Sonali Life Insurance

*** To be filled in by the person legally entitled to the policy moneys. Please Fill in the Form Completely, incomplete filled claim form shall not be accepted.

Policy Number(s):

(Please mention numbers of all Sonali Life Insurance Policies possessed by the Policy holder. Separate by comma.)

Type of Death:

Natural Death Accidental Death

Deceased Information

1. Name of Deceased:

2. Date of Death:

3. Time of Death:

4. Place of Death:
( if abroad )

5. Cause of Death:

6. Last address of Deceased:

Bank Cheque or Bank Statement:

Upload File

Nominee Information

1. Name of Nominee:

2. Present Contact Address:

3. Mobile Number:

4. Bank Name:

5. Bank A/C No.:

6. Bank Branch Name:

7. Name of the Applicant: (If nominee is minor)

8. Relationship with the Nominee:

Please attach supporting documents for Natural Death Claim

1. Original or attested photocopy of Death Certificate from a Hospital/an MBBS Doctor with Registration No. of BMDC.

Upload File

2. Local Government Death Certificate (If any).

Upload File

3. Age Proof of Nominee or Applicant.

Upload File

4. Original Policy Document.

Upload File

Please attach supporting documents for Accidental Death Claim

1. Original or attested photocopy of Death Certificate from a Hospital/an MBBS Doctor with Registration No. of BMDC.

Upload File

2. FIR Report.

Upload File

3. Post-Mortem Report or Waiver Certificate.

Upload File

4. Original Policy Document.

Upload File

If Death in Abroad

1. Original or attested photocopy of Death Certificate from a Hospital/a Doctor where the deceased was treated.

Upload File

2. State of Affair.

Upload File

3. Ministry of Inland(if any).

Upload File

4. NOC of embassy or High Commission of Bangladesh.

Upload File

5. Passport Copy.

Upload File

6. Employment Certificate (If any).

Upload File

7. Airway Bill/Documents.

Upload File

8. Original Policy Document.

Upload File

একক বীমার মৃত্যু দাবি ফর্ম

Deceased Information

Nominee Information

Please attach supporting documents for Natural Death Claim

Please attach supporting documents for Accidental Death Claim

If Death in Abroad