{"id":2342,"title":"राष्ट्रीय इलेक्ट्रोनिक निधि हस्तांतरण (NEFT) - अधिकार पत्र","purpose":"service","insurer":{"slug":"lic","name":"Life Insurance Corporation of India"},"source_pdf":"https://licindia.in/documents/d/guest/neft_mandate_form","sha256":"a7536d31a064595296947d60a22041c373fd4ee4758a272c9b0782f6b0985529","pages":2,"collected":"2026-10-20","instructions":{"about":"This form is for policyholders or claimants to provide their bank account details to receive policy payments through NEFT (National Electronic Funds Transfer).","notes":["This mandate form can be used for up to 6 different policy numbers.","Bank account number should be written from left to right.","Attach a cancelled cheque leaf or passbook/chequebook page with account details.","Confirm with your bank that it is NEFT enabled before submitting the form.","In case of dispute, the English version of this form shall prevail."],"title":"राष्ट्रीय इलेक्ट्रोनिक निधि हस्तांतरण (NEFT) - अधिकार पत्र","submit":{"to":"Our Branch as per address given above or to customer zone","how":"","address":""},"purpose":"service","sections":[{"title":"Bank Account Details for NEFT Payment","fields":[{"help":"Enter your policy number(s).","type":"text","label":"पॉलिसी क्रमांक / Policy Nos.","options":[],"required":null,"pdf_field":""},{"help":"Enter the name of the policyholder or claimant.","type":"text","label":"पॉलिसीधारकाचे /दावेदाराचे नाव /Name of Policy holder/ claimant :","options":[],"required":null,"pdf_field":""},{"help":"Enter the name of your bank.","type":"text","label":"बँकेचे नाव /Bank Name :","options":[],"required":null,"pdf_field":""},{"help":"Enter the address of your bank branch.","type":"text","label":"बँकेच्या शाखेचा पत्ता /Bank Branch Address :","options":[],"required":null,"pdf_field":""},{"help":"Select your bank account type.","type":"choice","label":"खाते प्रकार : बचत/चालू/कॅश क्रेडीट/अनिवासी भारतीय/ Account Type : Savings/Current/Cash Credit/NRI","options":["Savings","Current","Cash Credit","NRI"],"required":null,"pdf_field":""},{"help":"Write your bank account number from left to right.","type":"text","label":"खाते क्रमांक / Account No. :","options":[],"required":null,"pdf_field":""},{"help":"Enter your bank branch's IFSC code.","type":"text","label":"आय एफ एस कोड / IFS Code :","options":[],"required":null,"pdf_field":""},{"help":"Enter your mobile number with country code +91.","type":"phone","label":"मोबाईल क्रमांक / Mobile Number :","options":[],"required":null,"pdf_field":""},{"help":"Enter your email address.","type":"email","label":"ईमेल संकेतस्थळ / E-mail ID:","options":[],"required":false,"pdf_field":""},{"help":"Select Yes or No.","type":"choice","label":"तुमच्या पॉलिसी संदर्भातील बाबी एसएमएस/ईमेल द्वारे मिळण्यासाठी तुम्ही इच्छुक आहात का ? Are you willing to receive SMS/E-mail, on matters related to your LIC policies :","options":["होय","नाही","Yes","No"],"required":null,"pdf_field":""},{"help":"Enter your Aadhaar Card number.","type":"text","label":"आधार कार्ड क्र./ Aadhaar Card No .:","options":[],"required":false,"pdf_field":""},{"help":"Enter your PAN number.","type":"text","label":"पॅन क्र. / PAN :","options":[],"required":false,"pdf_field":""},{"help":"Mandatory if account type is NRE.","type":"text","label":"पासपोर्ट क्रमांक / Passport Number :","options":[],"required":null,"pdf_field":""},{"help":"Tick the documents you have attached.","type":"checkbox","label":"ह्या संदर्भात खालील कागदपत्रे मी जोडली आहेत. (कृपया योग्य त्यासमोर v खूण करा.)/I have enclosed the following document to this effect. (Please v appropriate item)","options":["रद्द केलेला चेक / Cancelled cheque leaf","जर चेक वर बँक खातेदाराचे नाव नसेल तर बँक खाते क्रमांक, आयएफएस कोड ज्यावर आहे अशा बँक पासबुकच्या पृष्ठाची फोटोप्रत/ If cheque is not having the name of bank holder then Photo copy of the page of Bank Pass book containing details of Bank accounts number, IFS Code.","स्वः साक्षांकीत आधार कार्डाची फोटो प्रत /Self attested photocopy of Aadar Card","स्वः साक्षांकीत पॅन क्रमाकांची फोटो प्रत /Self attested photocopy of PAN Card","स्वः साक्षांकीत पासपोर्टची फोटो प्रत/Self attested photocopy of Passport (Mandatory if A/c type is NRE)"],"required":null,"pdf_field":""},{"help":"Confirm if premiums were paid through your NRE account.","type":"yes-no","label":"(खाते प्रकार NRE असल्यास) मी हमी देतो कि प्रिमियम चे हप्ते माझ्या NRE खात्या मधूनच भरलेले आहेत./ (If A/c type is NRE) : I Confirm that the premium were paid through my NRE Account only. (Certificate from Bank attached)","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Enter the date of signing.","type":"date","label":"दिनांक / Date","options":[],"required":null,"pdf_field":""},{"help":"Sign here.","type":"signature","label":"पॉलिसीधारकाची स्वाक्षरी/Singnature of the policy holder/s","options":[],"required":true,"pdf_field":""}],"filled_by":"policyholder or claimant"}],"deadlines":["If within two days of the due date, the amount is not credited to your bank account, contact our branch office."],"applies_to":"","attachments":["Cancelled cheque leaf","Photo copy of bank passbook page with account number and IFSC code (if cheque does not have account holder's name)","Self attested photocopy of Aadhaar Card","Self attested photocopy of PAN Card","Self attested photocopy of Passport (mandatory if account type is NRE)","Certificate from Bank (if account type is NRE)"],"declarations":["If account type is NRE, passport number is mandatory.","If account type is NRE, premiums were paid through NRE account only (to be confirmed).","Policyholder's/claimant's name must match the bank account name or the mandate will be rejected.","NRI accounts are not accepted for fund transfer as per LIC decision.","If bank details change after submission, a fresh mandate form must be submitted."],"dropped_labels":0},"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/2342-neft"}