Annexure to Electronic Proposal Number 3YYJ691193
Dear Customer,
Placed below is the link to download your proposal form along with Benefit Illustration, Need Analysis, FATCA and other forms.
You are requested to download these documents and validate them by going through the process steps as given below.
Customer Declaration
I/We Ms. Asha Devi Verma confirm that I/We have submitted the above referred electronic proposal to buy SBI Life Smart Platina
Young Achiever on my/our own accord.
I/We also confirm that SATISH KUMAR (Name of Life Mitra/CIF) bearing code no. 991698001 has explained the product features
and benefits with documentation/information to me/us in my own language. I/We have also read and reviewed the need analysis,
custom benefit illustration including the health questionnaire and understood/answered the same, and I/We am/are satisfied with
the product features.
Aadhaar Consent
I, Ms. Asha Devi Verma, hereby give my voluntary consent to SBI Life Insurance Company Limited (SBI Life)
and authorise the Company to obtain necessary details like Name, DOB, Address, Mobile Number, Email,
Photograph through the copy of Aadhaar card / QR code available on my Aadhaar card / XML File shared
using the offline verification processof UIDAI.I understand and agree that this information will be exclusively
used by SBI life only for the KYC purpose and for all service aspects related to my policy/ies, wherever KYC
requirements have to be complied with, right from issue of policies after acceptance of risk under my
proposals for life insurance, various payments that may have to be made under the policies, various
contingencies where the KYC information is mandatory, till the contract is terminated.
I have duly been made aware that I can also use alternative KYC documents like Passport, Voter's ID Card,
Drivinglicence, NREGA job card, letter from National Population Register, in lieu of Aadhaar for the purpose
of completing myKYC formalities. I understand and agree that the details so obtained shall be stored with
SBI life and be shared solely forthe purpose of issuing insurance policy to me and for servicing them. I will
not hold SBI life or any of its authorized officials responsible in case of any incorrect information provided by
me. I further authorize SBI life that it may use my mobile number for sending SMS alerts to me regarding
various servicing and other matters related to my policy/ies.
I, Ms. Asha Devi Verma hereby give my consent to SBI Life Insurance Company Limited (SBI Life) to use my Mobile No.
9999623807 for sending One Time Password [OTP] for authentication purposes and I hereby agree and consent that the
authentication through OTP verification will be considered as my signature on the Proposal Form and that there is no need for my
physical signatures on these documents once OTP based authentication is done.SBI Life Insurance Company Limited (SBI Life)
has informed me that this OTP would be used only for processing my SBI Life application form for Smart Platina Young Achiever
Do You want to receive all communication through Whatsapp? Yes
Authorised via OTP - OTP, shared for June 30, 2025
proposal number 3YYJ691193 on June Date
30, 2025
Signature of Proposer
