FORM NO. | REVISED NB FORMS / DESCRIPTION |
3166 | POLICY EXTRACT FROM PREVIOUS /PROPOSAL PAPERS |
3179® 2K | CONSENT LETTER |
3302 | MEDICAL EXAMINER'S APPLICATION |
NB-44 | BM's RECOMMENDATATION FOR APPOINTMENT OF MEDICAL EXAMINER |
3302A | APPOINTMENT OF CARDIOLOGIST/ RADIOLOGIST/PATHOLOGIST |
4104A | STATEMENT WHERE NO STD AGE PROOF |
RE-CHECK | RE-CHECK OF MEASUREMENTS |
P-FIN.QUEST. | PERSONAL FINANCIAL QUESTIONNAIRE |
AGRL.INC. | CERTIFICATE OF AGRICULTURAL INCOME |
CA CERT. | CHARTERED ACCOUNTANT'S CERTIFICATE |
FEMALE-III | SPECIAL MHR FOR WIDOWS |
P' SHIP | SUPPLEMENTARY DEED OF PARTNERSHIP |
FORM 14 | EPF - APPLICATION |
FORM 15 | EPF ASSIGNMENT FORM |
294 | ADDENDUM TO MINOR LIVES PROPOSALS |
400 | ADDENDUM FORM FOR JEEVAN SATHI T - 89 |
ADDNDM | ADDENDUM TO (PPL) JEEVAN BHARATI T-160 |
ADDNDM | ADDENDUM TO (PPL) JEEVAN ADHAR T-114 |
ADDNDM | ADDENDUM TO CAESARIAN CASES |
FEMALE-I | ADDENDUM TO PPL-CAT-I FEMALE LIFE |
HUF | ADDENDUM - HUF POLICIES |
3261 | ELDER’S DECLARATION OF AGE |
5096 | SELF DECLARATION OF AGE (UNSTAMPED) |
5220 | SELF DECLARATION (STAMPED) UNDER (C) DECLARATIONS |
DECLN | DECLARATION (PPL) JEEVAN VISWAS T-136 |
DECLN | DECLARATION (PPL) JEEVAN KISHORE / KOMAL JEEVAN T-102,159 |
DECLN | DECLARATION (PPL) - JEEVAN CHAYA T-103 |
3322 | ADDITIONAL FORM FOR ASTHMA/BRONCHITIS |
3324 | ULCER QUESTIONNAIRE- WITH OPERATION |
3325 | ULCER QUESTIONNAIRE - WITHOUT OPERATION |
3326 | KIDNEY DISEASE, COLIC OR STONE ETC |
3327 | GALL-BLADDER DISEASE |
3330 | GOITRE QUESTIONNAIRE (WITH OPERATION) |
3331 | GOITRE QUESTIONNAIRE (W/O OPERATION) |
3332 | FILARIASIS QUESTIONNAIRE |
3333 | CHEST PAIN QUESTIONNAIRE |
3334 | CNS QUESTIONNAIRE |
3336 | TUBERCULOSIS QUESTIONNAIRE |
3337 | PLEURISY QUESTIONNAIRE |
3340 | EPILEPSY QUESTIONNAIRE |
DEFORMITY | DEFORMITY QUESTIONNAIRE |
HERNIA | HERNIA QUESTIONNAIRE |
HEARING/ENT | HEARING/ENT QUESTIONNAIRE |
LIC03-500 | GENERAL OCCUPATION QUESTIONNAIRE |
LIC03-500-01 | ARMY PERSONNEL QUESTIONNAIRE |
LIC03-500-02 | AVIATION (ARMED SERVICES) QUESTIONNAIRE |
LIC03-500-03 | AVIATION (CIVIL) QUESTIONNAIRE |
LIC03-500-04 | CIVIL GLIDING QUESTIONNAIRE |
LIC03-500-05 | NAVY PERSONNEL QUESTIONNAIRE |
LIC03-500-06 | DIVING (ARMED/COMML) QUESTIONNAIRE |
LIC03-500-07 | MERCHANT MARINE QUESTIONNAIRE |
EMPL-EMP | EMPLOYER-EMPLOYEE QUESTIONNAIRE |
KEYMAN | ANX-A-KEYMAN( RESOLUTION) |
KEYMAN | ANX-B - KEYMAN QUESTIONNAIRE |
KEYMAN | ANX-C - KEYMAN(INC-INS) |
NR1-1 | MAIL ORDER BUSINESS - ACR / MHR |
NRI-2 | NRI - ANX - STUDENTS/ EMPLOYEES |
NRI-3 | NRI - QUESTIONNAIRE |
NRI-4 | NRI - CONDITIONS |
3310 | FLUOROSCOPIC EXAMINATION |
3311(a) | GLUCOSE TOLERENCE TEST (GTT) OF URINE |
3313 | X-RAY OF GENITO URINARY TRACT (G U T) KUB AREA |
3314 | STOMACH & DUODENUM (BARIUM MEAL) |
3315 | X-RAY - CAECUM AND COLON (BARIUM ENEMA) |
3316 | INTRAVENOUS PYELOGRAPHY |
3317 | CHOLECYSTOGRAPHY |
3321 | SPUTUM EXAMINATION |
3335 | STOOL EXAMINATION |
3338® | SPECIAL BLOOD SUGAR TEST (BST) |
3341 | GYNAECOLOGIST REPORT |
LIC03-002 | ELECTROCARDIOGRAM |
LIC03-003 | TREADMILL TEST |
LIC03-004 | HAEMOGRAM |
LIC03-005 | LIPIDOGRAM |
LIC03-006 | BLOOD SUGAR TEST (BST) |
LIC03-007 | SPECIAL BIO-CHEMICAL TESTS (SBT-12) |
LIC03-008 | SPECIAL BIO-CHEMICAL TESTS (SBT-18) |
LIC03-009 | ROUTINE URINE ANALYSIS (RUA) |
LIC03-010 | CHEST X-RAY |
LIC03-011 | ELISA FOR HIV |
LIC03-012 | PHYSICIAN’S REPORT |
OPHTHALMIC | OPHTHALMIC REPORT |
JUVENILE | JUVENILE FMR |
3124B | CLAUSE 4(B) |
3130A | CLAUSE 10(a) |
3140 | CLAUSE 20 - WAIVER OF PREMIUM CLAUSE |
3140A | CLAUSE 20A - WAIVER OF PREMIUM CLAUSE - PLAN 113 ETC |
3140B | CLAUSE 20B - FAMILY BENEFIT CLAUSE - PLAN 113 ETC |
SSS | SSS INTRODUCTION - ANNEXURE I(A) |
3142 | CLAUSE-22 - ANNEXURE II (A) |
3151 | CLAUSE 31 |
3152 | CLAUSE 32 |
CLAUSES | CL 45, 46, 53, 54, 55, 56 |
3198 | CLAUSE 61(SPL DISABILITY CL.) |
3198(N) | CLAUSE 61(N) |
3198(I)(N) | CLAUSE 61(I) (N) |
3198(a) | CLAUSE 61(a) |
3198 AI N | CLAUSE 61(a)(I)(N)(WITH AB) |
3198(a)(N) | CLAUSE 61(a)(N)(W/O AB) |
3214 | CLAUSE 65 |
3215 | CLAUSE 66 |
3216 | CLAUSE 67 |
3218 | CLAUSE 69 |
3228 | CLAUSE 74 |
3230 | CLAUSE 76 |
CLAUSE | CLAUSE 85 |
CLAUSE | CLAUSE 86 |
FORM-A | SSS INTRODUCTION - EMPLOYER'S LETTER |
FORM-B | SSS INTRODUCTION - QUESTIONNAIRE BY EMPLOYER |
FORM-C | SSS INTRODUCTION - REPORT BY SBM/ABM(S) |
460(R-87) PERSONAL | STATEMENT REGARDING HEALTH |
FORM NO.680 | PERSONAL STATEMENT REGARDING HEALTH |
FORM NO.700 | PERSONAL STATEMENT REGARDING HEALTH |
NORM NO.720 | PERSONAL STATEMENT REGARDING HEALTH |
ECS | PREMIUM PAYMENT THROUGH ECS - EXISTING POLICIES |
ECS | PREMIUM PAYMENT THROUGH ECS - NEW PROPOSALS |
ECS - ANNUITY | ANNUITY PAYMENT THROUGH ECS |
FORM NO.3260 | STANDARD AGE PROOF |
SPLITTING. POLS | SPLITTING OF LARGE SUM ASSURED CASES LESS THAN 5 LACS |
3237-A | NOMINATION UNDER JEEVAN SATHI POLICY |
3251 | SPL MHR - ANNEXURE A |
3251 | SPL MHR - ANNEXURE B |
7554 | SPECIMEN OF AUTHORISATION LETTER TO RECEIVE POLICY BOND |
Revised NB Forms for LIC with form number
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