Note:

Charge of Re.1/- will be debited from your Card for authentication and will be refunded back in 15 days.

Terms & Conditions:

I confirm that the money paid/payable under this Proposal/Policy is/will be from my declared source of

income and will be paid from my own bank account/Credit Card/Debit card. In case of fraud or

misrepresentation, the company shall take appropriate action in accordance with Section 45 of the Insurance

Act, 1938.