Max Life Insurance Form
Max life insurance co.
Max life insurance form. 104l098v03 is only the name of the unit linked life insurance contract and does not in any way indicate the quality of the contract its future prospects or returns. The insured can contact the max life insurance customer care through 1800 200 5577 for clarifying doubts about max life insurance forms and documents. 104b048v01 max life insurance company limited has entered into this contract of insurance on the basis of the information given in the proposal form together with the premium deposit statements reports or other documents and declarations received from or on behalf of the. Ltd 3rd 11th and 12th floor dlf square building jacaranda marg dlf city phase ii gurugram haryana 122 022.
I we the claimant s do solemnly declare that the below answers and statements are true in all respects and further agree that the furnishing of this form or any other form or any other form supplemental thereto to the company shall not. You may submit the surrender request with the above documents at nearby max life branch. Original policy pack c. 90 a udyog vihar sector 18 gurugram haryana 122 015.
Copy of id proof d. Max life agent max life office bank branch others declaration. Max life insurance is only the name of the insurance company and max life online savings plan uin. 104l098v03 is only the name of the unit linked life insurance contract and does not in any way indicate the quality of the contract its future prospects or returns.
Max life insurance company limited company or we or us or our requests you to pay your due premiums along with the all applicable taxes cesses and levies as imposed by the government or any other taxes cesses or levies if any within the due dates specified in the policy contract. Death claim form form a max life policy number s claimform is submittedthrough. In case of neft a cancelled cheque with pre printed name copy of bank passbook with banker s attestation banker s attestation on account details in surrender request. Max life insurance company limited formerly known as max new york life insurance company limited is a life insurance company in india the company is a subsidiary of the publicly listed max financial services and is the largest non bank private sector life insurer in india.
Max life insurance shall not be held responsible for delay or non receipt of the cheque in case the postal address is incomplete incorrect in company s records. Max life insurance co. Max life insurance will not be responsible in case of non credit to your account or if transaction is delayed or not effected at all for.