Platinum Plan Enrollment

Please fill in the details carefully to activate your policy.

Personal Information

Details as per your Government ID proof.

KYC Details

Mandatory documents for policy issuance.

Masked for privacy verification
Click to upload Passport Size Photo
Upload Aadhaar/Voter ID/Utility Bill
Nominee Details
Family Members Covered

Add up to 3 additional members (Max 4 total).

Medical History & Lifestyle

Risk assessment for accurate pricing.

Coverage Breakdown
IPD Coverage

₹3,00,000

Medical Credit

₹10L

Daily Cash

₹60,000

Accidental Cover

₹5L

Total Premium (Yearly)
₹24,499
Incl. GST
Secure SSL Payment

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