Scribd Logo
Upload

Welcome to Scribd!

  • 7 views

    Holl Tikect

    Uploaded by

    kanhereparasram620

    Copyright:

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

    Holl Tikect

    Uploaded by

    kanhereparasram620
    7 views1 page

    Original Title

    holl tikect

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    7 views1 page

    Holl Tikect

    Uploaded by

    kanhereparasram620

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Self Declaration of income by proponent (Graduate/Diploma)

    (Vide PLI Dte letter No. 25-01/2022-LI dated 01.12.2022)

    I, Shri/Smt/Miss………………………………………………………………………………………........S/D/W
    ………………………………………………………At/Po……………………………………………….Dist……………………..
    born on ………………………………………, do hereby furnish the following self declaration of income
    to purchase Postal Life Insurance as per POLI Rules-2011 and its amendment from time to
    time:

    1. I have passed Graduation from ……………………………………………………..University


    recognized by Central/State Government in the year…………………………….
    Or
    I have passed Diploma from …………………………………………………….. Institute recognized
    by Central/State Government in the year…………………………….
    2. I am employed and working as…………..………………...……………………………………..in
    …………………………………………………………….And my monthly income is
    ₹…………………………………………………..
    Or
    I am self employed and my source of income is ₹……………………………………….per month
    from ………………………………………………. (Nature of work)
    I do hereby declare that the above statement is true to the best of my knowledge and
    belief.

    Signature of the proponent


    Date………………………………………
    I am satisfied about the adequacy and regularity about the income of the proponent.

    Signature of Sales Force


    Agent Code-…………………………….
    Date………………………………………

    You might also like