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    Loan Application Form

    Uploaded by

    faizalkhansalimgpt
    The document is a loan application form from an individual requesting a loan against their life insurance policy from Reliance Life Insurance Company. It includes a letter requesting a maximum loan of Rs. [amount] at an annual interest rate of 9.5% payable quarterly. It acknowledges the loan terms and conditions and includes forms to assign the policy benefits to Reliance Life as collateral for the loan and to provide a receipt for the loan amount.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Loan Application Form

    Uploaded by

    faizalkhansalimgpt
    13 views2 pages
    The document is a loan application form from an individual requesting a loan against their life insurance policy from Reliance Life Insurance Company. It includes a letter requesting a maximum loan of Rs. [amount] at an annual interest rate of 9.5% payable quarterly. It acknowledges the loan terms and conditions and includes forms to assign the policy benefits to Reliance Life as collateral for the loan and to provide a receipt for the loan amount.

    Original Title

    Loan Application Form (1)

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    The document is a loan application form from an individual requesting a loan against their life insurance policy from Reliance Life Insurance Company. It includes a letter requesting a maximum loan of Rs. [amount] at an annual interest rate of 9.5% payable quarterly. It acknowledges the loan terms and conditions and includes forms to assign the policy benefits to Reliance Life as collateral for the loan and to provide a receipt for the loan amount.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    13 views2 pages

    Loan Application Form

    Uploaded by

    faizalkhansalimgpt
    The document is a loan application form from an individual requesting a loan against their life insurance policy from Reliance Life Insurance Company. It includes a letter requesting a maximum loan of Rs. [amount] at an annual interest rate of 9.5% payable quarterly. It acknowledges the loan terms and conditions and includes forms to assign the policy benefits to Reliance Life as collateral for the loan and to provide a receipt for the loan amount.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Loan Application Form

    Dear Sir, Date:

    Ref: CONTRACT NO.

    1) Please grant me an advance of maximum Rs. available by way of loan against the above contract
    and I agree to pay interest at the rate of 9.5% per annum payable every quarter.
    2) I am aware of the terms and conditions on which the loan will be advanced. I am also aware that the said terms
    and conditions have already been endorsed on the policy.
    3) (a) The policy duly assigned in your favor and the receipt for the loan amounts are returned herewith duly
    completed.
    Or
    (b) The receipt is returned herewith duly completed

    Yours faithfully

    Life Assured/Policy owner

    FORM OF ASSIGNMENT FOR POLICY LOAN

    I, (Name of the Po/icy owner), in consideration for the policy loan of

    Rs. /- granted by Reliance Life Insurance Company Limited, do hereby assign the benefits and all
    moneys payable under the Contract No. Dated (Date of po/icy issue)
    issued by Reliance Life Insurance Company Limited on my life assuring a sum of Rs. /-
    (Basic Sum Assured) to Reliance Life Insurance Company Limited.

    Date: Signature of the Life Assured

    Address:

    Signature of witness

    Name:

    Address:
    CS/Loan Application Form/Version 2/April 2014.

    (Declaration to be made when Borrowers do not sign in English)


    Thereby declare that the contents herein above have been translated and explained by me to And I further declare
    that he/she/they fully understood the meaning thereof

    Signature of the Declarant

    Address:

    Reliance Life Insurance Company Limited IRDA Registration No. 121


    Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge city, Call us: Visit us: Follow us on Twitter
    Navi Mumbai, Maharashtra-400710, India. 3033 8181 or 1800 3000 8181 (Toll Free) www.reliancelife.com @rel_life

    Corporate Office: 11th Floor, R Tech IT Park, Nirlon Compound, Email us: Like us on Facebook
    Near Hub Mall, Western Express Highway, Goregaon (E), Mumbai - 400063 [email protected] www.facebook.com/RelianceLifeInsurance

    CIN:U66010MH2001PLCI67089
    Loan Application Form

    RECEIPT FOR THE LOAN ADVANCE

    Rs.: /- Place: Date:

    I do here by acknowledge receipt of an amount of

    Rupees (In words) paid to me by the RELIANCE LIFE

    INSURANCE COMPANY LTD. Towards policy loan against the Contract No.

    Please affix Re.


    l/Revenue Stamp

    (Declaration to be completed WHEN BORROWER (5) DO NOT SIGN IN ENGLISH)

    I hereby declare that the contents herein above have been translated and explained by me to

    and I further declare that he/she/they fully understood the meaning thereof

    Signature of the declarant

    Designation:
    CS/Loan Application Form/Version 2/April 2014.

    Reliance Life Insurance Company Limited IRDA Registration No. 121


    Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge city, Call us: Visit us: Follow us on Twitter
    Navi Mumbai, Maharashtra-400710, India. 3033 8181 or 1800 3000 8181 (Toll Free) www.reliancelife.com @rel_life

    Corporate Office: 11th Floor, R Tech IT Park, Nirlon Compound, Email us: Like us on Facebook
    Near Hub Mall, Western Express Highway, Goregaon (E), Mumbai - 400063 [email protected] www.facebook.com/RelianceLifeInsurance

    CIN:U66010MH2001PLCI67089

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