To be issued on the letterhead of the Bank Branch Date:

To,
IDBI Federal Life Insurance Company
Corporate Office, Mumbai

Subject: Loan Account No. ______________________________ in the name of _____________________________

vide IFLI Policy No. _____________.
We have received the intimation of death of the captioned loan account holder; date of death is _______________
As required by you, we give the requisite confirmations as under:

Sr. No. Particulars Details

a) Name of the Group Master Policyholder
b) Group Master Policy Number
c) Name of Insured Member
d) Date of Commencement of Risk
e) Sum Assured for which the Member of the Group Insurance Policy
was insured
f) Original Amount of Loan (Loan amount sanctioned by the bank)
g) Particulars of the recoveries made by the Master Policyholder
towards the Loan
h) Outstanding loan balance as on date of death
i) Balance Claim Amount (difference between the sum assured
referred under (e) above and Outstanding loan Balance referred
under (h) above)
j) RAC Suspense Account Number (for IDBI Bank RAC Cases)
Loan Account No. (for Federal Bank Cases)
k) IFSC Code
*In case of Loansurance with reducing cover option, death benefit shall be computed basis the cover month in which the insured expires

Additional Details to be filled for Loansurance Cases:

1) Was the loan account of the insured ever declared a non
performing asset during the currency of the policy
2) Did the surety / guarantor for a loan taken by a business entity
cease to be surety / guarantor
Additional Details to be filled for Homesurance Cases:
1) Initial Rate of Interest on the loan availed
2) Tenure of the loan sanctioned by the bank
3) Is the outstanding amount as on date of death inclusive of overdue
interest: YES/NO. If YES, please state the Overdue Interest Amount
4) If Yes (for Q. No. 3), details of Unpaid amounts and penalties, if any
5) Confirmation that all EMIs up to the date of death have been paid
in full (YES/NO)
6) Details of any top-ups sanctioned / draw downs / Drawing Power
(DP) accounted:

THE INFORMATION /DETAILS FURNISHED ABOVE ARE VERIFIED FOR ACCURACY.

Bank Branch Manager (Stamp & Signature)

Version 1.1
25.06.2019