. Photo copy of the page of Bank cheque/pass book containing details
_____________________
Signature of the Annuitant Date :
 

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