All fields marked * are mandatory

  • POLICY DETAILS

  • *
  • DETAILS OF THE CLAIMENT

  • *
  • *
  • *
  • *
  • DETAILS OF LIFE ASSURED

  • *
  • *
  • CLAIM DETAILS

  • *
  • *
  • *
  • *

Note :

  • The above information would not be construed as registration, intimation or acceptance of claim.
  • For claim registration, please submit a duly completed and signed hard copy of the Claim Form to your nearest bank branch/hub, along with attested copies of:
    • Photo ID of claimant/nominee
    • Address proof of claimant/nominee

Click here to know more about claim intimation and registration.