Cic medical claim form 2025

1. Click ‘Get Form’ to open the cic medical claim form in the editor.
2. Begin by filling out 'The Life Assured' section. Enter your title, full name as per ID, nationality, and identification details. Ensure you provide your marital status and date of birth accurately.
3. Proceed to 'The Life Proposer' section if it differs from the life assured. Repeat the same process of entering personal details including contact information and employment details.
4. In 'Beneficiary Details', list up to five beneficiaries along with their dates of birth and relationship to you. Specify the benefit share for each.
5. Complete the 'Policy Details' section by selecting your preferred premium frequency and mode of payment. Fill in the sum assured and total premium amounts.
6. Answer all questions in the 'Health Questionnaire' honestly. Any affirmative answers require detailed explanations in the provided space.
7. Finally, review your entries for accuracy before signing the declaration at the end of the form.

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