{"id":1793,"title":"Key Feature Document Cum Proposal Form","purpose":"proposal","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withdrawn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/pos-cash-back-form-april-2024.pdf","sha256":"8d55e785cf037baf8ec1b8c2d358874eb8b140d2c38d0ce950e6748e276f5482","pages":5,"collected":"2026-10-17","instructions":{"about":"This form is a proposal form for the IndiaFirst Life POS Cash Back Plan insurance policy, to be filled by the proposer or life to be assured.","notes":["Use electronic filling for the proposal form.","If the life to be assured cannot read or understand the language, help from a person other than advisor or employee may be used.","Do not hand over premium to insurance advisors; pay directly at nearest branch.","Encashment of cheque/DD does not mean policy approval; underwriting may require additional information.","All details including email and mobile number should be filled completely.","Signature authentication is done via OTP sent to registered mobile number.","The product is available without medicals based on declaration of good health.","Additional sheets may be attached if space is insufficient for insurance policy details."],"title":"Key Feature Document Cum Proposal Form","submit":{"to":"IndiaFirst Life Insurance Company Ltd.","how":"","address":"12th and 13th Floor, North [C] Wing, Tower 4, Nesco IT Park, Nesco Center, Western Express Highway, Goregaon (East), Mumbai – 400063"},"purpose":"proposal","sections":[{"title":"Plan details for IndiaFirst Life POS Cash Back Plan","fields":[{"help":"","type":"choice","label":"Policy Term","options":["9","12","15"],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Premium Paying Term","options":["5","7","10"],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"Sum Assured","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"Installment Premium","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Premium Frequency","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Unique Reference No.","options":[],"required":false,"pdf_field":""},{"help":"Attach a recent photograph of the proposer","type":"photo","label":"Latest Photograph","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Proposer/ Policy Owner Details","fields":[{"help":"Select title and enter full name","type":"text","label":"Name","options":["Mr.","Ms.","Mx."],"required":true,"pdf_field":""},{"help":"Full postal address","type":"text","label":"Address","options":[],"required":true,"pdf_field":""},{"help":"DD/MM/YYYY format","type":"date","label":"Date of Birth","options":[],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Gender","options":["Male","Female","Transgender"],"required":true,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":true,"pdf_field":""},{"help":"6 digit postal code","type":"number","label":"Pin","options":[],"required":true,"pdf_field":""},{"help":"Residential phone number","type":"phone","label":"Tel (Res)","options":[],"required":false,"pdf_field":""},{"help":"Mobile phone number","type":"phone","label":"Mobile","options":[],"required":true,"pdf_field":""},{"help":"Valid email address","type":"email","label":"Email","options":[],"required":false,"pdf_field":""},{"help":"12 digit Aadhaar number","type":"number","label":"Aadhaar Number","options":[],"required":true,"pdf_field":""},{"help":"LG code for Banca or Agent Code for Agency","type":"text","label":"LG / Agent Code","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"BDM/ RM Code","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Branch Code","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Channel Code","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Branch Manager Code","options":[],"required":false,"pdf_field":""},{"help":"","type":"phone","label":"BDM Mobile No.","options":[],"required":false,"pdf_field":""},{"help":"Specify channel","type":"text","label":"Bancassurance/ Agency/ Broker/ Corporate Agency/ Direct Sales/ Marketing Associate, Any Others (pls specify)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Details of the Point of Sales Person","fields":[{"help":"12 digit Aadhaar number","type":"number","label":"Aadhaar Card Number","options":[],"required":false,"pdf_field":""},{"help":"PAN number","type":"text","label":"Pan Card Number","options":[],"required":false,"pdf_field":""},{"help":"Select title and enter full name","type":"text","label":"Name","options":["Mr.","Ms.","Mx."],"required":false,"pdf_field":""}],"filled_by":"point of sales person"},{"title":"Details of the Life to be Assured","fields":[{"help":"Fill only if different from proposer","type":"text","label":"Name","options":["Mr.","Ms.","Mx."],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Address","options":[],"required":true,"pdf_field":""},{"help":"DD/MM/YYYY format","type":"date","label":"Date of Birth","options":[],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Gender","options":["Male","Female","Transgender"],"required":true,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":true,"pdf_field":""},{"help":"6 digit postal code","type":"number","label":"Pin","options":[],"required":true,"pdf_field":""},{"help":"Residential phone number","type":"phone","label":"Tel (Res)","options":[],"required":false,"pdf_field":""},{"help":"Mobile phone number","type":"phone","label":"Mobile","options":[],"required":true,"pdf_field":""},{"help":"Valid email address","type":"email","label":"Email","options":[],"required":false,"pdf_field":""},{"help":"12 digit Aadhaar number","type":"number","label":"Aadhaar Number","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Source of Income","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer or life to be assured"},{"title":"Nominee(s) (under Section 39 of Insurance Act, 1938)","fields":[{"help":"Full name of nominee","type":"text","label":"Nominee Name","options":[],"required":true,"pdf_field":""},{"help":"Percentage share of nominee","type":"number","label":"Percentage Share","options":[],"required":true,"pdf_field":""},{"help":"Date of birth of nominee","type":"date","label":"DOB of Nominee","options":[],"required":true,"pdf_field":""},{"help":"Age of nominee","type":"number","label":"Age of Nominee","options":[],"required":false,"pdf_field":""},{"help":"Relationship with proposer","type":"text","label":"Relationship of Nominee","options":[],"required":true,"pdf_field":""},{"help":"Name of appointee if nominee is minor","type":"text","label":"Appointee’s Name","options":[],"required":false,"pdf_field":""},{"help":"Date of birth of appointee","type":"date","label":"DOB","options":[],"required":false,"pdf_field":""},{"help":"Age of appointee","type":"number","label":"Age","options":[],"required":false,"pdf_field":""},{"help":"Gender of appointee","type":"choice","label":"Gender","options":["Male","Female","Transgender"],"required":false,"pdf_field":""},{"help":"Relationship of appointee with nominee","type":"text","label":"Relationship with Nominee","options":[],"required":false,"pdf_field":""},{"help":"Address of appointee","type":"text","label":"Appointee’s Address","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Benefit Payment Mode","fields":[{"help":"Choose one mode only","type":"choice","label":"Mode selected","options":["ECS","Direct Credit (Bank of Baroda)","NEFT"],"required":true,"pdf_field":""},{"help":"Name of bank for payment","type":"text","label":"Bank Name","options":[],"required":true,"pdf_field":""},{"help":"Select account type","type":"choice","label":"Account Type","options":["Current","Savings"],"required":true,"pdf_field":""},{"help":"Bank branch name","type":"text","label":"Branch Name","options":[],"required":true,"pdf_field":""},{"help":"Mandatory for ECS mode","type":"number","label":"MICR","options":[],"required":true,"pdf_field":""},{"help":"Mandatory for NEFT mode","type":"text","label":"IFSC Code","options":[],"required":true,"pdf_field":""},{"help":"Bank account number","type":"text","label":"Bank Account No.","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Insurance Repository","fields":[{"help":"Name of Insurance Repository","type":"text","label":"IR Name","options":["NSDL Database Management Limited","Central Insurance Repository Limited","Karvy Insurance Repository Limited","CAMS Repository Service Limited"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declaration by the Life to be Assured","fields":[{"help":"Sign or provide thumb impression","type":"signature","label":"Signature or Thumb Impression of the Life to be Insured","options":[],"required":true,"pdf_field":""},{"help":"Print full name","type":"text","label":"Name","options":[],"required":true,"pdf_field":""},{"help":"Place of signing","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Witness signature or thumb impression","type":"signature","label":"Witness’s Signature or Thumb Impression","options":[],"required":true,"pdf_field":""},{"help":"Agent or company rep code","type":"text","label":"Agent Code/ Company Representative ID","options":[],"required":false,"pdf_field":""},{"help":"Signature of agent or company rep","type":"signature","label":"Agent / Company Representative Signature","options":[],"required":false,"pdf_field":""}],"filled_by":"life to be assured"},{"title":"Details of life insurance policies held/ proposals applied","fields":[{"help":"","type":"yes-no","label":"Have you ever applied for life insurance policies with IndiaFirst Life Insurance Co. Ltd and with other insurers?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Columns: Name of Life to be Assured/ Proposer, Name of the Company, Policy/ Proposal No., Annual Premium, Sum Assured including riders, Year of Commencement, Present Status and Terms of Acceptance (Standard, Postponed, Rated up, Lapsed, Declined, Rejected)","type":"table","label":"If yes, please give full details below, with present status and terms of acceptance for all proposals/ policies applied","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declaration For Signing In Vernacular Or For Uneducated Persons","fields":[{"help":"Name of person explaining the form","type":"text","label":"Name of the Declarant","options":[],"required":true,"pdf_field":""},{"help":"Signature of declarant","type":"signature","label":"Signature","options":[],"required":true,"pdf_field":""},{"help":"Date of declaration","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Address of declarant","type":"text","label":"Address of the Declarant","options":[],"required":true,"pdf_field":""},{"help":"Signature or thumb impression of life to be assured","type":"signature","label":"Signature or thumb impression of the person whose life is proposed to be assured","options":[],"required":true,"pdf_field":""}],"filled_by":"declarant"},{"title":"Intermediary details","fields":[{"help":"Full name of intermediary","type":"text","label":"Name of the Intermediary","options":[],"required":true,"pdf_field":""},{"help":"License number of intermediary","type":"text","label":"License Number","options":[],"required":true,"pdf_field":""},{"help":"Signature of agent","type":"signature","label":"Signature of the Agent / Specified Agents","options":[],"required":true,"pdf_field":""},{"help":"Stamp of intermediary","type":"attachment","label":"Stamp of the Intermediary","options":[],"required":false,"pdf_field":""},{"help":"Name of agent","type":"text","label":"Name of the Agent / Specified Agents","options":[],"required":true,"pdf_field":""},{"help":"License code of agent","type":"text","label":"License Code","options":[],"required":true,"pdf_field":""}],"filled_by":"agent or intermediary"}],"deadlines":["Free Look Period: return policy within 15 days for all channels except Distance Marketing or Electronic Mode where it is 30 days from receipt of policy document"],"applies_to":"IndiaFirst Life POS Cash Back Plan (UIN: 143N034V01)","attachments":["Cancelled cheque copy if any electronic payout option is selected","Latest Photograph"],"declarations":["The proposer declares that all information provided is truthful and complete and authorizes the company to obtain medical and other information.","The life to be assured declares good health and no history of specified diseases and understands the policy can be cancelled or claims repudiated if information is incorrect.","Consent is given for obtaining/downloading CKYC and KYC records from authorized agencies for policy issuance and servicing.","The proposer confirms understanding of the product features and insurance needs after needs analysis.","Declarations for signing in vernacular or for uneducated persons must be completed by a declarant explaining the form."],"dropped_labels":6},"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/1793-key-feature-document-cum-proposal-form"}