Postal Life Insurance Proposal Form – PDF Download
How to download PLI Proposal Form PDF ?
How to download PLI Proposal Form PDF for opening/indexing new Postal Life Insurance Policy ? Are you a GDS BPM / ABPM / Other Postal Staffs searching How to download PLI Proposal Form PDF , follow our step by step guide to download it.
DEPARTMENT OF POSTS
PROPOSAL FORM FOR POSTAL LIFE INSURANCE
(All Entries should be filled in CAPITAL letter)
[Questions 12, 12.1, 13 & 14 relate to proposals for Sum Assured/Aggregate Sum assured above `20 lakh]
FOR OFFICIAL USE ONLY
Name of the Development Officer/ FO/ Agent/ Postal Employee
(ASP/ IPO/ PM/ PA/ SA/ Postman/ Mail Guard/ MTS/ GDS BPM/ GDS
DA/ GDS MC)
DO/FO/Postal Employee/GDS/Agent/Sales Force Code
Proposal No.
Date of Receipt
No. of LI-7(a)
Amount deposited
Post Office at which deposited
Receipt No. and Date
Policy No.
Proposal Date
Date of Declaration
Product/ Policy Type WLA/CWA/EA/AEA/YS
1. Proposer’s Details
2. Spouse Details
3. Proposer’s Address Details
4. Proposer’s Contact Details
5. Proposer’s Employment Details
6 . Particulars of beneficiary, if policy is proposed to be taken under Married Women Property Act 1874 . (Nomination in such cases not allowed)
7. Nomination Details
8. Additional Policy(ies) Details
9. Coverage Details
10. Premium Details (Service/Sales Tax, if any, will be extra)
11. Proponent’s Health Information
12. Additional Health Information (Required in case of Sum Assured/ Aggregate Sum Assured is above `20 lakh)
13. Personal habits of the proponent impacting health (Required in case of Sum Assured/ Aggregate Sum Assured is above `20 lakh)
14. Suitability Analysis(Required in case of Sum Assured/ Aggregate Sum Assured is above `20 lakh)
15. Declaration of Proponent/ Spouse
16. Certificate of Immediate Superior
17. To be filled in by DO/ FO (PLI)/ Agent/ Sales Force
18. Medical Examiner’s Certificate
