J & K Resident
Source of Business	Vesting of SBI Life’s pension policy Open Market Option (Any other Life Insurance Company pension policy) New proposal
Proposal Date
Channel Details	Retail Agency Bancassurance New proposal Broking Corporate Agency Corporate Solutions Direct Others
If Others, Please specify
Mode of Annuity Payout	Monthly Quarterly Half yearly Yearly
Annuity Option	Lifetime Income Life time Income with Capital Refund Life time Income with Capital Refund in parts Life time Income with Balance Capital Refund Lifetime Income with annual increase of 3% Lifetime Income with annual increase of 5% Lifetime Income with certain period of 5 years Lifetime Income with certain period of 10 years Lifetime Income with certain period of 15 years Lifetime Income with certain period of 20 years Life and Last Survivor - 50% Income Life and Last Survivor - 100% Income Life and Last Survivor with Capital Refund - 50% Income Life and Last Survivor with Capital Refund -100% Income
Do you want to choose Accidental Death Benefit Rider	Yes No
If Yes, then applicable for	First Annuitant
Do you want to advance your annuity payout	No Yes
If Yes, from which date
Annuitant Details	.
First Annuitant	.
Name
Age
Gender	Male Female
You want to Opt for ?	Annuity Payout Amount Premium Amount
Vesting Amount
Annuity Amount