Here, this is to be printed on Non-Judicial stamp paper of ` 10/-. Suppose a person is known as 'Amit Kumar Chatterjee' and on some documents his name is also mentioned as 'Amit Chatterjee'. Request Letter/Policy Servicing Form (available at branch) Standard ID proof with DOB & correct name; Marriage certificate (If name change due to marriage) Gazette notification (In case of complete name change) Standard ID proof of Proposer; 2 Once the required changes are done, the insurer will send a confirmation through courier. Get it done notarized from the notary person THANKS 2- That the name of the father of the deponent is _____. Life Insurance Sitemap: Life Insurance Blog : Life Insurance Reviews: Disclaimer. adv. You will have to produce certain documents and LIC will take care of changing the beneficiary post the submission of the documents. 6. How to correct a certificate with the Affidavit for Correction. Wa rning: An y perso n w ho makes any fal se affidavit, o r kn owingly swears o r af f irms f a ls ely to a n y matter r eq u ire d by the Motor V ehic le C ode is gui lty of per jur y , wh ic h is a f ou rth de gr e e f e lony ( S ec tion s 6 6 -5- 3 8 and 30 - 25 - 1 NM S A 1978) . 3. Stop frauds as lic policy name you know if the state. For getting maturity amount, LIC Policy bond is not required. I understand giving false testimony under oath in connection with an immigration application is a federal criminal offense that can attract severe terms of imprisonment (18 U.S.C. PDF version of the format is given below. It’s kind of security and cover if we have a policy for us. Known as lic policy holder name correction affidavit is still possible and we use another method of nomination? That by virtue of this affidavit, I changed my name from YOURNAME (old name) to CHOSENNAME (new name) and henceforth I shall be known as the CHOSENNAME (new name) for all purposes. 3. I recently came into your office and sorted out my life insurance for my whole family. sankar narayanan (Expert) 11 April 2012. I am getting a public notice published to this effect in the newspaper. Changing a name after marriage is a common aspect of India. Hence, the process to change the nominee in an LIC Policy is a very simple one and can be done any number of times by you. 5. You just have to write an application letter mentioning both of your maiden name based on which the policies had been made earlier and your new name after marriage to the branch manager along with the proof of your changed name and address after marriage. 11 April 2012 what name is in his school certificate and other documents. And also the people who don’t have life insurance should consider getting one for them. Many name is the lic about the time of material information here, if all the policy only in the govt. Alterations (NAME CORRECTION): After the policy is issued, the policyholder in a number of cases finds the terms not suitable to him and desires to change them. Corporate Office : Yogakshema Building, Jeevan Bima Marg, P.O. LIC Forms download - LIC policy bond lost Affidavit format - Application for Duplicate policy bond - Form 3510 - Annexure 1 - Query form - STEP 2 – Submit the Affidavit in the concern authorities to get the Name Correct. Attached the photocopy document in which name is correct 5. 11 April 2012 yes, you must put one name permanently use. The email id for the branch is bo_branchcode@licindia.com ( the branch code can be checked from the policy document or any lic premium receipt) for example the email id for Dwarka, New Delhi branch 12N is – bo_12n@licindia.com . 1st page should be printed in on stamp paper itself 3. Deponent Notes 1. LIC allows certain types of alterations during the lifetime of the policy. An affidavit of correction is one of the general affidavit forms that can be used to correct any inaccurate information that is contained within an official court or government record. That my above said statement true and correct. Deponent. And the changes which you can make are like your address, contact details, nominee and name as well. These details can be changed but you have to provide the valid proof to the company that is Life Insurance Corporation of India. 3.At present all the records have my new name _____. You need to follow 5 simple steps for doing this activity: Affidavit: You need to make an affidavit and state that after marriage you would like to change your name/ surname as desired, with all the details of your new name… The affidavit has to be printed in 100 Rs. 4. As LIC allows alternation in name in any policy along with the proper documents, you need not to be worried. Sub: Regarding Correction of Date of Birth in LIC Policy. Change Policyholder Name in LIC Policy: If you hold an insurance policy with LIC then you can make some changes to your policy. Dear insurance company, I am writing to you because I would like to request that please correct my name on my life insurance. if your father has 2 names let him change his name offically to one . wrongly registered in your organization as (Wrong Name). The policyholder can also visit the nearest LIC branch office for the same, however Name Correction etc. However, no alteration is permitted within one year of the commencement of the policy with some exceptions. I state that (earlier name) and the (present name) is the name of one and the same person and that is myself. I have visited in the office of LIC in Aditya Mega Mall, Near Karkardooma Court, Delhi and submit an application for correction of name. Center for Health Statistics Attn: Corrections P.O. Box 47814 200/- bond. Most of us have one or more insurance policies with us. That Change my Driving Licence Name from _____ to _____ 4. stamp paper 2. The purpose to create this Affidavit is to give declaration about the incorrect name and to get it correct while submitting the Affidavit to the concern authorities. 200/- If some policy holders's policy is matured and the LIC policy certificate/ bond paper is not traceable, no need to worry. 11 April 2012 stick to name mentioned in mark sheet. 5. § 154). I, _____ son of _____, resident of _____,do hereby solemnly affirm and declare as under:- 1- That the deponent is the permanent resident of the above mentioned address. what is in the ration card. Content on this website is published and managed by Life Insurance Corporation of India. I am writing this to hereby request change of name in LIC policy with new name after marriage. VERIFICATION:- Verified that the contents of above my said affidavit are true and correct to the best of my knowledge and belief and nothing has been concealed therein. correct legal name and name prior to first marriage is required to amend the birth record. Hence the problem. Format of Affidavit for Same Person With Different Name. The short name of _____ is _____. Affidavit or Declaration - Same Name - Format Here is the form of an Affidavit/Declaration in respect of 'same name' confirmation. Respected Sir, I am writing this letter to request you to kindly have my date of birth corrected in my LIC Policy which has been wrongly entered in the policy. I am also attaching copy of marriage certificate and affidavit of name change as proof … That it is my true statement. I hold two policies XXXX1102 and XXXX789 in your branch, copies of which are attached with this letter. Name Correction Affidavit is a Document in which a person give sworn statements/declaration about his real/actual name along with a incorrect name in a particular Document. I have invested too much time then premium for correction of name through Agent. Complete the 422-034-Affidavit for Correction (English) (DOCX) or 422-034-Declaración Jurada de Corrección (Español) (PDF) Gather required proof, if needed; Submit the documents to the Department of Health: By Mail. Here are the Steps involved to get the Name Correct – STEP 1 – Make an Affidavit for Correction of Name and make it Notarized. However, with this in mind, I was very disappointed to see that one of the names was written wrong. This kind of form can be used on many different types of documents such as DMV records wherein you would like to change the vehicle’s registration information or title. policy number , policy name , nominee name, plan term , all are permanent after fpr (first premium receipt). The details of my policy are given below: Policy No: 12345678 Name of Policy Holder: Rakesh Sharma Correct DOB: 15 th March, 1980 I am executing this declaration to be submitted to the concerned authorities for the change of name. LIC policy bond lost - Format for Affidavit - How to submit for policy maturity - Stamp paper Rs. Such an affidavit may be sworn before either a Notary Public or a Magistrate. Name Correction Affidavit, as the name suggests, is a document sworn by a person affirming his or her real name as against the wrong spellings or versions of the same name printed erroneously in any document. Request Letter for Name Correction in Life Insurance Policy. 3- That _____ and _____ is the same person. Deponent. This way your records will be at correct place and will receive the services from us like maturity, in time. The above are the variations of the same name and should not be considered name changes. 2nd page should be printed in legal paper 4. So I do hereby solemnly affirm that foregoing are true and correct statements. When you assign the policy the title of the policy is shifted from your name to that of the institution. But all the receipts and Policy Certificate Shown incorrect name Akhsay Kumar. is only done at the servicing branch only as of now. Name Correction Affidavit is a Document in which a person give sworn statements/declaration about his real/actual name along with a incorrect name in a particular Document. after that any alteration can be made if nominee details is to be changed nominal charge has to be paid . That now I want to rectify/correct my name from (wrong name) to (correct name) in your company records. The following alterations are allowed. The policies are under the name of Mary Paul which I request you to change to new name – Mary Samuel. M.Sheik Mohammed Ali (Expert) 11 April 2012. Just collect all details, get the below given format typed in Rs. Change Policyholder Name in LIC Policy: The insurance we all know that it is one of the most important things we should have with us. SPECIMEN DEED POLL/AFFIDAVIT FOR CHANGE OF NAME By this deed, I the undersigned _____(new name) previously called _____(old name), doing_____(give profession or vocation) and resident of _____ (address) solemnly declare : 1.