"Full repayment of loan amount" or "Nil" (if done for love/affection) Rajesh Kumar (Your Full Name) Policy Number Sum Assured ₹5,00,000 Date of Original Policy 15th January 2018 Place & Date Mumbai, 10th May 2026 Witness Signature Must be signed by a third party (not a relative) Step-by-Step Instructions for Filling
Signature & Code of D.O.
Even though policyholder is not a party to assignment, LIC often requires their consent/acknowledgment. lic reassignment form sample filled
[Mobile No: 98765-43210] [Email: rahul.sharma@email.com] "Full repayment of loan amount" or "Nil" (if
: Since reassignment cancels previous nominations, you should submit Form No. 3750 to name a new nominee. Quick Tips for a Smooth Process 000 (against policy surrender value)
Loan amount sanctioned: ₹8,00,000 (against policy surrender value)