{"id":1642,"title":"Certificate of Insurance - IndiaFirst Life Guaranteed Annuity Plan","purpose":"service","insurer":{"slug":"indiafirst-life-insurance","name":"IndiaFirst Life Insurance Company Limited"},"source_pdf":"https://www.indiafirstlife.com/content/dam/ifliwebsite/in/en/download-center/all-product-related-documents/withdrawn-products/indiafirst-life-guaranteed-annuity-plan-coi-v04-group.pdf","sha256":"90ced602209c1fa1a3675527d3197194e2503702c97f55405855572f6ed3af31","pages":3,"collected":"2026-10-17","instructions":{"about":"This form is for members of the IndiaFirst Life Guaranteed Annuity Plan to provide their personal and annuity details for issuance of the Certificate of Insurance.","notes":["Use original Certificate of Insurance for claims.","Submit self-attested copies of identity and address proofs.","Nomination is allowed as per Section 39 of the Insurance Act.","Assignment is allowed as per Section 38 of the Insurance Act.","Suicide exclusion does not apply under this policy.","For grievances, contact customer care or grievance redressal officer as per instructions.","This certificate is a summary; refer to Master Policy for full terms and conditions."],"title":"Certificate of Insurance - IndiaFirst Life Guaranteed Annuity Plan","submit":{"to":"Claims Department, IndiaFirst Life Insurance Company Ltd, 12th & 13th floor, North [C] Wing, Tower 4, Nesco IT Park, Nesco Center, Western Express Highway, Goregaon (East), Mumbai – 400 063","how":"submit at any branch or send by post or email","address":"claims.support@indiafirstlife.com"},"purpose":"service","sections":[{"title":"Member and Annuity Details","fields":[{"help":"","type":"text","label":"Master Policyholder Name :","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Master Policy No. :","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Name of the Primary Annuitant:","options":[],"required":null,"pdf_field":""},{"help":"Enter date of birth of the primary annuitant","type":"date","label":"Date of Birth:","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Gender:","options":["Male","Female","Other"],"required":null,"pdf_field":""},{"help":"Member identification number","type":"text","label":"Member Id:","options":[],"required":null,"pdf_field":""},{"help":"If applicable, provide secondary annuitant details","type":"text","label":"Secondary Annuitant Name:","options":[],"required":false,"pdf_field":""},{"help":"Date of birth of secondary annuitant","type":"date","label":"Date of Birth:","options":[],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"Gender:","options":["Male","Female","Other"],"required":false,"pdf_field":""},{"help":"Member ID of secondary annuitant","type":"text","label":"Member Id:","options":[],"required":false,"pdf_field":""},{"help":"Enter the purchase price in rupees","type":"amount","label":"Purchase Price (Rs.)","options":[],"required":null,"pdf_field":""},{"help":"Enter applicable taxes in rupees","type":"amount","label":"Applicable Taxes (Rs)","options":[],"required":null,"pdf_field":""},{"help":"Total amount including taxes","type":"amount","label":"Total Purchase Price including applicable taxes (Rs.)","options":[],"required":null,"pdf_field":""},{"help":"Select the annuity option chosen","type":"choice","label":"Annuity Option","options":["Life Annuity","Life Annuity with return of 100% of purchase price","Joint Life Last Survivor Annuity for Life"],"required":null,"pdf_field":""},{"help":"Select how often annuity is paid","type":"choice","label":"Annuity Frequency","options":["Monthly","Quarterly","Half-Yearly","Yearly"],"required":null,"pdf_field":""},{"help":"Enter the annuity installment amount in rupees","type":"amount","label":"Annuity Installment Amount (Rs.)","options":[],"required":null,"pdf_field":""}],"filled_by":"member"},{"title":"Nominee Details","fields":[{"help":"Name of the nominee","type":"text","label":"Nominee Name","options":[],"required":null,"pdf_field":""},{"help":"Percentage share of nominee","type":"number","label":"Percentage Share","options":[],"required":null,"pdf_field":""},{"help":"Age of the nominee","type":"number","label":"Age of Nominee","options":[],"required":null,"pdf_field":""},{"help":"Relationship to the annuitant","type":"text","label":"Relationship of Nominee","options":[],"required":null,"pdf_field":""},{"help":"Name of appointee if nominee is minor or otherwise applicable","type":"text","label":"Appointee Name (if applicable)","options":[],"required":false,"pdf_field":""}],"filled_by":"member"}],"deadlines":["Submit Survival Certificate every year before the next annuity payment anniversary","Free look period: 15 days from receipt of Certificate of Insurance (30 days if purchased through distance marketing or electronic mode)"],"applies_to":"IndiaFirst Life Guaranteed Annuity Plan members","attachments":["Original Certificate of Insurance","Claimant’s statement and claim intimation Form duly filled and signed by Nominee (for claims)","Death certificate (for death claims)","Self-attested photo-identity and address proof of Nominee/Claimant","Self-attested bank passbook copy and cancelled cheque of Nominee/Claimant","Survival Certificate (annually before next annuity payment anniversary)"],"declarations":["The member agrees to the terms and conditions of the annuity plan as per the Master Policy.","The member understands that annuity payments cease on death except for Life Annuity with return of purchase price option.","The member agrees to submit Survival Certificates annually to continue annuity payments.","The member acknowledges the nomination and assignment provisions as per Insurance Act.","The member agrees that fraud or misrepresentation may affect the policy as per Section 45 of the Insurance Act."],"dropped_labels":0},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"customer-care","channel":"email","value":"customer.first@indiafirstlife.com","label":"Service Requests Email","level":null,"hours":"24x7","applies_to":"life","source_url":"https://www.indiafirstlife.com/hi/customer-service/grievance-redressal","quote":"सी (सवाल, अनुरोध और शिकायतें) सेक्शन पर जाएँ और अनुरोध/शिकायत करें।\nहमें ईमेल करें:\nजीवन बीमा पॉलिसी के लिए:\nईमेल आईडी:\ncustomer.first@indiafirstlife.com\nहमें कॉल करें:\nहमारे टोल फ़्री नंबर\n1800-209-8700\nपर सोमवार से शनिवार, सुबह 9 बजे से शाम 7 बजे के बीच कॉल करें।\nहमारे कि","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"1800 209 8700","label":"Customer Care Number","level":null,"hours":"Monday - Saturday, 9 AM - 9 PM","applies_to":"life","source_url":"https://www.indiafirstlife.com/hi/customer-service/grievance-redressal","quote":"रें\nव्हाट्सएप नंबर\n+91 22 6274 9898\nहमें कॉल करें\nसोमवार-शनिवार, सुबह 9 बजे से रात 9 बजे तक\nकर मुक्त नंबर\n(आईवीआर फ्लो)\n1800 209 8700\nकेवल भारत के बाहर से कॉल करने वालो के लिए\n+91 22 62749898\nहमें ईमेल करें\nहम आपकी मदद के लिए 24x7 उपलब्ध हैं\nसेवा अनुरोध","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"+91 22 62749898","label":"NRI Contact Number","level":null,"hours":"Monday - Saturday, 9 AM - 9 PM","applies_to":"life","source_url":"https://www.indiafirstlife.com/hi/customer-service/grievance-redressal","quote":"-शनिवार, सुबह 9 बजे से रात 9 बजे तक\nकर मुक्त नंबर\n(आईवीआर फ्लो)\n1800 209 8700\nकेवल भारत के बाहर से कॉल करने वालो के लिए\n+91 22 62749898\nहमें ईमेल करें\nहम आपकी मदद के लिए 24x7 उपलब्ध हैं\nसेवा अनुरोध\ncustomer.first@indiafirstlife.com\nदावों के लिए\nclaims.sup","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"8828840199","label":"Online Purchases Number","level":null,"hours":"Monday - Saturday, 9AM - 7PM","applies_to":"life","source_url":"https://www.indiafirstlife.com/hi/customer-service/grievance-redressal","quote":"वों के लिए\nclaims.support@indiafirstlife.com\nऑनलाइन खरीदारी\nसोमवार-शनिवार, सुबह 9 बजे से शाम 7 बजे तक\nऑनलाइन परचेज़ नंबर\n8828840199\nहमें लिखें\nइंडियाफर्स्ट लाइफ इंश्योरेंस कंपनी लिमिटेड\n12वीं और 13वीं मंजिल, उत्तरी [सी] विंग, टॉवर 4, नेस्को आईटी पार्क","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"+91 22 6274 9898","label":"WhatsApp Number","level":null,"hours":null,"applies_to":"life","source_url":"https://www.indiafirstlife.com/mr/customer-service/grievance-redressal","quote":"pport and grievance redressal process for timely solutions.\nChat on WhatsApp\nSpeak to our friendly team\nWhatsapp Number\n+91 22 6274 9898\nCall Us\nMonday - Saturday, 9 AM - 9 PM\nToll Free Number\n(IVR FLow)\n1800 209 8700\nConnect with our Advisor\nMonday-Saturd","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Customer Care\nIndiaFirst Life Insurance Company Ltd\n12th and 13th Floor, North [C] wing, Tower 4,\nNesco IT Park, Nesco Center, Western Express Highway,\nGoregaon (East), Mumbai – 400063","label":"Customer Care Address","level":1,"hours":null,"applies_to":"life","source_url":"https://www.indiafirstlife.com/customer-service/grievance-redressal","quote":"ere\nto contact our grievance redressal officers in your city.\nMAIL/COURIER:\nWrite to us at the address mentioned below:\nCustomer Care\nIndiaFirst Life Insurance Company Ltd\n12th and 13th Floor, North [C] wing, Tower 4,\nNesco IT Park, Nesco Center, Western Express Highway,\nGoregaon (East), Mumbai – 400063\nA communication giving reasons of either redressing or rejecting the grievance will be sent to you within 14 (Fourteen)","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"customer.first@indiafirstlife.com","label":"For Life Insurance Policy","level":1,"hours":"Monday to Saturday between 9am to 7pm","applies_to":"life","source_url":"https://www.indiafirstlife.com/customer-service/grievance-redressal","quote":"eries, Requests and Complaints) section and raise the request/complaint.\nEMAIL US:\nFor Life Insurance Policy:\nEmail ID:\ncustomer.first@indiafirstlife.com\nCALL US:\nOn our Toll free number\n1800-209-8700\nfrom Monday to Saturday between 9am to 7pm.\nWalk in to any of our\nIndiaF","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"1800-209-8700","label":"Toll free number","level":1,"hours":"Monday to Saturday between 9am to 7pm","applies_to":"life","source_url":"https://www.indiafirstlife.com/customer-service/grievance-redressal","quote":"aint.\nEMAIL US:\nFor Life Insurance Policy:\nEmail ID:\ncustomer.first@indiafirstlife.com\nCALL US:\nOn our Toll free number\n1800-209-8700\nfrom Monday to Saturday between 9am to 7pm.\nWalk in to any of our\nIndiaFirst Life\nbranch. Locate the nearest branch\nher","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Rajnish Kumar\nGrievance Redressal Officer\nIndiaFirst Life Insurance Company Ltd\n12th and 13th Floor, North [C] wing, Tower 4,\nNesco IT Park, Nesco Center, Western Express Highway,\nGoregaon (East), Mumbai – 400063","label":"Grievance Redressal Officer Address","level":2,"hours":null,"applies_to":"life","source_url":"https://www.indiafirstlife.com/customer-service/grievance-redressal","quote":"diafirstlife.com\n.\nAlternatively, you can also write to the Grievance Redressal Officer at the address mentioned below:\nRajnish Kumar\nGrievance Redressal Officer\nIndiaFirst Life Insurance Company Ltd\n12th and 13th Floor, North [C] wing, Tower 4,\nNesco IT Park, Nesco Center, Western Express Highway,\nGoregaon (East), Mumbai – 400063\nPlease quote your Complaint/Service Request ID. This would have been provided to you on registration of your complaint","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"grievance.redressal@indiafirstlife.com","label":"Grievance Redressal Officer Email","level":2,"hours":null,"applies_to":"life","source_url":"https://www.indiafirstlife.com/customer-service/grievance-redressal","quote":"Grievance Officer at any of our branches\nClick here\nOr you may write to our Grievance Redressal Officer through email -\ngrievance.redressal@indiafirstlife.com\n.\nAlternatively, you can also write to the Grievance Redressal Officer at the address mentioned below:\nRajnish Kumar\nGr","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"91- 40 – 6678 9768","label":"IRDAI Grievance Cell Fax Number","level":3,"hours":null,"applies_to":"all","source_url":"https://www.indiafirstlife.com/customer-service/grievance-redressal","quote":"thority of India,\nSy. No. 115/1, Financial District, Nanakramguda\nGachibowli, Hyderabad- 500032, Telangana\nFAX:\nNumber: 91- 40 – 6678 9768\nTags\nSTEP 4: REACH OUT TO INSURANCE OMBUDSMAN\nQuestion\nSTEP 4: REACH OUT TO INSURANCE OMBUDSMAN\nSequence\nAnswer\nIn case","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"url","value":"Click here","label":"Insurance Ombudsman Address Finder","level":4,"hours":null,"applies_to":"all","source_url":"https://www.indiafirstlife.com/customer-service/grievance-redressal","quote":"ch. Locate the nearest branch\nhere\n.\nVISIT US:\nWalk in to any of our\nIndiaFirst Life\nbranch and submit your grievances.\nClick here\nto contact our grievance redressal officers in your city.\nMAIL/COURIER:\nWrite to us at the address mentioned below:\nCus","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"1800 209 8700","label":"Customer Care Number","level":null,"hours":"Monday - Saturday, 9 AM - 9 PM","applies_to":"life","source_url":"https://www.indiafirstlife.com/mr/customer-service/grievance-redressal","quote":"o our friendly team\nWhatsapp Number\n+91 22 6274 9898\nCall Us\nMonday - Saturday, 9 AM - 9 PM\nToll Free Number\n(IVR FLow)\n1800 209 8700\nConnect with our Advisor\nMonday-Saturday, 10AM - 6PM\nChat With Us\nEmail Us\nWe’re here to help 24x7\nService Requests\ncus","fetched_at":"2026-10-20"}],"how_to_use":"Ask the user for each field in order, in plain words; never invent an answer. Labels are as printed. If fillable_pdf is true, pdf_fields gives the PDF's own field names so the file can be filled directly. The printed form decides if anything differs.","url":"https://indiainsurances.com/forms/indiafirst-life-insurance/1642-certificate-of-insurance-indiafirst-life-guaranteed-annuity-plan"}