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IMPORTANT

Mobile Number is required to call back.
Email ID, Mailing Address are required to send you a copy of this form and correspondence regarding your policy. Date of Birth, Gender, Work Activity is required for use to ensure we pay the correct Insurance Premium.

Policy is activated only for Basic, Premium & Limited Plans.

Your Information

Your Emergency Contacts

Mobile Number is required to call the Emergency Contact.
Choose up to 6 Emergency Contacts from any country

One Last Step

Features

Add up to 6 Contacts

You can choose up to 6 contacts from any corner of the world. Just ensure the number is correct and the person is informed about them being you emergency contact

Easy Of Use

The system is simple to use and works with limited technology and low levels of complications

Insurance Bundled

Valid in India, this unique Insurance Policy provides for reimbursement of listed expenditure incurred on your behalf by a third person in taking you to a medical infrastructure for hospitalization and also covers some hospital expense incurred by you