Edit, Download, and Sign the SBI Life Premium Payment through Electronic Modes

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How do I fill this out?

To fill out this form, you need to provide your bank account details, policy information, and consent for direct debit. Ensure all details are accurate to avoid any delays. Once completed, submit the form to the nearest SBI Life branch.

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How to fill out the SBI Life Premium Payment through Electronic Modes?

  1. 1

    Fill in your bank account details including account number and type.

  2. 2

    Provide your SBI Life policy details and premium frequency.

  3. 3

    Enter your contact information for SMS and email alerts.

  4. 4

    Sign the form with the required signatures of account holders.

  5. 5

    Attach a photocopy of a blank or canceled cheque and submit the form.

Who needs the SBI Life Premium Payment through Electronic Modes?

  1. 1

    SBI Life policyholders who prefer automatic premium payments.

  2. 2

    Individuals managing multiple SBI Life insurance policies.

  3. 3

    Customers looking for a convenient and hassle-free payment method.

  4. 4

    Policyholders who want to ensure timely premium payments.

  5. 5

    Agents and financial advisors assisting clients with policy management.

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    Click on the text fields and enter your information.

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    Download the updated PDF for submission.

What are the instructions for submitting this form?

Submit the completed form at the nearest SBI Life branch or mail it to Corporate Office: SBI Life Insurance Co. Ltd, "Natraj", M.V Road & Western Express Highway Junction, Andheri (East), Mumbai-400069, or Central Processing Center: Kapas Bhavan, Plot No. 3A, Sector No. 10, CBD Belapur, Navi Mumbai-400614. For clarifications, contact the toll-free number 1800 22 9090, 1800 222 123, or 1800 425 9010, or email ecshelpdesk@sbilife.co.in. It is advised to double-check all details for accuracy.

What are the important dates for this form in 2024 and 2025?

Important dates for 2024 and 2025 are not specified in the form. Submit the form as soon as possible to enable timely premium payments and avoid late fees.

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What is the purpose of this form?

The purpose of this form is to authorize SBI Life insurance policyholders to make premium payments through electronic modes such as ECS and Direct Debit. By providing accurate bank and policy details, policyholders ensure timely payments of their premiums directly from their bank accounts. This form simplifies the payment process, reduces the risk of missed payments, and offers a convenient way for policyholders to manage their insurance premiums.

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Tell me about this form and its components and fields line-by-line.

This form contains various fields that capture essential details for authorizing premium payments.
fields
  • 1. Bank Account Details: Includes fields for account holder names, account number, account type, MICR code, IFSC code, mobile number, and email ID.
  • 2. Policy Details: Requires information such as policy number, payment frequency, and installment premium amounts.
  • 3. Service Acceptance: Fields for start and end dates of the mandate and unconditional consent for debiting the bank account.
  • 4. Signatures: Spaces for policyholder and account holders' signatures and attachment of a blank/canceled cheque.
  • 5. Bank Certification: Section for the bank's certification of the operational status of the account and correct details.

What happens if I fail to submit this form?

Failure to submit this form can result in missed premium payments, leading to policy lapses and financial penalties.

  • Policy Lapse: Non-payment of premiums due to failure to submit the form could cause your policy to lapse.
  • Late Payment Charges: You may incur additional charges and interests for late premium payments.

How do I know when to use this form?

Use this form when you wish to authorize automated premium payments for your SBI Life insurance policies.
fields
  • 1. New Policyholders: New policyholders opting for electronic payment methods.
  • 2. Existing Policyholders: Existing policyholders who want to switch to ECS/Direct Debit.
  • 3. Policy Renewals: During policy renewals to ensure timely premium payments.
  • 4. Multiple Policies: For managing premium payments of multiple SBI Life insurance policies.
  • 5. Convenience: For ease and convenience of automated premium payments.

Frequently Asked Questions

How do I fill out this form?

Provide your bank and policy details, authorize the payment, and sign the form.

What is the purpose of this form?

It authorizes automated payment of SBI Life premiums through ECS/Direct Debit.

Can I edit this form on PrintFriendly?

Yes, you can easily edit the form using PrintFriendly's PDF editor.

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Upload the PDF, use the signature tool to sign, and download the signed document.

Can I share the edited PDF on PrintFriendly?

Yes, you can share the edited document via email or generate a shareable link.

What information is required in this form?

Bank account details, policy information, service acceptance, and signatures are required.

How do I attach a blank or canceled cheque?

Attach a photocopy of a blank or canceled cheque along with the completed form.

What happens if my payment is not honored?

A charge of Rs 150/- per transaction will be levied if the payment is not honored.

How can I revoke the authorization?

Intimate SBI Life Insurance Co. Ltd. at least 30 days in advance in writing.

Who can opt for this mode of payment?

SBI Life policyholders with accounts in eligible banks and ECS locations can opt for this payment mode.

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