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FAQs
01

Quote

02

Payment

03

Personal details

04

Additional details

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Proposer Details (Person who will pay premium for this policy)

Please enter Proposer's First Name
Please enter Proposer's Last Name
Please enter Proposer's Birth date
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Gender*

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Plan Details

Please enter You Invest Amount
This is your Annual Premium(without Taxes)
Please select Premium Paying Option
Please select Premium Mode
Please select Income Payout Frequency
Pleease enter Sum Assured
Please enter Modal Premium
This is the amount (without Taxes) you will be paying annually/ half-yearly/ monthly as per your Premium Mode chosen. For monthly mode, first 2 months premiums will be combined first time.
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If you are an Existing Bharti AXA Life Customer Please help us.

For more details on risk factors, terms and conditions please read the sales brochure carefully before concluding a sale.

*Provided all due premiums have been paid and policy is in force.

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. For more details on risk factors, terms and conditions please read the sales brochure carefully before concluding a sale.