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Term Insurance

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FIELDS WITH * NEEDS TO BE FILLED COMPULSORY

Basic Details

First Name of the Insured*
Last Name of the Insured
Email*
Mobile*
+91
Date of Birth of the Insured*
Gender*   Male       Female   

Insurance Details

I will pay premium *
Sum Assured (₹)*
Death Benefit Payout Option *
Benefit Option * View Benefits
Consume Tobacco*   Yes       No