Bank of Baroda Pradhan Mantri Jeevan Jyoti Bima Yojana(PMJJBY) Form Download

The Bank of Baroda Pradhan Mantri Jeevan Jyoti Bima Yojana (PMJJBY) Consent-cum-Declaration Form allows account holders to enrol in the government’s flagship life insurance scheme (pmjjby-con… pp. 1, 5).

Here are the key points from the document:

• Coverage Amount: Offers a life insurance cover of ₹2,00,000 (Two Lakh Rupees) (pmjjby-con… pp. 1, 5).
• Risk Commencement: Your risk cover officially begins from the exact date the premium is successfully auto-debited from your bank account (pmjjby-con… pp. 2, 5).
• Lien Period Clause: A strict 30-day structural lien period applies from your date of enrolment (pmjjby-con… p. 5). If death occurs within these first 30 days due to any cause other than an accident, no insurance claim will be admissible (pmjjby-con… pp. 1, 5). (Note: The Hindi translated text on page 1 mention 45 days, but the primary master scheme rule on page 5 overrides it at 30 days) (pmjjby-con… pp. 1, 5).

• Annual Renewal Premium: A recurring amount of ₹436 per year is auto-debited annually between 25th May and 1st June for continuous coverage renewal (pmjjby-con… pp. 1, 5).
• Pro-Rata Premium Structure: For initial year enrollments, premium is broken down quarterly depending on the joining month (pmjjby-con… pp. 1, 5):
  • June, July, August: Full annual premium of ₹436 (pmjjby-con… pp. 1, 5).
  • September, October, November: Three quarters premium of ₹342 (pmjjby-con… pp. 1, 5).
  • December, January, February: Two quarters premium of ₹228 (pmjjby-con… pp. 2, 5).
  • March, April, May: One quarter premium of ₹114 (pmjjby-con… pp. 2, 5).

• Single Account Rule: You must declare that you have not authorised any other bank or post office to debit a PMJJBY premium (pmjjby-con… pp. 1, 5).
• Forfeiture Clause: If you make multiple registrations across different banks, your cumulative cover remains capped at ₹2 Lakh, and any extra premiums paid across other accounts will be permanently forfeited (pmjjby-con… pp. 1, 5).

• Permissible KYC Documents: You must attach a copy of an officially valid identity proof, limited to: Aadhaar Card, Voter ID (EPIC), MGNREGA Job Card, Driving License, PAN Card, or Passport (pmjjby-con… pp. 3, 6).
• Nominee Details: Mandatory section to document the Nominee’s name, address, birth date, and relationship to the account holder (pmjjby-con… pp. 2, 6).
• Appointee/Guardian: If the designated nominee is a minor, you must appoint a legal guardian, including their full contact details (pmjjby-con… pp. 2, 6).

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