Let's quickly calculate your Premium

Date of Birth*

Gender*

Smoker* If you consume Tobacco, please choose Yes.

Select your preferred Life Cover Payout option:

Lumpsum

Choose this option if you want the whole claim amount to be paid as a lumpsum

Increasing Monthly Income

Choose this option if you want the whole claim amount to be paid as monthly income, increasing @10% p.a. (simple interest)

Lumpsum + Increasing Monthly Income

Choose this option if you want the whole claim amount to be paid as a combination of lumpsum and monthly income, increasing @10% p.a. (simple interest)

Policy Brochure

Toll Free 1800-102-4444
9am to 9pm Monday to Saturday

Please read the sales brochure carefully for details on risk factors, terms and conditions of the product before filling this proposal form. Insurance is the subject matter of the solicitation.

Insurance is a contract of utmost good faith and the Life to be Insured/Proposer (If different from Life to be Insured) is required to disclose all material facts to the insurer. All answers to the questions stipulated in this Proposal form are the basic of and are an inseparable part of the policy of insurance. In case of doubt as to whether a fact is material or not, the fact should be disclosed. Please answer all questions. Please read the sales brochure carefully for details on risk factors, term and conditions of the product before filling this proposal form. Insurance is the subject matter of the solicitation.

Let's quickly calculate your Premium

Gender*

Smoker* If you consume Tobacco, please choose Yes.

Select your preferred Life Cover Payout option:

Your Online Customer id and Quote Number has been emailed to you for your future reference.

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