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Policy Information Sheet

Details of Policy Holder

Name

Date of Birth

Communication address

Contact number

Email Id

Your Policy Details

Name of your policy

Policy number

Person insured by this policy

Life insurance cover

Life insurance cover start date

Life insurance cover end date

Additional insurance cover (In case of accidental death)

Additional insurance cover start date

Additional insurance cover end date

Critical illness cover

Critical illness cover start date

Critical illness cover end date

Premium amount

Premium to be paid

You need to pay premiums for

Next due date

* Applicable tax and cess(if any) will have to be paid in addition to premium amount. If any of these details are incorrect or not as per your expectations, please contact us immediately.

Claim Process

If the person insured by this policy dies during the policy term, the nominee or any family member can initiate the process of filing a claim by writing to lifeline@iciciprulife.com or calling us on 1860-266-7766 .

Need Assistance?

Visit us at

www.iciciprulife.com

E-mail us

atlifeline@iciciprulife.com

Call us at

1860-266-7766

This document is a confirmation of the policy as well as the policy holder details, and is provided for general information purposes only. For complete details, please refer the policy document which will be sent to you shortly. Please note that under no circumstances shall this document form a part of or be construed as a valid contract of insurance for all legal purposes.

Registered Address: ICICI Prudential Life Insurance Co. Ltd., Appasaheb Marathe Marg, Prabhadevi, Mumbai-400025. IRDAI Regn No. 105. CIN: L66010MH2000PLC127837. UIN: . COMP/DOC/XXXXXXXX.