Post Office Revival Application
Post Office Revival Application form Download
This document is the official Application for Revival of Postal / Rural Postal Life Insurance (PLI / RPLI) Policy. It must be filled out in CAPITAL letters by a policyholder who wishes to reactivate a lapsed life insurance policy after non-payment of premiums (1005n4g2vz… p. 1).
📋 Core Purpose of the Form
- Policy Reactivation: Reinstates a lapsed PLI or RPLI policy to restore full life insurance coverage benefits (1005n4g2vz… p. 1).
- Health Declaration: The applicant legally certifies that they have continued to remain in good health without interruptions from the date of the first unpaid premium until the current application date (1005n4g2vz… p. 1).
🔑 Key Fields & Information Required
1. Insurant & Address Details
- Insurant Profile: Full name grid separated into First, Middle, and Last name (1005n4g2vz… p. 1).
- Communication Address: Comprehensive grid mapping for your Village, Taluka, City, District, State, Country, and PIN Code (1005n4g2vz… p. 1).
- Contact Matrix: Full phone number log covering office numbers, residential landlines, and active mobile numbers (1005n4g2vz… p. 1).
2. Policy Particulars & Premium History
- Policy Tracker: The exact alphanumeric Policy Number, numeric Sum Assured, Date of Acceptance, and Date of Maturity (1005n4g2vz… p. 1).
- Frequency Choice: Selection check-boxes indicating how you pay your regular premiums: Monthly, Quarterly, Half-Yearly, or Yearly (1005n4g2vz… p. 1).
- Default Records: Written declarations stating the exact timeline/period for which the premiums are currently due, alongside the explicit reason for the non-payment (1005n4g2vz… p. 1).
3. Payment Processing Routing
- Post Office Mapping: Standard grid lines to explicitly nominate where you prefer to pay your future premiums, requiring both:
- Name of the target Sub Post Office (1005n4g2vz… p. 1).
- Name of the corresponding Head Post Office (1005n4g2vz… p. 1).
⚠️ Mandatory Enclosures
- Medical Certificate: You must physically enclose a certified Medical Certificate to prove your continuous good health status and fitness for coverage reinstatement (1005n4g2vz… p. 1).
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Read more
Post Office Pay in Slip [SB-103] from Download
Post Office Personal Bond of Indemnity for Death Claim from Download
Post Office Personal Bond of Indemnity For Maturity/Survival Benefit Claim from Download
Post Office PLI Proposal Form download
Post Office Proforma for issue of Commemorative stamps from Download
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