The Sum Insured is the maximum amount an insurance company is liable to pay the insured person during the policy period, when a claim is made.
(eg: 02228769428)
(Type first 3 digits and select from dropdown)
Sum Insured:
Tenure of the policy:
Policy Start Date:
Flat Building Name:
Area Name:
State Name:
District Name:
City Name:
PinCode No.:
Name:
Gender:
Date of Birth:
Email Address:
Mobile Number:
Relation With Proposer:
Insured Name:
Marital Status:
Proposer Paying the Premium:
` 6,641
Are You an Indian National:
Yes
Income:
`