Pradhan Mantri Suraksha Bima Yojana Application Form Download

Pradhan Mantri Suraksha Bima Yojana has been started by the central government to provide insurance cover of Rs. 2 Lakh at just cost of Rs. 1 per month. Haryana Government has introduced the PM Accidental Insurance Scheme in the state enabling citizens of the state to get benefited. Under Pradhan Mantri Suraksha Bima Yojana Haryana, accidental insurance cover amount will be offered to candidate or family in case of death and disability (including 100% blindness or loss of both hands/feet).

In case you are looking to apply for this central government insurance scheme. Below you will get Pradhan Mantri Suraksha Bima Yojana Application form in Hindi and English Format.

Check PMSBY Eligibility Criteria

• Minimum Age for applying is 18 Years and above


• Only candidates below 70 Years can apply for the scheme.


• Aadhar Card linked saving bank account.


• In case of Joint Account holders, both the Account holders are eligible to join on payment of premium for each account holders.

Benefits of PM Suraksha Bima Yojana

	Table of Benefits	Sum Insured
1	Death	2 Lakh
2	Non-recoverable and complete loss of both eyes/ loss of both hands and feets/ loss of one eye and loss of use of both hands and feet	2 Lakh
3	Non-recoverable and complete loss of sight of one eye/r loss of use of one hand or foot	1 Lakh

Download Pradhan Mantri Suraksha Bima Yojana Application Form

Those who fits above eligibility criteria and interested in taking benefits of this Central government insurance scheme. Can apply for scheme by downloading PDF of form from the link below

Click or tap you finger here to get PM Suraksha Bima Yojana Application Form in Hindi and English.