SBI Life Smart Annuity Income Proposal Form Personnel Details     First Name*   First Name cannot be blank. Middle Name Last Name*    Last Name cannot be blank. DOB*   DOB cannot be left blank. Mobile No    Enter Valid Mobile No Mobile No cannot be blank. Product Code * Enter the code shown on above image *    Please enter verfication code. Fields marked * Mandatory.        Please Note:   1. Print the proposal form on A4 size paper. 2. Please use inkjet or laser printer to print the proposal form. Proposal Forms printed on dot matrix printer will     not be accepted. 3. Please ensure that no part of the proposal form goes beyond printable area. 4. Please do not fold the proposal form. 5. The information entered, would be suitably pre-populated in the proposal form you download Insurance is the subject matter of solicitation .IRDAI Registration no. 111 issued on 29th March 2001. Registered & Corporate Office: SBI Life Insurance Co. Ltd, Natraj, M.V. Road & Western Express Highway Junction, Andheri (East), Mumbai - 400 069. ©2010 SBI Life Insurance Company Limited. All rights reserved.