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If you cannot link your Aadhaar and PAN details through online use this form to link Aadhaar and PAN details
The Branch Manager,
LIC of India,
Re: Linking of my Aadhaar Number and PAN Number to my LIC policies.
I hereby submit my Aadhaar Number and PAN Number as issued by UIDAI and Income Tax Dept ,Govt. of India and voluntarily give my consent to link the Aadhar number & PAN Number to all my below mentioned LIC Policies. I give my consent to obtain and use my Aadhaar Number, Name and fingerprint/Iris and my Aadhaar details to authenticate me with UIDAI as per Aadhaar Act,2016 and all other applicable laws. I also give consent for verification of my PAN No. with Income Tax Department.
LIC of India has informed me that my Aadhaar details and Identity information would only be used for demographic authentication, validation, e-KYC purpose and for all service aspects related to LIC of India.
I will not hold LIC of India or any of its officials responsible in case of any incorrect information provided by me.
My own life Policy Nos. to be linked are:
I enclosed herewith the self attested copies of Aadhaar and PAN Card for incorporating in official records of LIC of India.
(Signature of Policy Holder)
Submit this Aadhaar / PAN Mandate Form duly completed along with the self-attested copy of Aadhaar card & PAN Card / Form No.60 to the nearest LIC Branch for linking of your Aadhaar / PAN number to your LIC policies.