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Annuity Option Consent Form - LIC - SBA Meghraj Malankar

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Annuity Option Consent Form - LIC - SBA Meghraj Malankar Powered By Docstoc
					1.       Please tick against the option of your choice

         A    Annuity for Life of the annuitant                                       [ ]

         B     Annuity guaranteed for 5 years and for life thereafter                 [ ]

         C     Annuity guaranteed for10years and for life thereafter                  [ ]

         D     Annuity guaranteed for15years and for life thereafter                  [ ]

         E     Annuity for life with a provision for 50% of the annuity to

               The spouse of the annuitant for life on death of the annuitant         [   ]

         F     Annuity for life with Return of purchase price on death                [ ]

2- COMMUTATION OPTION                     :

======================

(Please tick against the option of your choice)

Option-I       :      I desire to receive 25% of National Cash Option and annuity

                      on the balance N C O as per selected pension option.            [ ]

Option ii      :      I exercise the option to receive full pension as per selected

                      Pension option without commutation of NCO                       [ ]

3- Option for mode of pension payment:
=================================

Monthly               [ ]

Quarterly             [ ]

Half yearly           [ ]

Yearly                [ ]

Yours faithfully



Signature of the annuitant
1.       Please tick against the option of your choice

         A    Annuity for Life of the annuitant                                       [ ]

         B     Annuity guaranteed for 5 years and for life thereafter                 [ ]

         C     Annuity guaranteed for10years and for life thereafter                  [ ]

         D     Annuity guaranteed for15years and for life thereafter                  [ ]

         E     Annuity for life with a provision for 50% of the annuity to

               The spouse of the annuitant for life on death of the annuitant         [   ]

         F     Annuity for life with Return of purchase price on death                [ ]

2- COMMUTATION OPTION                     :
======================

(Please tick against the option of your choice)

Option-I       :      I desire to receive 25% of National Cash Option and annuity

                      on the balance N C O as per selected pension option.            [ ]

Option ii      :      I exercise the option to receive full pension as per selected

                      Pension option without commutation of NCO                       [ ]

3- Option for mode of pension payment:
=================================

Monthly               [ ]

Quarterly             [ ]

Half yearly           [ ]

Yearly                [ ]

Yours faithfully



Signature of the annuitant

				
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posted:4/11/2013
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