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A person can fill the beneficiary form if he/she is above 18 years of age and is mentally sound.
Full name
Relationship to you
Date of birth of Beneficiary
Portion of the total benefit (in %)
Acknowledgment and Agreements
I have selected the above category for the distribution of my death benefit payable through the [Company] to ___ .I understand that my death benefits will be paid according to the beneficiary nominated