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Online ECS Information

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Policy Details:

TPA Id * CCNumber *
Policy Holder * Policy No *
Mobile No * Email Id.

ECS Details :

Name of account holder *
Account number * IFSC code *  
Bank Name *
Branch Name * MICR code
Branch address *
Account type * Submitted by *
Upload cancelled cheque*
 *
 

* marked fields are compulsary
Terms and Conditions
  1. I hereby declare that the information furnished in above ECS Form is true & correct to the best of my knowledge & belief. If I have Made any false or untrue statement, suppression or concealment of any material fact, my right to claim reimbursement shall be Forfeited.
  2. I agree that I shall not hold TPA/Insurance Company responsible for delay or non-receipt of the payment for any reason whatsoever after issue of the instructions for payment by Insurer/TPA based on the above.
  3. As per the revised RBI guidelines, Canceled cheque should have pre-printed name of account holder.