{"id":2338,"title":"NATIONAL ELECTRONIC FUNDS TRANSFER APPLICATION FORM","purpose":"service","insurer":{"slug":"lic","name":"Life Insurance Corporation of India"},"source_pdf":"https://licindia.in/documents/d/guest/neft-application-form","sha256":"75cc6f637550c2bec5cfad7df597b5eb25de38b71f63202079a4dd4fb1729a74","pages":2,"collected":"2026-10-20","instructions":{"about":"This form is used by annuitants to opt for receiving their annuity payments through NEFT (National Electronic Funds Transfer). The annuitant fills this form.","notes":["Pre-printed address of IPP Cell is necessary on the form."],"title":"NATIONAL ELECTRONIC FUNDS TRANSFER APPLICATION FORM","submit":{"to":"The IPP Cell (pre-printed address necessary)","how":"","address":""},"purpose":"service","sections":[{"title":"Annuitant Details and NEFT Option","fields":[{"help":"Enter the name and address of the annuitant","type":"text","label":"वा%ष%क#1ाह2 का नाम एवं पता :","options":[],"required":null,"pdf_field":""},{"help":"Enter the annuitant’s bank name","type":"text","label":"वा%ष%क#1ाह2 के ब!क का नाम:","options":[],"required":null,"pdf_field":""},{"help":"Enter the annuitant’s bank address","type":"text","label":"वा%ष%क#1ाह2 के ब!क का पता:","options":[],"required":null,"pdf_field":""},{"help":"Select the type of your bank account","type":"choice","label":"वा%ष%क#1ाह2 के खाते का  प्रकार: बचत/चालू/कैश 6े7डट/एनआरआई:","options":["Savings","Current","Cash Credit","NRI"],"required":null,"pdf_field":""},{"help":"Enter your bank account number","type":"text","label":"वा%ष%क#1ाह2 का खाता 6.:","options":[],"required":null,"pdf_field":""},{"help":"Enter the IFSC code of your bank branch","type":"text","label":"वा%ष%क#1ाह2 के शाखा का आईएफएस कोड:","options":[],"required":null,"pdf_field":""},{"help":"Indicate if you want to receive SMS/email alerts on annuity payments","type":"yes-no","label":"अपने खाते म  वा%ष%क# के भुगतान पर Bया आप एसएमएस/ई-मेल एलट चाहते ह! ? हां/ नहं","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Sign here","type":"signature","label":"वा%ष%क#1ाह2 के हLताVर","options":[],"required":null,"pdf_field":""},{"help":"Enter the date of signing","type":"date","label":"Qदनांक :","options":[],"required":null,"pdf_field":""}],"filled_by":"annuitant"},{"title":"Documents Enclosed","fields":[{"help":"Tick if enclosing cancelled cheque leaf","type":"checkbox","label":"ए. रR चेक ल2फ","options":["Cancelled cheque leaf"],"required":false,"pdf_field":""}],"filled_by":"annuitant"}],"deadlines":[],"applies_to":"annuity payments under specified policies","attachments":["Cancelled cheque leaf","Photo copy of the page of Bank cheque / pass book containing details"],"declarations":["I request to transfer the amount payable under the aforesaid policies as per the details stated above."],"dropped_labels":4},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"customer-care","channel":"phone","value":"+91-22-68276827","label":"Customer Care Phone Number","level":null,"hours":"24*7","applies_to":"all","source_url":"https://licindia.in/web/guest/grievances","quote":"Corporation \r\n   of India.\nNavigation\nSkip to Content\nMenu Display\nVoice Search\nSearch\nSkip to main content\n8976862090\n+91-22-68276827\nBranch Locator\nLanguage Selector\nenglish\nहिन्दी [beta]\nमराठी\nA+\nA\nA-\nA\nA\nAbout Us\nHistory\nObjectives Of LIC\nMission/Vis","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"8976862090","label":"Customer Care Phone Number","level":null,"hours":"24*7","applies_to":"all","source_url":"https://licindia.in/web/guest/grievances","quote":"e Insurance Corporation \r\n   of India.\nNavigation\nSkip to Content\nMenu Display\nVoice Search\nSearch\nSkip to main content\n8976862090\n+91-22-68276827\nBranch Locator\nLanguage Selector\nenglish\nहिन्दी [beta]\nमराठी\nA+\nA\nA-\nA\nA\nAbout Us\nHistory\nObjectives Of","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"'Yogakshema' , Jeevan Bima Marg, P.O. Box No19953, Mumbai – 400 021.","label":"Corporate Office Address","level":null,"hours":null,"applies_to":"all","source_url":"https://licindia.in/web/guest/grievances","quote":"any grievances, email at\nco_complaints[at]licindia[dot]com\nCorporate Office\n: Life Insurance Corporation of India \r\n\t\t\t\t'Yogakshema' , Jeevan Bima Marg, P.O. Box No19953, \r\n\t\t\t\tMumbai – 400 021. IRDAI Reg No- 512\nFor any query regarding this website, please contact the Web Information Manager\nSmt. Himali As","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"co_healthsc@licindia.com","label":"Senior Citizens Health Grievance Email","level":null,"hours":null,"applies_to":"health","source_url":"https://licindia.in/documents/20121/124155/Sample_Policy_Document_LIC-s-Arogya-Rakshak.pdf/ed974eaa-4330-7732-6a85-43cfd7980a67?t=1669266625981","quote":"District Court Judge is member of each of the Claims Dispute Redressal Committees. For Senior Citizens:\nEmail address: co_healthsc@licindia.com Health Toll free Number: 18004259876\nOf IRDAI:\nIn case the customer is not satisfied with the response or do not receiv","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"+91-22-68276827","label":"LIC Call Center","level":null,"hours":"24*7","applies_to":"all","source_url":"https://licindia.in/phone-help-line","quote":"Corporation \r\n   of India.\nNavigation\nSkip to Content\nMenu Display\nVoice Search\nSearch\nSkip to main content\n8976862090\n+91-22-68276827\nBranch Locator\nLanguage Selector\nenglish\nहिन्दी [beta]\nमराठी\nA+\nA\nA-\nA\nA\nAbout Us\nHistory\nObjectives Of LIC\nMission/Vis","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"8976862090","label":"LIC Call Center","level":null,"hours":"24*7","applies_to":"all","source_url":"https://licindia.in/phone-help-line","quote":"e Insurance Corporation \r\n   of India.\nNavigation\nSkip to Content\nMenu Display\nVoice Search\nSearch\nSkip to main content\n8976862090\n+91-22-68276827\nBranch Locator\nLanguage Selector\nenglish\nहिन्दी [beta]\nमराठी\nA+\nA\nA-\nA\nA\nAbout Us\nHistory\nObjectives Of","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"sms","value":"SMS LICHELP <pol.no.> to 9222492224","label":"Grievance Redressal SMS","level":null,"hours":null,"applies_to":"all","source_url":"https://licindia.in/phone-help-line","quote":"Branch / Division / Zonal / Corporate Level.\n(For details click on the `Grievances' tab on the homepage).\nSMS LICHELP :\nSMS LICHELP <pol.no.> to 9222492224.\nDetails of Health Insurance TPA along with Toll Free Numbers\n(Content: English | Format: PDF | View/Download |Size: 44","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/lic/2338-national-electronic-funds-transfer-application-form"}