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Declaration

  1. I/We hereby declare that the particulars given above are correct and complete in all respects. if the transaction is delayed or not effected for incomplete or incorrect information or due to non-availability / insufficient funds in the said bank account, I will make alternative arrangements for payments of the said premium contribution and will not hold Exide Life Insurance Company Limited or Bank responsible for the same.
  2. I/we authorize the representative of Tech Process Solutions Ltd. carrying this Direct Debit Mandate form to get it verified and executed.
  3. I/We unconditionally and irrevocably authorize the bank to debit my account for charges towards mandate verification and transactions bounced as applicable.
  4. I agree to any increase in deductions due to change in government regulations/ service tax rates/scheduled increase as per the product features or change in frequency of premium payment and authorize Exide Life Insurance Company Limited to effect it with the bank directly. No fresh mandate form will be required.
  5. I/We agree for the bank account mentioned in this mandate to be used by Exide Life Insurance Company Limited to credit any policy related payouts payable to me and will be used when primary account holder is the policyholder of the policy and the policy is not assigned to a third party.
  6. In the event if my account has been debited with incorrect premium or if there is any dissatisfaction with the Direct Debit procedure of Exide Life Insurance Company Limited, Bank or any service provider the first resource shall be to approach Exide Life Insurance Company Limited for rectification or resolution.
  7. I understand that no premium notice / reminder or premium receipt will be sent for premiums paid through Direct Debit mode.
  8. I/We have read the terms and conditions written overleaf and agree to the same.

Terms and Conditions.

  1. I/We hereby declare that the particulars given above are correct and complete in all respects. if the transaction is delayed or not effected for incomplete or incorrect information or due to non-availability / insufficient funds in the said bank account, I will make alternative arrangements for payments of the said premium contribution and will not hold Exide Life Insurance Company Limited or Bank responsible for the same.
  2. I/we authorize the representative of Tech Process Solutions Ltd. carrying this Direct Debit Mandate form to get it verified and executed.
  3. I/We unconditionally and irrevocably authorize the bank to debit my account for charges towards mandate verification and transactions bounced as applicable.
  4. I agree to any increase in deductions due to change in government regulations/ service tax rates/scheduled increase as per the product features or change in frequency of premium payment and authorize Exide Life Insurance Company Limited to effect it with the bank directly. No fresh mandate form will be required.
  5. I/We agree for the bank account mentioned in this mandate to be used by Exide Life Insurance Company Limited to credit any policy related payouts payable to me and will be used when primary account holder is the policyholder of the policy and the policy is not assigned to a third party.
  6. In the event if my account has been debited with incorrect premium or if there is any dissatisfaction with the Direct Debit procedure of Exide Life Insurance Company Limited, Bank or any service provider the first resource shall be to approach Exide Life Insurance Company Limited for rectification or resolution.
  7. I understand that no premium notice / reminder or premium receipt will be sent for premiums paid through Direct Debit mode.
  8. I/We have read the terms and conditions written overleaf and agree to the same.

Sign Up for Direct Debit

Step1. Your Policy Details

Please enter Policy Holder Name
Please enter a valid Birth date
Enter 8 digit policy number, which you can find in your policy bond.
Please enter Policy Number
Incase the preferred date opted is beyond 14 days from the premium due date, Exide Life Insurance Company Ltd would set the debit date to the next available preferred date. Premiums will be debited on preferred debit date chosen by you.
Please select Direct Debit Date
Please enter Phone Number
Please Enter Valid Number
User with matching Policy Number and Date of Birth does not exist.

Step2. Your Bank Account Details

Please select Bank Name
Please select Account Type
Please enter Bank Branch
Please enter Bank Address
Please enter MICR Number
Please enter 9 digit MICR Number
Please enter Account Number
Check the List of Approved Banks
Bank Account Holder Details
Please enter name of First/Sole Account Holder
Bank Account Holder Details
Please select Relationship
Generate OTP Back

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*The OTP will be valid only for the next 15 minutes. In case, if you have not received the OTP, click on Regenerate OTP.

Thank you for your interest in Direct Debit Payment Option

Please follow the simple steps to complete Direct Debit registration

  • Click here to downloadand print your pre-filled Direct Debit mandate form. A copy of the same has been sent to your registered email ID
  • Policy holder and account holders to sign the direct debit mandate form
  • Attach a cancelled cheque copy (with your name and account number printed on the cheque) OR submit a duly attested mandate from your bank
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*Clicking on Generate OTP will send a One Time Password to the entered Mobile Number. Please use this password for verification ×

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IRDAI notice : Beware of spurious phone calls and fictitious/fraudulent offers : IRDAI clarifies to public that IRDAI or its officials do not involve in activities like sale of any kind of insurance or financial products nor invest premiums. IRDAI does not announce any bonus, public receiving such phone calls are requested to lodge a police complaint along with details of phone call, number.

Exide Life Insurance Company Limited.
IRDAI Registration Number: 114, CIN:U66010KA2000PLC028273
Registered Office: 3rd Floor, JP Techno Park, No. 3/1, Millers Road, Bangalore- 560 001, India.
2017 Exide Life Insurance Company Limited. All rights reserved.

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