LIC Forms from Shine Software

LIC Forms

Age Declaration by Parent

Specimen Signature Form

Claim for Disability/Sickness Benefit under Nav Prabhat Plan

Claim for Disability/Sickness Benefit under Nav Prabhat Plan

Claim for Disability/Sickness Benefit under Nav Prabhat Plan

Claim for Disability/Sickness Benefit under Nav Prabhat Plan

Claim for Disability/Sickness Benefit under Nav Prabhat Plan

Disability Claims Due To Accident And Sickness Under Nav Prabhat Plan

Addendum For Assurance On The Lives Of Minors & Non-earning Major Lives

Addendum to Proposal for family details

Proposal For Insurance on Own Life

Policy Lost Questionnaire

Proposal For Insurance On The Life Of Another Person

Proposal For Insurance On Another Person

Proposal Form For Jeevan Akshay VI

Health Declaration for New Policy

Health Declaration for Revival of Policies

Personal Statement Regarding Health

Health Declaration for Revival of Policies on Minor Life

Jeevan Rakshak Own Life

Jeevan Rakshak Another Life

Proposal For New Endowment Plus Plan

Proposal Form For Health Insurance Policy

Previous Policy Extract

Consent For Extra

Nomination form under Joint Life

Nomination form under Jeevan Saathi Policy

Special Moral Hazard - Annexure A

Special Moral Hazard - Annexure B

Declaration By Proposer / Agent / D.O. for Standard Age Proof

Stamped Age Declaration By Elder

Nomination form

Nomination form for Minor Nominee

Report of Fluoroscopic Examination (Screening)

Report of Glucose Tolerance Test of Urine

Report on X-ray (plain) of Genito Urinary Tract KUB Area

Report on X-ray of Stomach & Duodenum (Barium meal)

Report on X-ray of Caecum and Colon (Barium enema)

Report on Intravenous – Pyelography

Report of Cholecystography

Sputum Examination

Addendum for Asthama / Bronchitis

Personal History of An Operation for Gastric or Duodenal Ulcer

Personal History of Indigestion, Dypspepsia, Gastric or Duodenal Ulcer (not operated)

Kidney / Colic / Stone History Questionnaire

Personal History of Gall-bladder Disease

Goitre (with operation)

Goitre ( without Operation ) Questionnaire

Filariasis Form

Chest Pain Questionnaire

C.N.S. Questionnaire

Stool Report

Tuberculosis Questionnaire

Pleurisy Questionnaire

Epilesy Questionnaire

Gynaelogist Report

SBT-27

Appointment of Appointee

Revocation of Appointment of Appointee

Appointment of Fresh Appointee

Change of Nomination

Indemnity Bond For Duplicate Policy - In Multiple Case

Stamped Declaration for Policy Loss - Duplicate Policy

Declaration Of Health And Risk For Accident Benefit

Queries To Be Answered By Army Personnel

Claimants Statement

Medical Attendants Certificate

Burial Cremation Certificate

Employers Certificate

Confidential Report By The Agent

Death Claim Discharge Form

Claim

Claim Settlement

Form Of Letter Of Indemnity

Form Of Application To Dispense With Legal Evidence Of Title

Form Of Application To Dispense With Legal Evidence Of Title

Stamped Declaration for Policy Loss - Claim

Form Of Letter Of Indemnity

Judicial Form

Certificate Of Hospital Treatment

Certificate Of Treatment

Maturity Value Discharge Form

Certificate Of Existence

Form Of Receipt To Be Furnished Under Educational Annuity

Form of Assignment

Statement If Std. Age Proof Not Submitted

Age Extract

Surrender Value Discharge Form

Unstamped Self Age Declaration

Diving Questionnaire

Successive, Alternative Nomination

Stamped Self Age Declaration

Form of Declaration for disability Benefit under a Policy

Claim for Disability Benefit

Claim for Disability Benefit

Specimen Of Authorisation Letter

Special M.H.R.

Cancer Claim under Asha Deep

Cancer (Malignant) Claim under Asha Deep

CABG Claim under Asha Deep

CABG Claim under Asha Deep

Kidney Failure Claim under Asha Deep

Kidney Failure Claim under Asha Deep

Kidney Failure Claim under Asha Deep

Paralytic Stroke Claim under Asha Deep

Paralytic Stroke Claim under Asha Deep

Addendum to Proposal for Ceasarean History

Addendum For Multiple Proposals

Proposal Form For Jeevan Tarun

CABG Claim under Asha Deep

Certificate Of Existence under Annuity

Certificate Of Agricultural Income

Chartered Accountants Certificate

Addendum to Proposal for Cat. I Female

Special MHR for Category III ladies

Claimants Statement For CIRB

Employers Certificate

Critical Illness (Heart Attack,CABG,HVR)

Claim Under Critical Illness Rider

Critical Illness (Cancer)

Claim Under Critical Illness Rider For Cancer

Critical Illness (Stroke)

Claim Under Critical Illness Rider For Stroke

Critical Illness (Kidney Failure)

Critical Illness (Aorta Graft Surgery)

Claim Under Critical Illness Rider For Aorta Graft Surgery

Critical Illness (Blindness)

Claim Under Critical Illness Rider For Blindness

Critical Illness (Third Degree Burns)

Claim Under Critical Illness Rider For Third Degree Burns

Critical Illness (Major Organ Transplant)

Claim Under Critical Illness Rider For Major Organ Transplant

Critical Illness (Paralysis)

Claim Under Critical Illness Rider For Paralysis

Discharge Under Critical Illness Rider Benefit

Day Care Procedure Benefit

Declaration For Splitting Of Large Sum Assured

Premium Collection Facility Through LIC Nomura Mutual Fund

IPP ECS Mandate Form

ECS Mandate Form

HI-ClaimIntimation

Health Insurance Claim Intimation Form

Personal Statement Regarding Health Plus Policies

Personal Statement Regarding Health For Major Insured Member Under Health Plus Policies

Personal Statement Regarding Health For Minor Insured Under Health Plus Policies

Claim For HCB, MSB under Health Insurance Policy

HUF Addendum To Proposal

Claim Under Survival Benefit Option II Of Jeevan Asha Plan

Claim For Minor/Major Surgical Procedure Covered Under Jeevan Asha

Requirements Needed For Processing The Claim Under Critical Illness Rider

Claim Investigation Report Of Critical Illness Rider Benefit

Congenital Disability Benefit Claim Under Jeevan Bharati

Female Critical Illness Benefit Claim Under Jeevan Bharati

JUVENILE FMR

KEYMAN QUESTIONNAIRE

Draft Of Resolution To Be Passed By Company Board For KeyMan Insurance

KEYMAN QUESTIONNAIRE

Income Declaration For Keyman Insurance

Form Of Letter Of Indemnity

ELECTROCARDIOGRAM

COMPUTERISED TREADMILL TEST

HAEMOGRAM

LIPIDOGRAM

BLOOD SUGAR TOLERANCE REPORT

SPECIAL BIO-CHEMICAL TESTS – 12 (SBT-12)

SPECIAL BIO-CHEMICAL TESTS – 18 (SBT-18)

ROUTINE URINE ANALYSIS

REPORT ON X-RAY OF CHEST (P.A. VIEW)

ELISA FOR HIV

PHYSICIAN’S REPORT

SPECIAL BIO-CHEMICAL TESTS – 13 (SBT-13)

GENERAL OCCUPATION QUESTIONNAIRE

ARMY PERSONNEL QUESTIONNAIRE

AVIATION (ARMED SERVICES) QUESTIONNAIRE

AVIATION (CIVIL) QUESTIONNAIRE

CIVIL GLIDING QUESTIONNAIRE

NAVY PERSONNEL QUESTIONNAIRE

DIVING (ARMED SERVICES AND COMMERCIAL) QUESTIONNAIRE

MERCHANT MARINE QUESTIONNAIRE

Application form for Credit Card

Special MHR for Category III ladies

DEATH CLAIM FORM UNDER MICRO INSURANCE POLICY

Annexure For Major Surgical Benefit

MHR For Physically Handicapped Life

DEFORMITY QUESTIONNAIRE

Moral Hazard Report For Mail Order Business

SPECIAL QUESTIONNAIRE TO BE COMPLETED IN RESPECT OF NRIs

QUESTIONNAIRE TO BE COMPLETED BY NON-RESIDENT INDIAN

ADDENDUM TO PROPOSAL FOR ASSURANCE ON THE LIVES OF MINORS AND NON-EARNING MAJOR LIVES

Health Plus Plan Proposal Form – Addendum for Bank Details

Arthritis Questionnaire

High Blodd Pressure Questionnaire

Diabetes Questionnaire - Applicant

Diabetes Questionnaire - Physician

EMPLOYER – EMPLOYEE SCHEME QUESTIONNAIRE

HERNIA QUERY FORM

High Blood Pressure Questionnaire – Applicant

Hearing Questionnaire

Hypertension Questionnaire – Physician

Musculoskeletal Disorders Questionnaire – Attending Physician

Ophthalmic Report

Personal Financial Questionnaire

Policy Lost Questionnaire

Residence and Travel Questionnaire

Reassignment For Valuable Consideration

Re-Check Of Measurements

Hospital Treatment Form

Specimen of Supplementary Deed Of Partnership

LIC SURRENDER FORM

LIC NEFT FORM

LIC 680 FORM

LIC COVID FORM

NRI_QUESTIONNAIRE

NRI QUESTIONNAIRE