LIC NEW PLAN PROPOSAL FORM-300 -

Order Number

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Child's Gender (Life to be assured)*

Male

Female

Child's Details (Life to be assured)

First Name*

Middle Name

Last Name

Date of birth of child*

Educational Details of Child (Life to be Assured)

Is Child Studying?*

Yes

No

State the Class/Standard or Type of Course /College degree

Who is Proposer of Policy on Childs Life? Note: Proposer should be earning member and who pays premium*

Father

Mother

Grand Parent

Child's Father Details

Father Name*

Age*

Place Of Birth*

Is Father Living/Dead?*

Living

Dead

Residential status*

Resident

Non Resident

Child's Mother Details

Mother's Name*

Age*

Is Mother Living/Dead?*

Living

Dead

Residential status*

Resident

Non Resident

Marital Status of plan proposer/Premium payer*

Married

Single

Divorced

Other

Grand Parent of Child's details

Grand Parent Name*

Date Of Birth*

Place Of Birth*

Nationality*

Resident

Non Resident

Health of Life to be assured (Please don't hide anything else will impact claim)

How is health of Child (Life to be assured)*

Good

Having disorder / Diseases

Hospitalised/under Medical treatment

Nature of disease/Illness

Has Child/Life to be assured remained absent for more than a month from School /Collage/Education Institution on grounds of health during last 5 years?*

Yes

No

Is Child/Life to be assured is disabled or mentally retarded? (विकलांग /मंदबुद्धि)*

Yes

No

Upload child Documents/Proofs ( Proofs are mandatory )

Child (Life to be assured ) AGE is ..*

Less than 5 years

More than 5 years

Upload govt issued Birth Certificate if child age is less than 5 Years.

Drop self attested/signed file here or click to select

PDF, JPEG, PNG accepted, If you are taking picture from Mobile,Take picture properly from top and clear with high Pixel.

1) Upload School ID card OR School admission Certificate AND 2) Latest marks sheet OR School fees paid receipt

Drop files here or click to select

PDF, JPEG, PNG accepted, If you are taking picture from Mobile,Take picture properly from top and clear with high Pixel.

Upload Child's photo ( Head to feet should be covered. should be clear and high pixel)

Drop Child's photo form your mobile or PC here or click to select

JPEG, PNG accepted

Upload Signature

Upload signature here

Sign on white paper and take photo from Mobile, Drop signature image file here or click to select

I understand and agree that,

the policy returns on maturity or installment payments before will be vest on Child (Life assured) on completion of 18 years. Life Insurance on Child Life: If child age is below 8 years, life risk cover on child will start after two years OR immediately if child age is above 8 years form the date of policy issued. This policy can not be closed within 3 years since tax benefits are available, If closed, no premiums will be returned / payable by LIC or dealt as per surrender rules of policy.

Start filling form...We have made it easy, it just takes few minutes!

Child's Details (Life to be assured)

Educational Details of Child (Life to be Assured)

Child's Father Details

Child's Mother Details

Grand Parent of Child's details

Health of Life to be assured (Please don't hide anything else will impact claim)

Upload child Documents/Proofs ( Proofs are mandatory )

Upload Signature

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