RELIGRE Health 2026

1. Click ‘Get Form’ to open the RELIGRE Health document in the editor.
2. Begin by filling in the 'Policy/Proposal Number' and 'Intermediary Code' fields as required. Ensure accuracy to avoid processing delays.
3. In the section where you identify your capacity, select one of the options: Proposer, Insured, Claimant, Hospital, Agent, or Broker by ticking the appropriate box.
4. Provide your bank account details. Fill in the 'Account Holder's Name', 'Bank', 'Account Number', and 'Type of Account'. Make sure to enter the complete account number as it appears on your cheque book.
5. Complete the 'Branch Address', 'MICR Code', and 'IFSC Code' fields. Refer to your cheque book for accurate codes.
6. Attach a photocopy of a cancelled cheque or a blank cheque. If necessary, include a bank statement or obtain bank attestation if the cheque does not bear your name.
7. Finally, review all information for correctness before signing and dating the application at the bottom of the form.

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