• June 23, 2020

APGLI RELATED FORMS ♥→. Proposal for insurance on own LifeFresh/ Enhancement) · Declaration Regarding Loss of Policy · Nomination. APGLI Form – Free download as Excel Spreadsheet .xls), PDF File .pdf), Text File .txt) or read online for free. èþÐèþ ‘¯é ¯ðþ™ FORM No. 12 ÁÐèþ’ÔéQ yðþ”ÆðÿMæütÆóÿr, B™É«æþÉç³ §óþÔ ý, òß”§æþÆé»ê§æþ. DIRECTORATE OF INSURANCE.

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The Scheme was originally started in by the Nizam of erstwhile State of Hyderabad for the welfare of his employees.

New APGLI Proposal Form – APGLI Application Form for New Employees

APGLI policies do not lapse. The Premium rates are low.

In case of maturity of apgi policy, the total Sum Assured and Bonus till Date of Maturity are paid to the policy holder.

If the Policy Holder ceases to be Government servant, and decides to surrender the policy by discontinuing the payment of Premium, the subscriber will be paid the Surrender Value and the eligible Bonus. In case of Death of policy holder before maturity of the policy, the full Sum Assured along with Bonus till date of death are paid to the fform heirs.



The following are the compulsory Premium Slab Rates: Pay Slabs In Rupees. Compulsory Premium Rate In Rupees. In respect of second or subsequent policies also, the policy holder has to submit proposal forms and obtain subsequent policies. Only premium payment without submission of proposal form will not give foorm risk coverage or monetary benefit to the subscriber and such payments will be treated as unauthorized amounts which will be refunded on application with out any interest forrm bonus.

Employees who have for, 53 years of age are not eligible to take APGLI policies first or subsequent. Proposals submitted after 53 years of age will not be considered for issue of policies even if premiums are paid prior to 53 years of age. The premium is recovered at source in the salary bills of the employees and the details are sent through schedules.

Please quote the department service head and also DDO number in the Challan. The employee has to submit the above declaration form along with the copy of the monthly schedule to the respective District Insurance Office for obtaining the duplicate policy.

Download APGLI Forms | Important APGLI Forms |

Clearance of Missing Credits. How to avoid Missing Credits. The Drawing Officers have to verify the correctness of the APGLI policy numbers in the schedules with reference to the aptli bonds issued by the Department. If wrong Policy numbers are quoted in the schedules, the premium cannot be posted to the individual accounts and missing credits will arise.


The correct policy numbers once recorded in the schedules should not be changed every month. The employees also have to verify the correctness of their policy numbers mentioned in the monthly schedule at least once in apglo year.

The policy number may be recorded in the first page of SR Service Register of the employee as a permanent record.

The Drawing Officers may depute the concerned establishment staff to the respective District Insurance Office for updation apgki premiums in case of missing credits. Name of the Form. Proposal for Insurance on Own Life. Declaration on Loss of Policy. Refund Form-Other than Death Claim. Refund Form – Death Claim. Details of Government Order. Declaration of simple reversionary bonus to the Policy holders of Andhra Pradesh.

Government Life Insurance Department.