Lic Reassignment Form Sample Filled Jun 2026

| Field | Filled Value | |--------|----------------| | Full Name | | | Address | HDFC Bank House, Senapati Bapat Marg, Lower Parel, Mumbai – 400013 | | Relationship to policyholder | Previous Mortgagee (Loan repaid in full) | | Policy currently assigned? | Yes – as per assignment dated 01/04/2019 |

This is signed by the Authorized Officer of the bank or institution (with their official seal/stamp). 2. Form of Reassignment (The Legal Transfer)

Once a policy is reassigned to you, any previous nomination is . It is critical to file a fresh nomination immediately after the reassignment is registered to ensure your beneficiaries are protected.

The Assignee is the person/entity receiving the rights. lic reassignment form sample filled

: Since reassignment cancels previous nominations, you should submit Form No. 3750 to name a new nominee. Quick Tips for a Smooth Process

A standard reassignment form consists of two main parts: the and the Reassignment Clause . 1. Notice of Reassignment (The "Cover Letter")

| Field | Filled Value | |--------|----------------| | I acknowledge that the policy has been assigned to SBI as above. | (signature) | | Date | 18/01/2025 | | Place | Pune | | Field | Filled Value | |--------|----------------| |

The Assignor is the person who currently holds the rights under the policy.

| Field | Filled Value | |--------|----------------| | Signed by (Assignor) | | | Designation | Authorised Officer – HDFC Bank | | Place | Mumbai | | Date | 15/01/2025 | | Witness 1 Name | Anjali Desai | | Witness 1 Address | Andheri East, Mumbai | | Witness 1 Signature | (signed) | | Witness 2 Name | Vikram Patil | | Witness 2 Address | Ghatkopar West, Mumbai | | Witness 2 Signature | (signed) |

Usually filled as "Repayment of Loan" or a specific sum of money. Reassign To: [Your Name], the Assured. Form of Reassignment (The Legal Transfer) Once a

This section is critical – without acceptance, assignment is not complete.

You need this form when you have fully repaid a loan for which your LIC policy was kept as collateral. The financial institution "reassigns" the rights of the policy back to you, the original owner.

Application for Reassignment/Transfer of Agency Code.