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    The Chief Manager/Sr./Branch Manager,: Country Code STD Code Phone Number Country Code STD Code Phone Number

    Uploaded by

    ankitragini
    Rahul Jain has registered on LIC's website www.licindia.com and is requesting that his three policies be validated and enrolled under his user ID. The policies listed are for Rs. 3002, Rs. 5363, and Rs. 1678 in premium amounts. Upon enrollment, Rahul will be able to access policy details, submit address changes, and pay premiums online through his net banking account. However, he has obligations to keep his user ID and password secure, and transactions executed under his valid session will be binding.

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    © All Rights Reserved
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    The Chief Manager/Sr./Branch Manager,: Country Code STD Code Phone Number Country Code STD Code Phone Number

    Uploaded by

    ankitragini
    19 views2 pages
    Rahul Jain has registered on LIC's website www.licindia.com and is requesting that his three policies be validated and enrolled under his user ID. The policies listed are for Rs. 3002, Rs. 5363, and Rs. 1678 in premium amounts. Upon enrollment, Rahul will be able to access policy details, submit address changes, and pay premiums online through his net banking account. However, he has obligations to keep his user ID and password secure, and transactions executed under his valid session will be binding.

    Original Description:

    EnrollmentFormm v

    Original Title

    EnrollmentForm-rahulsageeta

    Copyright

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    Rahul Jain has registered on LIC's website www.licindia.com and is requesting that his three policies be validated and enrolled under his user ID. The policies listed are for Rs. 3002, Rs. 5363, and Rs. 1678 in premium amounts. Upon enrollment, Rahul will be able to access policy details, submit address changes, and pay premiums online through his net banking account. However, he has obligations to keep his user ID and password secure, and transactions executed under his valid session will be binding.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    19 views2 pages

    The Chief Manager/Sr./Branch Manager,: Country Code STD Code Phone Number Country Code STD Code Phone Number

    Uploaded by

    ankitragini
    Rahul Jain has registered on LIC's website www.licindia.com and is requesting that his three policies be validated and enrolled under his user ID. The policies listed are for Rs. 3002, Rs. 5363, and Rs. 1678 in premium amounts. Upon enrollment, Rahul will be able to access policy details, submit address changes, and pay premiums online through his net banking account. However, he has obligations to keep his user ID and password secure, and transactions executed under his valid session will be binding.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    POLICY ENROLLMENT FORM FOR LIC's WEB-SITE "www.licindia.

    com"
    To
    The Chief Manager/Sr./Branch Manager,
    Life Insurance Corporation of India,
    .............................................................
    .............................................................
    .............................................................
    I have registered at Life Insurance Corporation of India's web-site 'www.licindia.com' and request you to validate the
    following enrolled policy/ies.
    Name of Policy Holder
    Jain
    R

    Login User Id
    rahulsageeta

    Email-id
    [email protected]

    Date of Birth
    26/07/1980

    Landline 1

    Landline 2

    +91
    Country
    Code

    +91
    STD Code Phone Number

    Mobile 1

    STD Code Phone Number

    Mobile 2

    +91

    +91
    STD Code [compulsory if not a 10 digit
    mobile number]

    Sr.
    1
    2
    3

    Country
    Code

    Policy No
    217205979
    217239557
    218447992

    Ser Brn Premium (Rs.)


    21U
    3002.0
    21U
    5363.0
    21U
    1678.0

    STD Code [compulsory if not a 10 digit


    mobile number]

    Name of Life Assured


    Jain
    R
    Jain
    R
    Jain
    R

    I have read the provisions contained in the "Terms of Service: Registration for LIC's web-site:www.licindia.com" and
    accept them. I agree that all transactions executed over "LIC's web-site: www.licindia.com" under my User-id and
    Password will be binding on me.

    Date :
    Place:

    Policyholder's Signature
    (Life Assured / Proposer)

    Terms of Service:Enrolment of Policies on LIC's web-site "www.licindia.com"


    General Information:
    1. Login User-id and password can be obtained by registering on LIC's web-site as new users. The existing users
    can continue with the same user-id and password.
    2. You should submit the duly completed enrolment form at any LIC branch where your policy is being presently
    serviced. The Branch will verify the detail and then enrol the policies under your user-id for your access to the
    policy details on the web site.
    3. Access to the enrolled policies will be available to you only after the enrolment form is validated by the Branch.
    You can enrol only those policies for which you are an authorised signatory/claimant. A confirmatory email will be
    sent for the enrolled policy/ies to the email-id mentioned in this enrolment form.
    4. If you believe that any information relating to your account has a discrepancy, please bring it to the notice of the
    branch by e-mail or letter.
    5. Registration/Policy enrolment cannot be claimed as a right. LIC reserves the right to reject/disqualify any
    registration / enrolment at its own discretion.
    6. LIC reserves the right to modify the services offered or the Terms of service of LIC's web-site. The changes will
    be notified to the customers through a notification on the Site.
    Services Offered:
    1.
    2.
    3.
    4.
    5.

    You can view/download & print the policy status of the policies numbers you have registered.
    You can view/download & print revival and loan quotations.
    You can submit online request for address change, without having to personally visit the servicing branch.
    You can pay premiums of validated policies online through your net-banking accounts.
    If you opt, LIC will send alerts either through Email or/and SMS about the Premium payment dates, and other
    information about products and services.

    Policyholder's Obligations:
    1. The policyholder has an obligation to maintain secrecy in regard to the user-id and password allotted by LIC. And
    LIC presupposes that login using the user-id and password is a valid session initiated by none other than the
    policyholder.
    2. Transaction executed through a valid session will be construed by LIC to have emanated from the registered
    policyholder and will be binding on him / her.
    3. The policyholder will not attempt or permit others to attempt accessing the LIC's web-site through any unlawful
    means.

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