Suraksha Bima Yojana Forms – Application & Claim Forms

Suraksha Bima Yojana Forms 

Download Application Form and Claim Form of Pradhan Mantri Suraksha Bima Yojana Form in various languages i.e. Hindi, English, Gujarati, Tamil, Telugu, Odia, Kannada & Bengali (Bangla).

Pradhan-Mantri-Suraksha-Bima-Yojana-joining-Enrollment-FormIf you are interested in applying to PM Accidental Insurance Scheme, firstly, you need to get the forms. Here the article contains the Pradhan Mantri Suraksha Bima Yojana Application Forms & Claims forms, which can be downloaded in different languages i.e. Hindi, English, Bangla, Tamil, Telugu, etc. Applicants who want to register in the scheme need to download the forms in PDF format and should take the print out for later purpose.


The Suraksha Bima Yojana ensures the applicant from any accidental damage with a premium of Rs. 12 per year, which is 1 Rs. Per month. If you are also interested in the scheme and want to apply for it, all you need is to download and fill the application form. If you want to claim then, download the claim form and submit it to the respective bank.

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

Click the links below to download the PM Suraksha Bima Yojana Application Forms in your preferred language.

Suraksha Bima application form in Hindi
Suraksha Bima application form in English
Suraksha Bima application form Gujarati
Suraksha Bima application form in Bangla
Suraksha Bima application form Odia
Suraksha Bima application form Tamil
Suraksha Bima application form Telugu
Suraksha Bima application form Marathi

Below is the Sample –



Those who wish to apply for the insurance in the event of any accident must download the claim form.

Click this links below to visit the PM Suraksha Bima Yojana Claim forms official documents and get it in your preferred language.
Suraksha Bima Claim Form Hindi
Suraksha Bima Claim Form English

Check below the claiming process –

Claim-Process-for-Suraksha-Bima-YojanaFill up the Forms.

Desired applicants can download the application forms from the links given above. Once downloaded, take the printout and start filling each of them. Each and every detail in the form should be filled apparently. The details to be filled in the application form include Name, Contact information, Aadhaar number, Nominee details, etc. Nominee details are most important, so dual check the entered information. Apart from English, the PMSBY application form is available to download in other languages as well.

In case the accident happens, the claim form is required. The information to be entered in the form includes details of the accident, Bank and address details of the claimant, etc.

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

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