Bank Detail Updation (BDU)

Policy Number

Date

Name of Policyholder
(Proposer)

Contact No.

Std

Residence

Isd

Mobile

std

Office

Extn.

Pan no.

Email ID (Personal)
(Official)

All Fields are mondatory. (Atleast one contact no. is mandatory for processing your request. The contact details mentioned above will be updated for all future communication)

elA No.

Please Fill in the details mentioned below exactly per your bank records

Name

Bank Name

Branch Name
and Address

Bank Account
Number

Bank Account
Type

Savings

Current

Others

MICR

IFSC Code

Please note that IFSC code for RTGS & IFSC code for NEFT may be different.

DECLARATION

I hereby take the sole responsibility for the correctness of my Bank Account number and other details of this form. I will not hold Future Generali India Life Insurance Co. Ltd. responsible in case of non-credit tomy bank account or delay in transaction on ground of incomplete/incorrect information given above. Further, the Company reserves the right to use any alternative payout option including a demand draft/payable at par cheque despite of opting for Electronic payout method.

Signature

BANK AUTHORIZATION (TO BE FILLED BY BANK ONLY)

It is certified that the particulars of bank account details mentioned above are correct as per our records.

Signature of
Authorized Bank Official

Date

Place

ACKNOWLEDGEMENT

This is to acknowledge the receipt of application for updating of bank details.

Policy No.

CLS ID

Date

FUTURE GENERALI INDIA LIFE INSURANCE COMPANY LIMITED, Registered & Corporate Office: Unit 801 and 802, 8th floor, Tower C, Embassy 247 Park, L.B.S. Marg, Vikhroli (W),Mumbai - 400083. | Tel.:91-22-40976666 | Fax:91-22-40976600 | Call us at: 18001022355 | email: care@futuregenerali.in | Website: www.futuregenerali.in