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FAQ
Covid Insurance Form
Proposer Form
Proposer Name
Date of Birth
Gender
Male
Female
Other
Marital Status
Single
Married
Divorced
Widowed
Occupation
Annual Income
Mobile Number
Email
Address
PIN Code
Nominee Name
Nominee Relationship
Sum Insured
--select--
50000
100000
150000
Policy Tenure
--select--
3.5 Months
6.5 Months
9.5 Months
Premium
Mob Number. (for Payment link)
Add Family Member
Relation
Husband
Wife
Father
Mother
Daughter
Son
Father in Law
Mother in Law
Name
Date of Birth
Gender
Male
Female
Other
Occupation
Annual Income
Mobile Number
Email
Address
PIN Code
Nominee Name
Nominee Relationship
Sum Insured
--select--
50000
100000
150000
Policy Tenure
--select--
3.5 Months
6.5 Months
9.5 Months
Premium
Mob Number. (for Payment link)
Add More Members
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