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Health Profile

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What is the proposer’s gender?

male
...

Who would you like to get insured?

What are their ages?





Does any of the members have disease?

Declaring this will help us find the best policy and avoid claim rejections. Don’t worry, your information will be kept confidential.





What are their Disease?





What is the proposer’s pincode?

Health insurance premium might differ based on your location of residence.

Your Pincode







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