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Form preview Pdf lic assignment questionnai... 7 When the policy is to be assigned by way of security or mortgage only and not absolutely it is advisable to consult a legal advisor as to form of assignment to be used amount of stamp duty etc. Form No. 3848 p.i. FORM OF ASSIGNMENT OF POLICY FOR VALUABLE CONSIDERATION Absolute Assignment Note THIS FORM SHOULD NOT BE FILLED IN. The wording of the form if found suitable should be copied out either on the back of policy itself or in the alternative on a proper stamp paper of the requisite value. FOR INSTRUCTIONS RE EXECUTION OF AN ASSIGNMENT SEE REVERSE I Consideration of the sum of Rupees Paid to me by in the receipt Of which I hereby acknowledge do hereby as beneficial owner assign unto the said Aged years his Heirs Executors Administrators and Assigns the policy Of Assurance on the life of myself granted to me by the Life Insurance Corporation of India assuring the sum of Rupees And numbered and bearing date the day of 1999 /2000 and the sum assured thereby and all other moneys benefits and Advantages to be received thereunder. FORM OF ASSIGNMENT OF POLICY FOR VALUABLE CONSIDERATION Absolute Assignment Note THIS FORM SHOULD NOT BE FILLED IN* The wording of the form if found suitable should be copied out either on the back of policy itself or in the alternative on a proper stamp paper of the requisite value. FOR INSTRUCTIONS RE EXECUTION OF AN ASSIGNMENT SEE REVERSE I Consideration of the sum of Rupees Paid to me by in the receipt Of which I hereby acknowledge do hereby as beneficial owner assign unto the said Aged years his Heirs Executors Administrators and Assigns the policy Of Assurance on the life of myself granted to me by the Life Insurance Corporation of India assuring the sum of Rupees And numbered and bearing date the day of 1999 /2000 and the sum assured thereby and all other moneys benefits and Advantages to be received thereunder. Dated at this year 2000 WITNESS Signature - Full Name - Designation - Address - Signature of Life Assured Place Date - The Senior / Branch Manager Branch No* Policy No* Own Life Dear Sir I hereby give you notice that I have assigned the above policy to Shri. Here mention the name and address of the assignee. On Please acknowledge receipt of this notice and forward the enclosed Policy/Deed Of Assignment to after registering the assignment thereon in your Books Certified that the thumb impression here in is That of Who admits having affixed the same after understanding the contents hereof Yours faithfully Signature of Witness Signature/Thumb Impression of Assignor NOTE Notice Should be given by assignor or his/her duly authorised Agent. The assignor s thumb impression to the form should be attested by a Magistrate or justice of the Peace or a Gazetted Officer. An officer or Development officer of atleast 3 years standing or confirmed Development Officer recruited from the Agents who were DM or BM club members before joining or Development officer recruited from agents who were ZM or Chairman s club members before joining Provided he / she is fully satisfied about the identity of the person* The attesting witness should certify as above 1 After making such alteration if any as may be deemed necessary in the case under consideration the form printed on the reverse should be copied either on the back of the policy in which case no stamp duty will be payable or on a separate Special adhesive or non-judicial Stamp paper of the appropriate value.

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