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༄༅།། འབྲུག་རྒྱལ་ཉེན་སྲུང་ལས་འཛིན་ཚད།
Royal Insurance Corporation of Bhutan Limited

Clientele Information

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Toll Free Number:


1818

Download Forms for Life Insurance

Download the forms for Life Insurance Policies.

A. POLICIES HVAVING DIFFERENT PROPOSAL FORM
1. Children's Money Back Policy Proposal Form  Click here to download
2. Millennium Education New Version Proposal Form  Click here to download
3. Youth Endowment Assurance Plan proposal Form  Click here to download
4. Pho-Mo Joint Life Endowment Assurance proposal Form  Click here to download
5. Quendue Ngensung Life Policy proposal Form  Click here to download
6. Quendue Ngensung Life Policy II proposal Form  Click here to download
7. Ten-Tsai Mangul Ngenchoel proposal Form  Click here to download
8. Drongseb Kuendrel Tshe-sog Ngensung- BDBL proposal Form  Click here to download
9. Request For Duplicate Policy Document  Click here to download
10. Full Medical Report by doctors  Click here to download
11. Authorization Letter for deduction from salary  Click here to download
12. Proposal Review Sheet  Click here to download
B. POLICIES HAVING SAME PROPOSAL FORM
    1. Money Back policy with profit - 12 years
    2. Money Back policy with profit - 15 years
    3. Money Back policy with profit - 20 years
    4. Money Back policy with profit - 25 years
    5. New Version Money Back Plan - 15 Years
    6. New Version Money Back Plan - 20 Years
    7. New Version Money Back Plan - 25 Years
    8. Endowment Assurance Policy
    9. Double Cover Endowment Plan With Profit
    10. Gaki Pelzom Life Policy
 Click here to download
The form can be used for all ten policies
1. Documents required for availing new Life Insurance proposals
   Proposal form duly filled.
   Age proof (Citizenship Identity Card, School certificate, Passport copy).
   Medical documents (case wise, please refer medical chart).
   Authorization Form duly filled (for SSS mode of payment).
2. Documents required for Survival Benefit.
   Original Policy Document of the client or a duly issued duplicate document.
   Copy of Citizenship Identiy Card.
   Revenue stamp
   Discharge voucher has to be signed & witnessed.
3. Documents required for Maturuty Claim.
   Original Policy Document of the client or a duly issued duplicate document.
   Copy of Citizenship Identiy Card.
   Revenue stamp
   Discharge voucher has to be signed & witnessed.
4. Documents required for Death Claim
   Intimation Letter
   Claimant's Statement duly signed by the nominee along with a witness.
   Certificate by Employer (Required only if the deceased was employed).
   Proof of Death (Death Certificate, a letter from Ministry of Home & Cultural Affairs,                    Police or Gup in case of death outside hospital premises)
   Copy of Citizenship Identiy Card(A CID copy of both the deceased and the nominee)
   Original Policy Document
   Investigation Report (in case of very early and early death claim)

Note: In case policyholder authorizes third party to receive benefits, following documents are required:

a. Authorization letter (can be downloaded from RICB website): It has to be signed, witnessed & a legal
    stamp has to be attached as well as attestation needs to be done in case of thumb impression.

b. CID copy of both policy holder and authorized person.


5. POLICY LOAN

Policy loans can be granted to a policyholder against his/ her policy provided the terms and conditions applicable to the policy so permit. Policy loans are paid from the surrender value calculated and maximum of 90% of the surrender value is payable as loan to the policyholder, except for TMN policies which is 65% of the surrender value.

The interest charged on the policy loan is 12%.


Documents required
   Loan Application Form along with Assignment Form (The policyholder has to assign                     the Corporation as Absolute Assignment)
   Original Policy Document or a dully issued duplicate document.
   Surrender Form.
   Copy of Citizenship Identiy Card
   Discharge voucher has to be signed, witnessed & a revenue stamp has to be attached                     as well.
CLAIM FORMS OF POLICIES
1. Claim Form for TenTsai Mangul Ngenchoel II  Click here to download
2. Claim Form for Quendue Ngensung Life Policy II  Click here to download
3. Surrender Application for life polices  Click here to download
4. Investigation Report for Early death claim  Click here to download
5. Customer Updation Form  Click here to download
6. Voluntary Discontinuation Form  Click here to download
7. Policy Closure Form  Click here to download
8. Claim Form For Drongseb Kuendrul Tshe-Sog Ngensung  Click here to download
OTHER FORMS OF LIFE PRODUCTS
1. Moral Hazard Report  Click here to download
2. Absolute Assignment for Life Policy Loan  Click here to download
3. Ordinary Revival Form  Click here to download
3. Special Report for direct bussiness  Click here to download
5. Registration for change in nomination  Click here to download
6. Agent's confidential report  Click here to download
7. a-Form of receipt for Loan Advance  Click here to download
8. b-Loan Assignment for Life Insurance Policy  Click here to download
9. Application for Policy Loan  Click here to download
10. Claimant statement  Click here to download
11. Certificate by Employer  Click here to download
11. Certificate by Employer  Click here to download
12. Authorization Form  Click here to download
13. Change in Mode of Payment  Click here to download
14. Policy History form  Click here to download
15. Health Declaration Form  Click here to download

RICB In Other News

Rural Life Insurance Scheme Revised

The government has revised the existing Rural Life Insurance Scheme (RLIS) to Nu 30,000 from Nu 15,000..Read more in Kuenselonline ->

Our Address
Corporate Office: Post Box 315,
Norzin Lam, Thimphu
E-Mail: contactus@ricb.bt
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Main Branch: Post Box 77;
Phuentsholing
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S. Jaykishan 12, Ho-chi-minh Sarani, Suite - 2D, Kolkata - 700071,Trinity Plaza, 6th floor, Unit 6A, 84/1A,
Topsia Road, Kolkata - 700046