Get Reliance Nippon Life Insurance Bank Authorisation Form

Customer photograph is mandatory to become a valid ID/Address proof. 3. Customer signature is required only when this form is used for signature authorisation. 4. Bank account open date compulsory Reliance Life Insurance Company Limited Reg. 121 Registered Office H Block 1st Floor Dhirubhai Ambani Knowledge City Navi Mumbai Maharashtra 400 710. Affix photograph of the Proposer. Photo should also have stamp and seal BANK AUTHORISATION This is to certify that Name Mr. Ms. F I R S T L A S/o or D/o N O. D G E / Residing at M O Y V U K C B PINCODE Is holding the following account in our bank and branch H Please tick A/c Type Current Savings NRE Signature of the account holder as per bank records Date D NRO Bank A/c Open Date D Others Bank Branch seal with employee signature and number Place Note 1. To be given on bank letter head or with bank seal employee signature and employee number. 2. This format can be used for bank account detail confirmation signature authorisation ID and address proof KYC. Customer photograph is mandatory to become a valid ID/Address proof* 3. Customer signature is required only when this form is used for signature authorisation* 4. Bank account open date compulsory Reliance Life Insurance Company Limited Reg* 121 Registered Office H Block 1st Floor Dhirubhai Ambani Knowledge City Navi Mumbai Maharashtra 400 710. Corporate Office 9th and 10th Floor R-Tech Park Nirlon Compound Goregaon E Mumbai Maharashtra 400 063. Insurance is the subject matter of the solicitation* Trade Logo displayed above belongs to M/s Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance Life Insurance Co. Ltd. under license. For more information or any grievance 1. Call us between 9am to 6pm Monday to Saturday on Call Centre number - 3033 8181 Local call charges apply or our Toll Free Number 1800 300 08181 or 2. Visit us at www. reliancelife. com or 3. Email us at rlife. customerservice relianceada*com or 4. Fax 022 3000 2222. Beware of spurious phone calls and fictitious/fraudulent offers IRDAI clarifies to public that 1. IRDAI or its officials do not involve in activities like sale of any kind of insurance or financial products nor invest premiums. 2. IRDAI does not announce any bonus. Public receiving such phone calls are requested to lodge a police complaint along with details of phone call number. Affix photograph of the Proposer. Photo should also have stamp and seal BANK AUTHORISATION This is to certify that Name Mr. Ms. F I R S T L A S/o or D/o N O. D G E / Residing at M O Y V U K C B PINCODE Is holding the following account in our bank and branch H Please tick A/c Type Current Savings NRE Signature of the account holder as per bank records Date D NRO Bank A/c Open Date D Others Bank Branch seal with employee signature and number Place Note 1. Ms. F I R S T L A S/o or D/o N O. D G E / Residing at M O Y V U K C B PINCODE Is holding the following account in our bank and branch H Please tick A/c Type Current Savings NRE Signature of the account holder as per bank records Date D NRO Bank A/c Open Date D Others Bank Branch seal with employee signature and number Place Note 1. To be given on bank letter head or with bank seal employee signature and employee number. 2. This format can be used for bank account detail confirmation signature authorisation ID and address proof KYC.