Pradhan Mantri Suraksha Bima Yojana (PMSBY) Form | Download PDF (All Languages)

Pradhan Mantri Suraksha Bima Yojana Form – Download Application Form and Claim Form in Hindi, English, Gujarati, Tamil, Telugu, Odia, Kannada & Bangla Language

If you have decided to apply for PM Accidental Insurance Scheme, you need to get the forms first. This article contains the Pradhan Mantri Suraksha Bima Yojana Application Forms & Claims forms which can be downloaded in Hindi, English, Bangla, Tamil, Telugu, etc. Applicants who want to enroll in the scheme need to download the forms in pdf format and must take the print out.

Pradhan Mantri Suraksha Bima Yojana Application Form

The Suraksha Bima Yojana insures the applicant from any type of accidental damage with a premium of Rupees 12 per year which is 1 Rupee per month. If you are interested in applying, you need to download and fill the application form. If you want to claim, download the claim form and submit it at your bank.

The PMSBY Application Form can be downloaded in Hindi, English and even in Malayalam. The application form must be downloaded by those who wish to join the scheme

CLICK HERE to visit the PM Suraksha Bima Yojana Application Form Download Page and get the form in your preferred language.


Suraksha Bima Yojana (Scheme) Claim Form

The claim form must be downloaded by those who wish to claim the insurance in event of an accident.

CLICK HERE to Visit PM Suraksha Bima Yojana Claim form download page and get it in your preferred language

Here is the claiming process –


Filling the Forms

Applicants can download the application formats from the pages given above. Once downloaded it is important to take the print out and start filling them. Each and every detail in the form should be filled clearly. If we talk about the application form, the details to be filled include Name, Contact information, aadhaar number, Nominee details etc. Nominee details are most crucial so double check the entered information. Apart from English, The PMSBY application form is available to download in various other languages like Hindi, Bengali, Marathi, Odia, Tamil, Telugu and Gujarati ( as mentioned above)

The claim form is required in case the accident takes place. The information to be entered in the form include details of the accident, Bank and address details of the claimant etc.

If you have any other query regarding PM Suraksha Bima Yojana Forms, kindly write it down in the comments section below.

  • Ankit kumar says:

    Up to which date I can submit the form for PM surkasha bima yojna?

  • kamal mahajan says:

    I want to know that the insured person with the Punjab & Sind Bank under the Pradhan Mantri Suraksha Bima Yojana gets electrocuted & then within 30 days of his death the claim papers
    are filed with the respective bank at Tanda Urmar & if the relative approach the bank for the
    claim & ask the bank people and if the don’t listen what is to be done & whom to approach

  • ASHO KUMAR ROY says:

    i have no received pradhan mantri suraksha bima policy document . i have already policy holder . bank already debit from my saving account


    My father was a Jan dhan yojona account holder. Accidentally he was died by snake bite on 23 rd april 2016. The account was continued by him.But his ATM card is not activated. Because the pin was not available on bank.At that time are we get any claim by this account? If possible what is the procedures? How much the amount?

  • prince arora says:

    Dear sir,

    i request to u please start the medicalim yojana faclilty for all poor people in less amount.

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