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    Housewife Addendum

    Uploaded by

    Priya Selvaraj
    This document is an addendum for life insurance proposals where the proposed life is a housewife without independent income. It requires information such as the husband's occupation, annual income, education level, and existing life insurance policies. Both the housewife and husband must declare that the information provided is true and complete, and that withholding any material facts could invalidate the insurance contract.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Housewife Addendum

    Uploaded by

    Priya Selvaraj
    1K views1 page
    This document is an addendum for life insurance proposals where the proposed life is a housewife without independent income. It requires information such as the husband's occupation, annual income, education level, and existing life insurance policies. Both the housewife and husband must declare that the information provided is true and complete, and that withholding any material facts could invalidate the insurance contract.

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    This document is an addendum for life insurance proposals where the proposed life is a housewife without independent income. It requires information such as the husband's occupation, annual income, education level, and existing life insurance policies. Both the housewife and husband must declare that the information provided is true and complete, and that withholding any material facts could invalidate the insurance contract.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    1K views1 page

    Housewife Addendum

    Uploaded by

    Priya Selvaraj
    This document is an addendum for life insurance proposals where the proposed life is a housewife without independent income. It requires information such as the husband's occupation, annual income, education level, and existing life insurance policies. Both the housewife and husband must declare that the information provided is true and complete, and that withholding any material facts could invalidate the insurance contract.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Housewife Addendum (UWN022)

    (To be completed by the housewife and her husband in all cases where proposal
    is on the life of the Housewife / married and self-employed without satisfactory income proof)
    ____________________________________________________________________________________
    (Answers must be in words. Strokes of the pen or dots or dashes not accepted as valid replies)

    Proposal Number :______________________________________________

    Name of the Life Assured :______________________________________________

    Name of the Husband :______________________________________________

    Occupation details of Husband :______________________________________________

    Annual Income of Husband :Rs. ___________________________________________

    Educational Qualifications of Husband :________________________________________

    Life Insurance Details of Husband

    Policy No Insurance Co Sum Assured Product/Plan Year of Policy


    issue Status

    _____________________________________________________________________________

    JOINT DECLARATION
    ____________________________________________________________________________
    (To be signed by the housewife and her husband)

    We hereby declare that the answers given above are true and to the best of our
    knowledge and that we have not withheld any material information that may influence the
    assessment or acceptance of this application.

    We agree that this form will constitute part of the proposal for life assurance on life of
    Mrs. ______________________________________________ (Name of the housewife), and
    that failure to disclose any material fact known to us may invalidate the contract.

    _______________________________ _____________________________
    (Signature of life proposed) (Signature of husband of life proposed)

    Name : ________________________ _____________________________

    Date : ________________________
    Place : ________________________

    SBI Life Insurance Co Ltd : UWN022 Ver 1.1 September 10 2009 Page 1 of 1

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