NATIONAL PENSION SYSTEM (NPS)

Exit from National Pension System Due to Superannuation/Incapacitation Affix recent

colour
Claim ID 2315038209 Acknowledgement No 231503820901
To, photograph of
NPS Trust 3.5 cm × 2.5 cm
size / Passport
Sir/Madam,
size
I SHAKUNTALA DEVI

hereby apply for the payment of the accumulated pension wealth in my NPS Tier-I account as per the relevant provisions of
the PFRDA (Exits and withdrawals under NPS) Regulations, 2015 as amended. Signature / Thumb
Tier II:- The entire accumulated pension wealth in Tier II account would be paid along with lumpsum withdrawal of Tier I Impression* of the
account. Subscriber
I herewith give below the necessary details:
*In case of female right thumb Impression and in case of male left thumb Impression may be taken.
Sr.No Particular Remarks
Section A - Subscriber’s Personal Details
Subscriber Sector* 1. Govt. Sector √
2. All India citizens/corporate
3. NPS Lite / GDS
1. Organisation Name* Civil Lines Treasury, Allahabad
(PAO/DTO/CHO/NLAO Name)
2. PRAN* 110087976834
3. Full Name* SHAKUNTALA DEVI

4. Subscriber Gender* Male Female √ Transgender

5. Father's Name* RAM PHAL

6. Marital Status* Married Unmarried/Others √

7. Maiden Name (in case of female married
subscriber)
8. Spouse’s Name (only if subscriber is
married & spouse is alive)

9. Spouse’s Gender (only if subscriber is Male Female Transgender

married & spouse is alive)
10. Date of Retirement / attaining 60 / 65 years of 30/06/2024
age / Discharge(In case of Incapacitation)*
11. Date of Birth (As in PRAN Card)* 01/07/1964
12. Aadhaar/VID
13. PAN* BZTPD4671B
14. CKYC Number
15. Are you a Politically Exposed Person (PEP)* Yes No √
16. Are you related to a Politically Exposed Yes No √
Person (PEP)*
17. Do you have any history of conviction under No
Yes √
any criminal proceedings in India or abroad?*

If Yes, please provide details

Form submitted using OTP Authentication (through Email

and Mobile)

2024.08.29.11.12.32

18. Contact details Mobile number* : +918127672255 Alternate phone number :

E-mail ID * : [email protected]

Subscriber’s full address with pin code* PANNA LAL ROAD, ,,ALLAHABAD (211002) ,Uttar Pradesh ,India
19. (Please refer instruction No. 9 for documents
to be submitted)
Section B - Subscriber’s Bank Details - (Please refer instruction No. 7)
20. Bank Account Number*# : 50660100013052
21. Bank Name* BANK OF BARODA
ANDAWA,
Bank Branch Name and Address : The
BANK OF BARODA ANDAWA BANK OF BARODA ANDAWA,JHUNSI, 211019,
22. monthly pension and lumpsum amount
211019
would be deposited into this account and
hence fill in all the details carefully.*

23. IFSC Code (attach a cancelled cheque leaf BARB0ANDAWA

or copy of bank passbook/bank certificate
containing IFSC code)*
Fields marked with * are mandatory. # Should be same where last salary credited in case of Government sector/Corporate sector subscribers

Section C - Subscriber’s Withdrawal Details - (Please refer instruction No. 8)

On attaining superannuation or attaining 60 / 65 years of age or superannuation due to Incapcitation
a) Would you like to withdraw full amount (if less than or equal to 5 lakh/1 lakh (NPS Lite)) Yes No √
or
b) Would you like to have normal Withdrawal (Lump sum & Annuity Withdrawal)# Yes √ No

# Please provide the Percentage of corpus that you wish to opt for lump sum withdrawals and purchase of annuity

% of corpus opted for lump sum Percentage of corpus opted for purchase of Total (100%)
withdrawal (Max 60%) annuity (Min 40%)
60 40 100

Section D - Subscriber’s Annuity Details - (Please refer instruction No. 12 & 13) (Not to be filled in case of complete withdrawal, Withdrawal of
Deferred Lump Sum corpus & phase withdrawal)
Select Annuity Service Provider (please tick one of the below options as per your choice)
Aditya Birla Sun Life Insurance Co. Ltd Bajaj Allianz Life Insurance Co. Ltd
Canara HSBC Life Insurance Co.Ltd Edelweiss Tokio Life Insurance Co Ltd
HDFC Life Insurance Co Ltd ICICI Prudential Life Insurance Co Ltd
IndiaFirst Life Insurance Co. Ltd Kotak Mahindra Life Insurance Co. Ltd

Life Insurance Corporation of India √ Max Life Insurance Co. Ltd

Pnb Metlife India Insurance Co. Ltd SBI Life Insurance Co Ltd
Star Union Dai-ichi Life Insurance Co Ltd TATA AIA Life Insurance Co Ltd

Select Annuity Scheme (please tick one of the below options as per your choice)
Annuity for Life
√ Annuity for Life with return of purchase price on death
Annuity payable for life with 100% annuity payable to spouse on death of annuitant
Annuity payable for life with 100% annuity payable to spouse on death of annuitant with return on purchase of annuity
NPS-Family Income option (Default annuity)
Life Annuity with Return of Premium/Purchase Price in parts
Life Annuity with Return of Premium/Purchase Price on diagnosis of Critical Illness
Other (Please

Select Annuity Frequency: Please tick one of the below options as per your choice.

√ Monthly Quarterly Half Yearly Annual

Date : 29/08/2024
* Signature/Thumb Impression of the Subscriber
*In case of female right thumb Impression and in case of male left thumb Impression may be taken.
Section E - Subscriber’s Nomination Details*
Nomination Details: Name : SUJEET KUMAR
Applicable to those
eligible sums as per 100
Relationship : SON Percentage Share:
regulations.Nomine
e must be Date of Birth of Nominee (Only in case of minor) :
immediate family Guardian Name (Only in case of minor):
member of
subscriber
(Spouse,Children Guardian DOB (Only in case of minor):
etc) in general Address & ,,
except for Contact Details :
exceptions as
provided in
Regulations.
Guardian Signature (Only in case of minor):
Name :

Relationship : Percentage Share:

Date of Birth of Nominee (Only in case of minor) :
Guardian Name (Only in case of minor):

Guardian DOB (Only in case of minor):

Address &
Contact Details :

Guardian Signature (Only in case of minor):

Name :

Relationship : Percentage Share:

Date of Birth of Nominee (Only in case of minor) :
Guardian Name (Only in case of minor):

Guardian DOB (Only in case of minor):

Address &
Contact Details :

Guardian Signature (Only in case of minor):

Section F - Subscriber’s Family Member Details* (To be filled in case subscriber has selected Joint Life Policy or NPS-Family Income option)
Family Member Details for providing annuity as chosen by the subscriber.

Details PAN$ Date of

Sr. No Full Name Aadhaar/VID
Birth

1. Spouse$

Dependent
2.2. Mother (if living)

Dependent
3. Father (if living)

Child 1 (if living)

4.

Child 2 (if living)

5.

Child 3 (if living)

6.

Note: In case of children being more than 3, please specify in an additional sheet.
Fields marked with* are mandatory
$Mandatory in case subscriber opts for Joint Life Policy & NPS-Family Income option.
Declaration by the Subscriber
I hereby declare and state that all the personal details provided by me in the form as above are true and correct to the best of my knowledge. I also
agree that NPS Trust / CRA shall not be held responsible/liable for any losses or delays that may arise due to provision of incorrect details including
details pertaining to bank account by me. Further, I authorize the National Pension System Trust (NPST)/ CRA to share informations pertaining to my
withdrawal application with the Annuity Service Providers for facilitating the purchase of annuity in applicable cases as is required under NPS.

Date : 29/08/2024
* Signature/Thumb Impression of the Subscriber
*In case of female right thumb Impression and in case of male left thumb Impression may be

Declaration by the Proposer: (Not to be filled in case of complete withdrawal)

I hereby declare that the foregoing statements and informations have been given by me after fully understanding the questions and the annuity options
and the same are true, accurate and complete in every manner and respects and that I have not withheld or omitted to give any material information. I
understand and agree that the statements in this proposal constitute warranties. I do hereby agree and declare that these statements and this
declaration shall be the basis of the contract of assurance between me and Annuity Service Provider (Company) and that if there be any misstatement
or suppression of material information or if any untrue statement is contained therein or in case of fraud by me, which comes to the knowledge of the
company at any future point of time,the said contract shall be treated as per provisions of Section 45 of the Insurance Act 1938 or any other applicable
provisions as amended from time to time.
I also understand and agree that the company shall additionally levy or recover all the applicable taxes like service tax, surcharges, cess etc. from the
premiums which are necessitated by various enactments of central and/or state legislatures from time to time.
I understand that the contract will be governed by the provisions of the Insurance Act 1938, and other applicable laws in India and that the contract will
not commence until a written acceptance of this proposal is issued by the company and that the benefits under the policy shall be subject to the terms
and conditions contained in the contract. I also agree that the amount held in proposal/policy deposit shall not earn any interest.
I further state that the product features and terms and conditions of the policy have been thoroughly explained to me and having understood, I
consent to the same.
I further understand that the final annuity amount would be subject to the actual corpus value to be utilised for purchase of annuity at the time of
its issuance.
I also acknowledge and agree that the funds will not be returned to me in case I choose to cancel the policy under free look period. These funds will be
payable by company directly to any other annuity scheme chosen by me which is authorized and approved under the prevalent regulations and
applicable rules. Further, no interest will be payable to me on the funds held during this transition period.
I hereby authorize company to send information and servicing related communication regarding this proposal or resulting policy through
Email/SMS/Phone Call.
I hereby authorize the company to provide me/our details to banks, financial institutions and third party service providers that the company may have
tie-ups with, for verification of proposal details and for servicing of policies.
I authorize the Annuity Service Provider chosen vide this form to commence Annuity with no further requirement of additional
documentation of details. I authorize the chosen ASP to issue Annuity basis the information provided in information and I am
aware that no separate KYC details, proposal form will be collected for issue of Annuity.
I hereby understand that in case of surrender of annuity policy, the rules of surrender will be as per the contract entered
between the ASP and the Proposer.

Signature of the witness Signature / Left thumb Affix a recent self

Impression of the Proposer signed photograph
Name and Address
of witness:

Place:

Date: 29/08/2024

Declaration when Proposal form is filled by person other than proposer/proposer signs in a vernacular language/proposer is illiterate
(Not to be filled in case of complete withdrawal)
I hereby state that I have read out and explained the contents of this proposal form and all other relevant documents I/We state that the product
to the proposer in ___________________________________language, he/she/they have understood the same and details,contents of this form
agree to abide by the terms and conditions of the resulting policy and have affixed his/her/their signature/thumb and relevant documents have
impression on the proposal form in my presence. been fully explained to me/us
and that I/We have fully
understood them. I/We certify
Signature of the person making the declaration that the replies in the proposal
form have been recorded as
Name & Address per the information provided by
me/us.

Signature / Left thumb

Place Date: 29/08/2024 Impression of the Proposer
Section G - Declaration & Attestation by Nodal Office
TO BE FILLED/ATTESTED BY DDO/PAO/POP-SP
1. I/we have verified the documents as submitted by the Subscriber/Claimant with the originals and authorized this application for processing of the
subject claim of the subscriber/claimant. It is certified that the details as provided in this application form are matching with the information available
in the official record maintained by us.The complete information provided in this form including declaration and nomination details have been
provided by the Subscriber/Claimant Sh/Smt/Ms.
SHAKUNTALA DEVI

after he / she having read the entries / entries have been read over to him / her by me and got confirmed by him / her.
2. That all the contributions with respect to the Subscriber’s NPS contribution and employer contribution have been transferred in to the PRAN of the subscriber and
no further contributions are pending at Nodal Officer level. (only for government nodal office)
3. That Identity of the Subscriber / Claimant is certified as provided in the withdrawal form above. The name of Subscriber / Claimant as mentioned on the withdrawal
form has been verified and can be accepted as final.
4. It is certified that the bank account (Salary Account) details provided in the form is as per the salary records maintained in our office. The bank account details
(salary account) of subscriber as provided in bank details section have been checked and verified and the same can be accepted for payment.(only for
government nodal office).
5. We hereby certify that the subscriber has been discharged from the services of the concerned office on account of invalidation or disability (in case of Govt.
Subscriber). We hereby certify that we have checked Disability Certificate issued by Government Surgeon or Doctor stating the nature and extent of disability (in
case of Non Govt. Subscriber) [applicable in case of Withdrawal due to incapacitation only]

Rubber Stamp of the DDO/POP-

SP/NLCC Signature of the Authorised Person

DDO/POP-SP/NLCC Registration Number SGV137963C

Designation of the Authorised Person: Superintendent Govt.Gardens,Allahabad

DDO/POP-SP/NLCC Office Name: Superitendent Goverment Gardens , Alld.
Date 29/08/2024

Rubber Stamp of the

DTO/PAO/POP/Aggregator Signature of the Authorised Person

DTO/PAO/POP/ Aggregator Registration Number 4012013

Designation of the Authorised Person: Senior Treasury Officer

DTO/PAO/POP/ Aggregator Office Name: Civil Lines Treasury, Allahabad
Date 29/08/2024
 [As per Regulation 3(a)/4(a)/5(a) of PFRDA (Exits and Withdrawals) under the Regulations, 2015]
(To be filled in case of complete withdrawal)
Request cum under taking form for withdrawal of total pension wealth at superannuation and where the total pension wealth is equal to or less than Rs.
5,00,000/- for NPS subscriber and Rs. 1,00,000/- in case of NPS lite Subscriber respectively

I,

S/D/W/o , aged about years

residing at

do hereby solemnly affirm and declare as under:

1. That I am a Subscriber of National Pension System, holding PRAN

2. That since the total amount receivable by me as the benefit receivable upon exit from NPS is Rs. which is less than/equal to the limit of Rs.
5,00,000/- (Rs. 1,00,000/- for NPS Lite), I understand that I am eligible to opt for withdrawal of the total pension wealth under NPS rules/guidelines,

Basing on the above, I hereby opt to withdraw my complete pension wealth lying to my credit in my aforesaid PRAN account being the full and final
benefits receivable by me.

I also understand that with the aforesaid withdrawal, I or my family members shall not be entitled to receive any other or further benefits under the
National Pension System (NPS) including the benefits as provided under PFRDA (Exits and Withdrawals under the National Pension System)
Regulations 2015.

I also certify that all the details provided in the form above are true and correct to the best of my knowledge

Date:
Place: * Signature/Thumb Impression of the Subscriber

*In case of female right thumb Impression and in case of male left thumb Impression may be taken.

Date: 29/08/2024

Rubber Stamp of the DDO/POP- Signature of the DDO/POP-SP/ Registration No. of DDO/POP-
SP/ NLCC NLCC SP/ NLCC

Date: 29/08/2024

Rubber Stamp of the Signature of the Registration No. of

DTO/PAO/POP/Aggregator DTO/PAO/POP/Aggregator DTO/PAO/POP/ Aggregator
 INSTRUCTIONS FOR FILLING FORM
This application should be filled by the Subscriber seeking to withdraw pension wealth benefits upon Superannuation or attaining 60 / 65 years of age
General Instructions: Government Sector subscribers)
1. As per NPS Trust directive, Withdrawal of benefits from NPS account will not be ix During deferment period, the account maintenance charges and including
allowed if NPS subscribers registered on or after July 1, 2014 are NOT FATCA the charges payable to Central Record Keeping Agency, Pension Fund,
compliant. Hence, subscribers are requested to provide FATCA Self-Certification Trustee Bank and any other intermediary shall continue to apply and shall
online by log-in to NPS Account (www.cra-nsdl.com). Alternatively subscriber can be charged by deducting units from the account
submit FATCA Self Certification to their Nodal Office.
x. In case of Phased Withdrawal, Subscriber needs to purchase Annuity first
2. As per amendments made under Prevention of Money-Laundering (Maintenance
xi. For more details of Annuity options, please refer to Instructions No. 12
of Records) Second Amendment Rules, 2017, Withdrawal of benefits from NPS
account will not be allowed if Aadhaar and PAN are not seeded into PRAN. 9. List of documents acceptable as Proof Identity and Address for exit under
Subscribers are requested to seed their Aadhaar NPS (for all variants):-
and PAN into NPS account before initiating withdrawal request (Aadhaar not
mandatory till Hon'ble supreme court order) Sl.No. Proof of Identity(Copy of any one Proof of Address(Copy of any one
3a. It is advisable that subscriber fills in the Exit/Withdrawal form online and takes a of the given below documents) of the given below documents)
print out of online form and submits it to the nodal office/POP along with KYC
document for further approval/processing.However, he/she has the option to a Passport issued by Government Passport issued by Government
submit the physical form to his nodal of India. of India.
office/POP. The nodal office has to compulsorily submit the form in online mode Ration card with photograph and
only. Physical forms submitted to CRA will not be processed. b Ration Card with Photograph.
residential address.
3b.Subscriber (other than government sector & Corporate) has an option to initiate a self- Bank pass book or Certificate Bank Pass book or certificate
authorization using Aadhaar. This facility will be available only if the NPS pension c
with Photograph with photograph and
wealth is below threshold limit as prescribed in PFRDA (Exits and Withdrawals under residential address.
National Pension System) Regulation 2015 or circular issued by the authority.
4. All the columns in the form should be filled with black ink pen without any overwriting. d Voters Identity card with Voters Identity card with
photograph and residential photograph and residential
address. address.
5. Fields marked with (*) are mandatory.
Valid Driving license with Valid Driving license with
6. Correct postal address, including the pin code should be provided. e photograph. photograph and residential
7. Documents to be enclosed with withdrawal application form: address.
i. Copy of the Address proof attested by the Nodal Office in support of the address PAN Card issued by income tax Letter from any recognized public
provided on the withdrawal form. The address on the withdrawal form should f department. authority at the level of Gazetted
match with address present on the address proof. officer like District Magistrate,
Divisional Commissioner,
ii. Copy of the Identity proof attested by the Nodal Office. BDO,Tehsildar, Mandal Revenue
iii. Copy of PRAN card (Not required in case of Government Sector Subscriber)If Officer, Judical Magistrate etc.
Copy of PRAN Card is not available, print out of ePRAN or submit a duly Certificate of identify with Certificate of identify with
notarized Affidavit as to the reasons of nonsubmission of the PRAN card. g photograph signed by a Member photograph signed by a Member
iv. Cancelled cheque (containing Subscriber Name, Bank Account Number and IFS of Parliament or Member of of Parliament or Member of
Code) or Bank Certificate/ Bank Passbook Containing Name, Bank Account Legislative Assembly. Legislative Assembly.
Number and IFSC code, for direct credit or electronic transfer. Aadhar Card/letter issued by Aadhar Card/letter issued by
8. Withdrawal preference: h Unique identification Authority of Unique identification Authority
India. of India. Clearly showing the
i. Select the Withdrawal preference as Normal withdrawal or Complete Withdrawal address.
(if accumulated NPS wealth is less than or equal to Rs. 5 lacs/Rs. 1 lacs (For
NPS Lite Subscribers)). Job Cards issued by NREGA Job Cards issued by NREGA
ii. If subscriber selects the Normal withdrawal option, he/she needs to fill up i duly signed by an Officer of the duly signed by an Officer of the
percentage of allocation for amount to be withdrawn as Lumpsum and amount to State Government. State Government.
purchase life annuity provided under Section C the Form. Photo Identity card issued by Latest Electricity/Water bill in the
j Defence, Paramilitary and name of the subscriber / Claimant
iii. If subscriber selects deferred withdrawal option, he/she can defer the lump sum
Police Departments. and showing the address (Less
withdrawal amount up to 70 years of age while annuity purchase can be deferred
than 6 months old).
up to 3 years from the date of attainment of superannuation. In case of deferment
as well, the subscriber needs to fill up percentage of allocation for amount to be Latest Telephone bill in the name
withdrawn as Lump-sum and amount to purchase life annuity provided under Ex-Service Man Card issued by of the subscriber/ Claimant and
Section C of the Form. k
Ministry of Defence to their showing the address (less than 6
iv. In case of percentage of withdrawal is not provided by the subscriber,a default employees. months old).
60% of the accumulated pension wealth shall be paid as lump sum to the
subscriber and rest 40% of the amount shall be utilised for annuity purchase. Latest property/house Tax Receipt
Photo credit Card.
l (not more than one year old).
v. The subscriber needs to provide the Annuity details under Section D-Annuity
Details, in case of Normal withdrawal or Deferred withdrawal. The selection of
Annuity scheme and Annuity Service Provider is mandatory. Existing Valid registered lease
m agreement of the house on stamp
paper(in case agreement of the
vi. The subscriber availing the complete withdrawal option (where the accumulated house on stamp paper(in case of
amount at superannuation is less than Rs. 5 lacs/ Rs.1 lacs (For NPS Lite rented/leased accommodation).
Subscribers)) shall leave the Annuity Details section and Subscriber Family Member
Details section blank and fill up Request Cum Undertaking Form provided along with Identity card issued by Central /State The identity card/document with
the Form. government and its Departments, address, issued by any of the
n Statuary Regulatory Authorities, following:Central/State Government
vii. In case of death of subscriber during deferment period of annuity purchase, the Public Sector Undertakings, and its Departments,
deferred amount shall be paid as per PFRDA (Exits and Withdrawal under Scheduled Commercial Banks, Statuary/Regulatory Authorities,
National Pension System) Regulation, 2015 (Applicable for Public Financial Institutions, Public Sector Undertakings,
Colleges affiliated to Universities Schedules Commercial Banks,
and Professional Bodies such as Public Financial Institution for their
ICAI, ICWAI, ICSI, Bar Council etc. Employees.
10. The subscriber needs to provide his/her complete bank details like name of the 2. Annuity for life with return of purchase price on death - On death of the
bank, branch, complete address of branch, account type and IFSC otherwise the annuitant, payment of annuity ceases and the purchase price is returned
form may get rejected by CRA. Please make sure there is no cutting attempt on to the nominee
this section. The lump sum payment shall be directly credited to the bank account
of the subscriber through electronic mode of payment. 3. Annuity payable for life with 100% annuity payable to spouse on death of
If there is any change in Bank Details and Address details, subscribers are annuitant - On death of the annuitant, annuity is paid to the spouse during
requested to update the same in CRA records prior to initiation of online withdrawal his/her life time. If the spouse predeceases the annuitant, payment of
request. At the time of initiation of online withdrawal request, updation of Bank annuity will cease after the death of the annuitant.
Details and Address Details is not allowed.
4. Annuity payable for life with 100% annuity payable to spouse on death of
11. The nodal office after verifying the completeness of the Withdrawal Form and annuitant with return on purchase of annuity - On death of the annuitant,
supporting documents in all respects after signature/thumb impression of subscriber annuity is paid to the spouse during his/her life time and purchase price is
and declaration and attestation of the authorized person at nodal office shall send at returned to the nominee after the death of the spouse. If the spouse
below mentioned address for record keeping within 90 days from the date of predeceases the annuitant, payment of annuity will cease after the death
approval: of the annuitant and purchase price is paid to the nominee.
NPS Claims Processing Cell,
Note:
Central Record Keeping Agency,
Please note the exit from NPS and purchase of annuity from empanelled ASP
Protean eGov Technologies Limited, are two separate processes. It is mandatory for subscribers to purchase
1st Floor, Times Tower, annuity scheme from Annuity Service Providers (ASP) empanelled by PFRDA.
Post receipt of the form by ASP and completely satisfying themselves of
Kamala Mills Compound,
completeness of the form and KYC requirements, annuity shall be issued to
Senapati Bapat Marg, Lower Parel, subscriber.
Mumbai - 400013.
The more details on availability of particular annuity scheme with an ASP and
12. Annuity Service Providers annuity quotes etc. are available on the CRA’s website as per link below:
There are 14 Annuity Service Providers empanelled by PFRDA for providing the www.npscra.nsdl.co.in/annuity-service-providers.php
annuity services to NPS subscribers as per the list provided below (Name of the ASPs
are given in an alphabetical order). ASP Scheme Details and Annuity Selection Matrix may change. Please visit
CRA website before filling Annuity Details. The list of empanelment of ASPs
Name of the ASPs, minimum age and minimum corpus required for annuity purchase may undergo changes depending upon new empanelment of ASPs by
PFRDA from time to time.
Annuity Service Provider Name Minimum Age Minimum Corpus
Aditya Birla Sun Life Insurance Co. Ltd 45 2,50,000 13. Default Annuity Scheme (Applicable in case of Government Sector
Bajaj Allianz Life Insurance Co. Ltd Subscribers only)
37 25,000
Canara HSBC Life Insurance Co. Ltd 30 2,00,000
The subscriber upon exit from NPS shall have to purchase annuity with a
Edelweiss Tokio Life Insurance Co Ltd 40 2,00,000 minimum of 40% of the accumulated pension wealth which shall provide for
HDFC Life Insurance Co Ltd 20 Any Amount annuity for life of the subscriber and his or her spouse (if any) with provision for
ICICI Prudential Life Insurance Co Ltd return of purchase price of the annuity and upon the demise of such subscriber,
30 Any Amount
the annuity be re-issued to the family members in the order specified hereunder
IndiaFirst Life Insurance Co Ltd 40 10,000 at a premium rate prevalent at the time of purchase of such annuity by utilizing
Kotak Mahindra Life Insurance Co Ltd 18 2,05,000 the purchase price required to be returned under the annuity contract (until all
Life Insurance Corporation of India 30 50,000 the family members in the order specified below are covered) :
Max Life Insurance Co. Ltd 18 Any Amount
Pnb Metlife India Insurance Co. Ltd 18 3,00,000 (a) living dependent mother of the deceased subscriber;
SBI Life Insurance Co Ltd 18 50,000 (b) living dependent father of the deceased subscriber.
Star Union Dai-ichi Life Insurance Co Ltd 45 1,00,000 After the coverage of all the family members specified above, the purchase
TATA AIA Life Insurance Co Ltd 40 2,24,200 price shall be returned to the surviving children of the subscriber and in the
absence of children, the legal heirs of the subscriber, as may be applicable
The following are the variants that are available in India and with most of the ASPs. However, the subscriber who does not wish to opt default option mentioned
Subscriber needs to select any of the below mentioned option on the page 1 of the above and wishes to choose the annuity contract of his choice from the
withdrawal form: available annuity types or contracts with the annuity service providers may
choose an option as mentioned under instruction no.12 above.
1. Annuity for life - On death of the annuitant, payment of annuity ceases
14. In OTP Authentication, two distinct OTPs will be sent on your registered
Mobile Number and email ID respectively. In case, you update Mobile
Number and/or email ID after initiation of request, then OTPs will be sent
on updated Mobile Number and/or email ID.
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