How to fill Claim Form of Pradhan Mantri Suraksha Bima Yojana (PMSBY)

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In Pradhan Mantri Suraksha Bima Yojana (PMSBY) you would be getting an accident Insurance of Rs 2 Lakh, whereas in case of partial disability you would be getting a sum Insured of Rs 1 lakh. In this Yojana you are supposed to pay a premium of Rs 12/- only on yearly Basis. The premium amount would be auto debited from your saving account. The accident insurance is of only one year. That it start coverage from 1 st June 2015 to 31 May 2016.After every year if you wish to continue it. You have to renew it again. In this in case of Accident death or partial disability happens you just have to fill the Claim form and submit it to the bank in which you are enrolled in this scheme.

Download Link of Claim Form in English

http://jansuraksha.gov.in/files/PMSBY/ENGLISH/CLAIMFORM.pdf

Download Link of Claim Form in Hindi

http://jansuraksha.gov.in/files/PMSBY/HINDI/CLAIMFORM.pdf

Sample of Filled Claim Form

claim form

 

 

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