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Star Health Senior Citizen Red Carpet Proposal Form

Star Health Senior Citizen Red Carpet Proposal Form

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No.: To Coverage Required : From Premium Rs. Date Payment details : Cash/Cheque/DD No Photo Name of Bank & Branch Sales Manager Code Agent/MT Code Broker Photo Code Nomination In the event of the death of the insured Person, all the benefits that shall become payable under the policy will be paid to the person named as the ‘Nominee’ by the Insured Person and his/her receipt shall be sufficient discharge to the Company. SI.No. Relationship Name of the Nominee Name of the Insured...
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