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    3 Beneficiary Form HRP CD 31

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    abdulrehman g
    This document is an employee beneficiary form for life insurance. It collects information about the employee such as their employee number, name, designation, school, campus, region, area, and date of joining. It then collects information about the employee's primary beneficiary including their name, relationship to the employee, CNIC number, and contact number. It also allows the employee to designate a contingent beneficiary. At the end, the employee signs to nominate the listed beneficiaries and agree to the terms and conditions of the organization.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    3 Beneficiary Form HRP CD 31

    Uploaded by

    abdulrehman g
    17 views1 page
    This document is an employee beneficiary form for life insurance. It collects information about the employee such as their employee number, name, designation, school, campus, region, area, and date of joining. It then collects information about the employee's primary beneficiary including their name, relationship to the employee, CNIC number, and contact number. It also allows the employee to designate a contingent beneficiary. At the end, the employee signs to nominate the listed beneficiaries and agree to the terms and conditions of the organization.

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    This document is an employee beneficiary form for life insurance. It collects information about the employee such as their employee number, name, designation, school, campus, region, area, and date of joining. It then collects information about the employee's primary beneficiary including their name, relationship to the employee, CNIC number, and contact number. It also allows the employee to designate a contingent beneficiary. At the end, the employee signs to nominate the listed beneficiaries and agree to the terms and conditions of the organization.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    17 views1 page

    3 Beneficiary Form HRP CD 31

    Uploaded by

    abdulrehman g
    This document is an employee beneficiary form for life insurance. It collects information about the employee such as their employee number, name, designation, school, campus, region, area, and date of joining. It then collects information about the employee's primary beneficiary including their name, relationship to the employee, CNIC number, and contact number. It also allows the employee to designate a contingent beneficiary. At the end, the employee signs to nominate the listed beneficiaries and agree to the terms and conditions of the organization.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Employee Beneficiary Form for Life Insurance

    Employee Information

    Note: the accompanying instructions are an integral part of this form and you should use them to assist you

    Emp #: ______________ Name: ____________________ Designation ___________________________

    School: ___________________________________Campus:___________________________________

    Region:_________________Area:______________________D.O.J_____________________________

    Marital Status:  Single  Married

    Primary Beneficiary

    Name of beneficiary: ___________________________________________________________________

    Relationship: _________________________________________________________________________

    CNIC Number: _____________________________ Contact No.: ______________________________

    Address: __________________________________________________________________________

    Contingent Beneficiary

    In the event that there is no living primary beneficiary at my death, I hereby designate the following person as
    contingent beneficiary:

    Name of beneficiary: ___________________________________________________________________

    Relationship: __________________________________________________________________________

    CNIC Number: _________________________________Contact No.: ______________________________

    Address: __________________________________________________________________________

    Signature

    I hereby nominate the person mentioned above who are members of my family to receive the assured sum in the
    event of my death under group term life insurance.
    I also declare that the above information is correct to my knowledge and I agree to the terms and conditions of
    the organization:

    Employee: __________________________________ Date: ______________

    Note: Please attach one copy of CNIC for each beneficiary

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