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Cash Back Encashment Form

Required documents

  • Completed Cash Back Encashment Form

  • Copy of ID card

  • Proof of bank account number

Send us the completed form with the original required documents

by post or drop it at your nearest NIC branch.

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Maturity Encashment Form

Required documents

  • Completed Maturity Encashment Form

  • Original  Policy Contract

  • Copy of ID card

  • Proof of bank account number

  • Stop standing order instruction

Send us the completed form with the original required documents

by post or drop it at your nearest NIC branch.

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Claimant's Statement Death Claim Form

Required documents

  • Completed Claimant's Statement Death Claim Form signed by the beneficiary

  • Original Policy Contract

  • Copy of ID card (beneficiary & insured)

  • Birth certificate (beneficiary & insured)

  • Marriage certificate (if beneficiary is married)

  • Cause of death & death certificates

  • Affidavit (if beneficiary is not designated)

  • Police report (in case of accident)

Send us the completed form with the original required documents

by post or drop it at your nearest NIC branch.

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Claimant's Statement Disability Claim Form Medical Certificate & TPD Form

Required documents

  • Completed and signed Claimant's Statement Disability Claim Form

  • Original Policy Contract

  • Copy of ID card

  • Medical certificates 

  • Medical appointment cards

  • Physician's statement

  • NPF Forms/Social Security Card

  • Police report (in case of accident)

Send us the completed form with the original required documents

by post or drop it at your nearest NIC branch.

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Accident Indemnity Claim Form

Required documents

  • Completed Accident Indemnity Claim Form​​

  • Copy of ID card

  • Physician's statement

Send us the completed form with the original required documents

by post or drop it at your nearest NIC branch.

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Health Declaration Form

Required documents

  • Completed Health Declaration Form​​

  • Copy of ID card

  • Written request from client to revive policy

Send us the completed form with the original required documents

by post or drop it at your nearest NIC branch.

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Application for Change in Policy Contract Form

Required documents

  • Completed Application for change in policy contract Form.

  • Original Policy contract

  • Copy ID card

  • Copy of recent utility bill, not exceeding last 6 months for change in address

  • New application form duly filled in to add Additional Death Benefit (ADB) or Total and Permanent Disability (TPD) Benefit or to change your policy from single to joint 

  • New standing order for change of amount of insurance and premiums.

Send us the completed form with the original required documents

by post or drop it at your nearest NIC branch.

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Arrears Repayment Agreement Form

Required documents

  • Completed Arrears Repayment Agreement Form

  • Original Policy Contract

  • Copy ID card

  • Amended Standing Order Form

  • Settlement of premiums in arrears

  • Completed Application for Change in Policy Contract Form, if applicable

Send us the completed form with the original required documents

by post or drop it at your nearest NIC branch.

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Disclaimer Form

Required documents

  • Completed Disclaimer Form

  • Duly stamped police form PF77

  • Copy of ID Card

Send us the completed form with the original required documents

by post or drop it at your nearest NIC branch.

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Cancellation Form

Required documents

  • Completed Cancellation Form

  • Original Policy Contract

  • Copy ID card

  • Proof of bank account number

  • Stop standing order instruction

Send us the completed form with the original required documents

by post or drop it at your nearest NIC branch.

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