Acknowledgement Slip form Download

The provided document is an official Acknowledgement Slip from the Department of Posts, Ministry of Communications, Government of India (p. 1). It is used for tracking and validating requests to change or correct the names of policyholders, nominees, or appointees within Postal Life Insurance (PLI) or Rural Postal Life Insurance (RPLI) policies (p. 1). [1, 2]

Core Document Details

Purpose: Issued to the insurant upon the submission of a name correction or change form (p. 1).
Authorized Officials: Must be completed, signed, and stamped by a Branch Postmaster (BPM), Sub-Postmaster (SPM), Postmaster (PM), or a PLI-CPC Official (p. 1).
Tracking Elements: Contains specific fields to log the Policy Number, Service Request Number, and the exact date of receipt (p. 1).

Mandatory Document Checklist

The slip functions as a verified checklist where officials record whether required verification items are Yes (Y), No (N), or Not Applicable (NA) (p. 1):

Policy & Identification Proofs:
- Original Policy Bond (p. 1).
- Self-attested identity proof copy of the insurant (p. 1).
- Self-attested address proof copy of the insurant (p. 1).
Name Change Authorities:
- Supporting legal paperwork for changing a policyholder’s name as mandated by the Standard Operating Procedure (SOP) (p. 1).
- Correction documents for listed nominees or minor appointees as per the policy guidelines (p. 1).
Authorized Messenger Documents:
- Self-attested identity proof of an appointed messenger, if the policyholder cannot visit in person (p. 1).
- Self-attested address proof of the chosen messenger (p. 1).
Special Circumstance Provisions:
- A self-attested official medical certificate issued from a Government or Government-accredited hospital (p. 1).
- Alternatively, a self-attested passport photocopy highlighting active visa data and the clear departure date from India (p. 1). [3, 4]