|
Sr.No
|
Guidelines for filling the eInsurance Account (eIA) Form
|
|
|
|
1
|
The fields marked in asterisk (*) are mandatory
|
|
2
|
The application form should be completed in ENGLISH and in BLOCK LETTERS
|
|
3
|
Fill the form in black ink or ball point pen
|
|
4
|
The application form should be filled in legible handwriting and overwriting should
be avoided
|
|
5
|
Please tick the appropriate box wherever applicable
|
|
6
|
Affix a recent photograph
|
|
7
|
Please ensure that the form is completed and signed by the person opening the eIA
|
|
8
|
The application form complete in all aspects along with the documents should be
submitted to the SHCIL IR branch or Insurer or Authorized Approved Person/s
|
|
9
|
Proof of Identity, Proof of Address and Date of Birth Proof are mandatory for opening
an eIA
|
|
10
|
The list of documents required to be submitted is provided in the Annexure I, II
and III below
|
|
ANNEXURE I
|
|
|
|
Code No.
|
Date of Birth Proof (any one of the following)
|
|
|
|
01
|
PAN Card
|
|
02
|
Domicile Certificate
|
|
03
|
Ration Card
|
|
04
|
Driving License
|
|
05
|
Passports
|
|
06
|
Voter ID card
|
|
07
|
Municipal birth Certificate
|
|
08
|
Notarized Birth Certificate
|
|
09
|
Baptism Certificate
|
|
10
|
Marriage Certificate issued by Church
|
|
11
|
Identity card/document with address, issued by Central/State Government and its
Departments
|
|
12
|
Gram Panchayat certificate
|
|
13
|
Identity card/document with address, Public Sector Undertakings
|
|
14
|
Defense ID including Ex-serviceman card issued to Defense personnel/ certificate
of DOB issued by commanding officer with his seal & signature on the same
|
|
15
|
Identity card/document with address, Colleges affiliated to universities
|
|
16
|
Central Govt. Health scheme certificate for their employees/ family members/ dependants
|
|
17
|
Govt. services register extract/certificates issued by Govt. to its employees
|
|
18
|
Employer's PF statement
|
|
19
|
ESIS Card (Employees State Insurance Scheme)
|
|
20
|
Employer's certificate from Govt, Semi Govt., MNC, Public Ltd, Reputed Private Ltd
Organizations only. The certificate must be on the letterhead, duly signed & stamped
by the Authorized signatory
|
|
21
|
Certified School/ College Extract including School/ College leaving certificate/
Degree Certificates / mark sheet or hall ticket or admit card issued by Educational
Board (10 & 12th std) reflecting DOB of eIA applicant
|
|
22
|
Policy Document of other private insurers
|
|
23
|
LIC Policy
|
|
24
|
Islander cards for Residents of Andaman & Nicobar Island
|
|
25
|
Pilgrim pass issued for Haj Pilgrimage
|
|
ANNEXURE II
|
|
|
|
Code No.
|
Proof of Identity (any one of the following)
|
|
|
|
01
|
Permanent Account No. (PAN)
|
|
02
|
Unique Identification No. (UID)
|
|
ANNEXURE III
|
|
|
|
Code No.
|
Proof of Address (any one of the following)
|
|
|
|
01
|
Regd. Lease and License Agreement/ Agreement for sale
|
|
02
|
Aadhar Letter
|
|
03
|
Ration Card
|
|
04
|
Driving License
|
|
05
|
Passports
|
|
06
|
Voter ID card
|
|
07
|
Bank Passbook (not more than 6 months old)
|
|
08
|
Electricity Bill (not more than 6 months old)
|
|
09
|
Residence telephone Bill (not more than 6 months old)
|
|
10
|
Self-declaration by High Court and Supreme Court judges, giving the new address
in respect of their own accounts
|
|
11
|
Identity card/document with address, issued by Central/State Government and its
Departments
|
|
12
|
Identity card/document with address, Statutory/Regulatory Authorities
|
|
13
|
Identity card/document with address, Public Sector Undertakings
|
|
14
|
Identity card/document with address, Scheduled Commercial Banks
|
|
15
|
Identity card/document with address, Public Financial Institutions
|
|
16
|
Identity card/document with address, Colleges affiliated to universities
|
|
17
|
Identity card/document with address, Professional Bodies such as ICAI, ICWAI, Bar
Council etc. to their Members
|