Aditya Birla Life Insurance Company Limited

LIFE INSURANCE
Aditya Birla Life Insurance Company Limited

PROTECTING INVESTING FINANCING ADVISING
REVIVAL LETTER
Date : July 20, 2018
Ref : Revival of BSLI Term Plan,Policy No. 004867576
Dear Mr. Balaji Subhash Mashalkar
Thank you for choosing Aditya Birla Sun life Insurance as your partner for securing your family’s future.
We are glad to inform you that your above mentioned policy which had lapsed on May 09, 2018, has been revived on July 19,
2018.
To enjoy all benefits under your policy, we urge you to ensure that all your future premiums are paid on time. To assist you in
timely payment of premium; we request you avail our automated payment options. You can download the NACH mandate form
from our website www.adityabirlasunlifeinsurance.com or obtain it from our nearest branch. You are requested to fill the same
and send it along with necessary supporting documents as mentioned on the form to any of our branches.
In case you require any information or assistance, our customer service executives would be glad to help you. Please feel free
to get in touch with us on the mentioned touch points.
It is our endeavour to enhance your financial future by providing you the best services at all times.
Your Sincerely,
Customer Service
Aditya Birla Sun Life Insurance Company Limited
Opt for NEFT (National Electronic fund transfer), to receive faster payments. Simply send duly filled and signed profile Updation form
to any of our branches. To download the form and to locate the nearest branch, please visit www.adityabirlasunlifeinsurance.com
This is a computer Generated letter and does not require a signature.
Key points to remember:
NAV Applicable: Receipt of premium from any person other than the "Policy
Premium received vide outstation cheque/DD –On the day Owner" would be considered as a Third Party Payment andshall
we receive credit (except on Saturday) be receipted only subject to ABSLI Third Party norms being
Premium received vide local cheques/DD complied with.
_ Cash payments up to ` 50,000/- can be made at any of our
On or before 3.00 pm IST(except on Saturdays) - Same
working date will be applicable branches or authorised centres. Please insist on receipts of
_
After 3.00 pm IST and on Saturdays - Next working date premium payments made in cash.
will be applicable All cheques/DD should be drawn in favour of "Aditya Birla Sun
The charges are/shall be subject to applicable taxes and Life Insurance Company Limited "
levies, applicable from time to time, during the validity of Policy No. XXXXXXXX. Please mention the policy holder’s
the policy contract. Name, policy number and contact number(s) on the reverse
side of the cheque.

LIFE INSURANCE
Aditya Birla Sun Life Insurance Company Limited PROTECTING INVESTING FINANCING ADVISING
Profile Updation Form

Never miss an alert; keep your contact details updated!
Any alterations/corrections made in the form need to be duly signed by the policy owner. Tick () the relevant box. Kindly fill in BLOCK LETTERS ONLY
Policy Number: e-Insurance Account Number (If Yes):

Name of the Policy Owner: ____________________________________________________________________________ Client ID:
Mobile No.: Tel. No. (R/O): Email ID: _________________________________________________
Kindly note, this email id will be used for registration of 'Go Green' and will lead to discontinuance of physical statements.
Bank Account Details (All fields are mandatory)

PAN: AADHAR Number (UID)
PAN should be furnished when your annual contribution* is Rs. 50,000 or more in a financial year
*Annual contribution would mean total Annual premium across all policies held by you as a customer + sum of all Top ups made in a financial year + any other payments made by you as a customer in the financial year
Bank Name: Branch Name:

Bank Address:
Bank Account Holder's Name:
Bank Account Number: 11 Digit IFSC Code: (You can get this code from your bank)
Note: Aditya Birla Sun Life Insurance Company Limited (ABSLI) will not be responsible in case of non credit to your account or if transaction is delayed or not effected at all for reasons of incomplete/incorrect
information provided or rejected by your bank. In case of requisite information for direct credit is not received or transaction rejected by bank the payout will be made vide cheque.
1. Are you holding citizenship of any other country? Yes No If yes, please provide country name/s: _________________________________________________
2. Are you a tax resident of any other country? Yes No If yes, please provide unique Tax Identification Number/s: _________________________________
Note: If the response to any of the above questions is yes, please submit a detailed NRI questionnaire available with our branch office.
Mandatory Requirements
• Please submit Original Cancelled Cheque with pre printed name & account number
• Please submit pass book copy / Bank Statement bearing pre printed name, residence address & account number; incase cancelled cheque does not have printed name &
account number, carry original for verification at branch
• In case the cancelled cheque carries pre-printed name and account number, but has "New Account" printed on it, kindly submit an attested copy of the passbook/bank
statement bearing preprinted name and account number. Please carry original passbook/bank statement to the branch for verification purposes
• Valid address KYC proof and valid id proof carry originals for verification at branch
• All documents needs to be self attested by the Policy owner & attested by ABSLI Authorized branch personnel.
Note: • Direct Transfers are not applicable for NRE accounts. • The bank account details will be linked to all your policies under your client id.
Valid Photo ID Proofs Valid Address Proofs

• Aadhar ID (UID) • Passport • Pan Card • Aadhar Card • Passport • Pan Card • Voter's Identity Card • Driving Licence
• Driving License • Voter's Identity Card • Identity Card With Applicants Photographs issued by:-
• Identity Card with Applicants Photograph issued by :- • State/Central Government Departments, Statutory/Regulatory Authorities
• State/Central Government Departments, Statutory/ • Public Sector Undertakings
Regulatory Authorities • Scheduled Commercial Banks
• Public Financial Institution
• Public Sector Undertakings
• Letter issued by a gazetted officer with a duly attested photograph of a person.
• Scheduled Commercial Banks • Telephone Bill/Electricity Bill/Gas Bill/Water Bill/ Mobile Post-Paid Bill (not older than 2 months)
• Public Financial Institutions • Bank Account or Post Office Saving Account Statement
• Letter Issued by a gazetted officer with a duly attested photograph • Property or Municipal Tax receipt
of a person. • Pension or Family Pension Orders (PPO) issued to retired employees by Government Departments or Public
Sector Undertakings (if they contain address)
I hereby agree and confirm that the above details provided by me are true and correct. I request you to update above information in your records. I hereby provide my consent
to receive call from Aditya Birla Sun Life Insurance Company Limited (ABSLI) or its authorized Service Providers in connection with any matter related to my above Policy.
Signature of the Policy Owner / Assignee Date: D D M M Y Y Y Y

Please collect stamped, signed and duly filled acknowledgement slip, which you can refer to for all your communication in regard to this request.
Acknowledgement slip
FOR/9/17-18/806
Received a request for against Policy number:

Policy Owner : Reference No.:
Stamp/Seal of the branch
Branch: Received By:

(Formerly known as Birla Sun Life Insurance Company Limited)
IRDAI Regn. No.: 109. Regd Office: One Indiabulls Centre, Tower 1, 16th Floor, Jupiter Mill Compound, Contact Us:
841, Senapati Bapat Marg, Elphinstone Road, Mumbai - 400013
+91 22 6723 9100 | care.lifeinsurance@adityabirlacapital.com | www.adityabirlasunlifeinsurance.com | CIN: U99999MH2000PLC128110
1-800-270-7000
Trade Logo “Aditya Birla Capital” displayed above is owned by ADITYA BIRLA MANAGEMENT CORPORATION PRIVATE LIMITED (Trademark Owner)
and used by ADITYA BIRLA SUN LIFE INSURANCE COMPANY LIMITED (ABSLI) under the license adityabirlacapital.com

Aditya Birla Life Insurance Company Limited

Uploaded by

Copyright:

Available Formats

Aditya Birla Life Insurance Company Limited

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Aditya Birla Life Insurance Company Limited

Uploaded by

Copyright:

Available Formats

LIFE INSURANCE

Aditya Birla Life Insurance Company Limited

This is a computer Generated letter and does not require a signature.

Key points to remember:

Aditya Birla Sun Life Insurance Company Limited

Profile Updation Form

Policy Number: e-Insurance Account Number (If Yes):

Bank Account Details (All fields are mandatory)

Bank Name: Branch Name:

Valid Photo ID Proofs Valid Address Proofs

Signature of the Policy Owner / Assignee Date: D D M M Y Y Y Y

Received a request for against Policy number:

Aditya Birla Sun Life Insurance Company Limited

You might also like