Scribd
Upload
97 views1 page

Branch Certificate Annexure 6 2021

This document is a certification from the State Bank of India regarding a deceased holder of a Salary Package Account, providing essential details such as account information and the date of accidental death. It specifies that the bank verifies the account and nominee details but disclaims responsibility for the authenticity of documents submitted by the claimant. The document also states that all claim settlements and disputes are the responsibility of the Insurance Company, not the bank.

Uploaded by

sahilsahani57736
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
97 views1 page

Branch Certificate Annexure 6 2021

This document is a certification from the State Bank of India regarding a deceased holder of a Salary Package Account, providing essential details such as account information and the date of accidental death. It specifies that the bank verifies the account and nominee details but disclaims responsibility for the authenticity of documents submitted by the claimant. The document also states that all claim settlements and disputes are the responsibility of the Insurance Company, not the bank.

Uploaded by

sahilsahani57736
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

Annexure 6

To be submitted on Bank’s letter head

Policy No.: 1203004220P113804906 Policy Period 04.01.2021 to 03.01.2022

This is to certify that Shri/Smt/Ms. who expired on due to accident


(as per the documents submitted by the nominee/ claimant), is a holder of Salary Package Account:
1 Name of the Salary Package Account holder :
2 Address in full (as per Bank records) :
3 Date of Accidental Death (as per death certificate) :
4 Details of SBI Branch where the Salary Package : Br. Name:
Account is maintained Br. Code:
: State:
Module:
Circle:
5 Salary Package Account Number :
6 Name of Salary Package account :
DSP/CAPSP/ICGSP/PSP/CSP/SGSP/CGSP/RSP/SUSP
: Silver/ Gold Diamond
7 Salary Package Account Variant:
Platinum
8 Claim amount under PAI/ Air : PAI: AAI:
9 Is nomination available in the Account of the
deceased (Yes/No to be mentioned)
10 Name of nominees, if available :
Address of Nominee :

Contact No. :
11 Nominee A/c details if available :
12 Full name of Joint Account Holder(s) of the above- :
mentioned Salary Package Account (for Joint Accounts
only) and address
Contact No. of Joint account holder/s :

Details of Bank account and nominee have been furnished only after verifying the same
in CBS. The undersigned will not be held responsible for the genuineness/authenticity of documents like
FIR, Death Certificate, Postmortem report, etc submitted by the claimant to the Insurance Company. It shall
be the responsibility of the Insurance Company to ascertain their authenticity. All further correspondence
should be made directly between the claimant and the Insurance Company. The claim settlement will be
entirely the responsibility of Insurance Company. All settlements/disputes will be between the claimant and
the Insurance Company and the Bank will not be a party to such disputes.

For State Bank of India


Branch Name
Branch Code Signature of Branch Manager (SS No. )
Date: Name of the Signing Officer:

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy