www.sbsfin.com


    Personal Information :




    Family Information :


    Sr.No. Name of Children Date of Birth Blood Group Contact Addressand Tel. No’s(if different)


    Ready Reference :Mobile / Phone (Self) :


    Name Office Address Residence Address Mobile/Contact Number
    A Family Doctor
    B Specialist Doctor (if any)
    C Tax Consultant / Chartered Accountant
    D Lawyer
    E Financial Advisor
    F Insurance Agent
    1. Life
    2. General
    G Stock Broker


    Document Details :


    Sr.No. Document Location
    1 Birth Certificates
    2 Legal Documents File
    3 Marriage Certificate
    4 Identity Proofs ( Passport / Aadhar / Pan / Voter Card )
    5 Rent receipts
    6 Education Certificates
    7 Original Will / Copies Will
    8 Bank File ( FD Receipt, Bank Passbook / Statements /
    Cheque Book / Locker Details )
    9 Small Savings File (PPF, MIS, NSC etc.)
    10 Credit Card/Debit Card Correspondence
    11 Credit Card/Debit Card Correspondence
    12 Investments File ( Mutual Funds statements, Share statement,
    Bond Certificate etc.)
    13 Income Tax Files
    14 Real Estate Document File
    15 Club Membership File
    16 Employment records
    17 Gurantee / Warranty card and Instruction Manual for
    home appliances
    18 Others


    Life Insurance Details :


    Sr.No. Name / Nominee Insurance Co. & Policy No. Amt. Insured Issue Date/ Maturity Date Premium Remarks
    1 Date of last payment
    Date of Maturity
    2 Date of last payment
    Date of Maturity
    3 Date of last payment
    Date of Maturity


    Non-Life Insurance Details :


    Sr.No. Name / Nominee Insurance Co. & Policy No. Amt. Insured Issue Date/ Maturity Date Premium Remarks
    1 Date of last payment
    Date of Maturity
    2 Date of last payment
    Date of Maturity
    3 Date of last payment
    Date of Maturity


    Medi Claim Policy Details


    Sr.No. Name & Type of Policy Policy No./ Previous Policy No. Amt. Insured Issue Date/ Maturity Date Premium Remarks
    1 Floater Policy
    2


    Vehicle Insurance Policy Details :


    Sr.No. Name / Vehicle Policy No./ Issuing Office Amt. Insured Issue Date/ Maturity Date Premium Remarks
    1 Reg. No.

    Model Name
    & No.
    Engine No.
    Chassis No.
    Mfg Yr. CC-

    Nominee-
    Agent Name
    & Mobile No.    		 Vaild till
    2
    3


    Fire / Burglary Insurance Details :


    Sr.No. Name of the Property / Nominee Policy No./ Issuing Office Amt. Insured Issue Date/ Maturity Date Risks Covered Premium Remarks
    1
    2


    Bank Accounts :


    Name & Address of Bank Type of Account
    SB/CA/OD    		 Account No. Name of Joint Holder Mode of Operation Nominee Remarks
    Self
    Spouse
    Children
    Parents
    Business


    Remember

    – To have account in atleast two names either with spouse/parents or child.

    – To have mode of operation as either or survivor.

    – Do Not sign blank cheques nor keep them in cheque book.

    – Update your passbooks. Cross Cheque your ATM deposits/withdrawals with passbook entry periodically.

    – Keep your cheque book safely.


    Are Your Aware of ?
    – Nomination facility. If not Contact your bank for the same.


    Demat and Trading Account Details :


    Sr.No. Name of Holder(s) Depository Participant Name & Address Client ID No. Registered Bank Details Premium Remarks
    DP ID. No. Mode of Operation


    Fixed Deposit / Corporate FD / Tax Free Bonds and Others :


    Bank / Company Name & Branch Type of Dep. (SDR / FDR / RD) FDR No. Date of Dep. Amt. (Rs.) Due Date Nominee/s Specimen Signature Loan / OD availed


    Mutual Fund / ETF Investments :


    Investor Name Fund Scheme Option No. ofb Units Mode of Holding Nominee Remarks


    Shares :


    Company No. of Shares Demat A/c. No. Demat Bank Details Held Singly / Jointly


    Investments in Post Office Schemes - NSC/KVP/IVP


    Sr.No. Name of Scheme Name of Holder(s) Issuing Post Office Date of Purchase. Date of Maturity Nominee Remarks
    Certificate No. Amount Invested (Rs.) Maturity Value (Rs.)
    1
    2


    Remember

    - To inform the post office of the maturity date in advance to reserve cash in order to avoid disappointment on the maturity date.

    - To avail of nomination facility in respect of your post office schemes.


    Investments in Post Office Schemes - MIS/RD/OTHERS


    Sr.No. Name of Scheme Name of Holder(s) Issuing Post Office Date of Investment/Installment Date of Maturity Nominee Remarks
    Account No. Amount Invested (Rs.) Maturity Value (Rs.)
    1
    2


    Remember
    -To inform the post office of the maturity date in advance to reserve cash in order to avoid disappointment on the maturity date.
    - To avail of nomination facility in respect of your post office scheme.


    Lockers :


    Bank Name & Branch Locker No. In the Name of Code Rent Remewal Date Nominee List of Content


    Public Provident Fund (PPF)


    Name of Holder Bank Name & Branch PPF A/c. No. Date of Opening Date of Maturity Nominee/s


    Provident Fund (Company)


    Sr. No. Name of Owner Name of Employer Withdrawal / Loan Account Start Date/ Month/Year Nominee Remark
    PF Account No.


    Remember

    – To Submit your nomination to the Govt. Provident Fund Office/your Company.

    – To Check your own record of closing balance with the statement given to you by your Govt. Provident Fund Office/Your Company.


    Pension A/c :


    Bank Name & Branch Type of Account & Pension A/c. No. Operating Instruction Pension Payment Order No. Nominee/s Due Date for Live Certificate Signature


    ATM / Debit Card Details :


    Sr. No. Name Issuing Bank & Branch Contact No. / Email ATM / Credit Card No. Issue Date Vaild Thru CVV No. Remarks


    Credit Card Details :


    Sr. No. Name Bank’s Name Contact No. ATM / Credit Card No. Vaild From Vaild Thru CVV No. Remarks / T-Pin


    Pancard Details :


    Sr. No. Name Father’s / Husband Name Pancard No. / Issue Date Contact Details
    /
    /


    Passport Details :


    Sr. No. Name Passport No. Issue Date Expiry Date Issuing Authority Previous Passport Details


    Electricity Details :


    Sr. No. Name House Details Meter No. Customer No. Deposit Rs. Remarks


    Gas Cylinder Agency Service Details :


    Sr. No. Name House Details Customer No. IOC Serial No. Deposit Rs. Remarks


    Gas Pipe Line Details :


    Sr. No.
    Name
    House Details
    Meter No. / Route No.
    Consumer No.
    Deposit Rs.
    Remarks


    Land Line & Mobile (Postpaid) Details :


    Sr. No. Name House Details Phone No. Customer ID / Account No. Deposit LL / Broad Band Wifi Rs. Remarks


    Driving License Details :


    Sr. No. Name Driving License No. / Licencing Authority Issue Date Vaild Details / Vaild From Vaild Till Remarks


    Ration Card Details


    Sr. No. Name Ration Card No. / Issuing Authority Issue Date Remarks


    Aadhar Card - UID Details :


    Sr. No. Name Aadhar Card No. / Enrollment No. Issue Date Remarks


    Election Identity Card Details :


    Sr. No. Name Father’s / Spouse Name / Children Identity Card No. Issue Date


    Real Estate Detail


    Sr.No. Brief Description of Land/shop /property / Flat /Bungalow Name of Property Holders ( with ownership ratio) Property Area Property Address Acquisition Mode Inherited/ Gifted Purchase & Date Purchase Value (Plus Stamp duty,VAT & other Charges) Remarks
    Land
    Build Up
    Carpet


    House Tax Details :


    Sr. No. Name House Details Census No. Property Identification No. (PIN) Construction Sq. Mtrs. Remarks


    Income Tax :


    Permanent Account No. Ward No. and Office Address Last Return Filed File No.


    Will :



    My will is executed on :

    Copy of the will is kept at :

    Power of Attorney :


    Power of Attorney executed for Wife / Son / Others

    Power of Attorney Details :

    Deed Executed on :

    Details kept in File No.


    My Debt / Liabilities :


    (a) I am guarantor of Mr. / Mrs.

    Give complete details :

    1.

    2.

    (b) I have borrowed from :

    ( Give complete details )

    (b) Other Liabilities


    Notes :




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