This assignment is made and the Policy is to be held as collateral security for any and all liabilities of the undersigned, or any of them, to the. (2) The full name, and age, of the Assignee must be stated.(3) The actual consideration for the assignment received from the assignee should be written in. Download our most commonly requested forms. How to fill out the Assignment Questionnaire for LIC Policy Holders? Clearly specify the assignee's name and address.