basic

Let's start with some basics (Personal details of policy holder)

Please enter name

Contact Details

where do you live?

(As mentioned in the address proof to be submitted)

Note: Only /, - and , are allowed as special characters.

Add nominee

I Would like to take this policy under Married Women Policy Act (MWPA)?

Add baneficiary

The Beneficiary receives cover amount. on Add to add your wife and or children as beneficiary.
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Tell us about your health

Why do we ask ?

How tall are you

Why do we ask ?

Select the option that apply to you

Why do we ask ?

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Your medical history

Do you have any health related condition mentioned below:

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My Summary

Product Name
ICICI PRU IPROTECT SMART
Premium
1,715, monthly for 30 years
Policy term
30 years
Sum assured
1 CRORE
Benefit option
LIFE + HEALTH
Payout option
LUMPSUM + REGULAR INCOME
Rider details
CIBF for 30 years
Rider sum assured
10 LAKH
Product Name
ICICI PRU IPROTECT SMART
Premium
1,715, monthly for 30 years
Policy term
30 years
Sum assured
1 CRORE
Benefit option
LIFE + HEALTH
Payout option
LUMPSUM + REGULAR INCOME
Rider details
CIBF for 30 years
Rider sum assured
10 LAKH
Save my progress

You can save your application & continue later with your email address

Save & email
Stay assured, your are in safe hands
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Our claim settlement ratio for 2018-19 is 98.6%

Stay assured, your are in safe hands
pic

Our claim settlement ratio for 2018-19 is 98.6%

Stay assured, your are in safe hands
pic

Our claim settlement ratio for 2018-19 is 98.6%

Uploads Document

Please take clear photographs of your documents under bright light or upload clear scans of your documents You can upload jpg, png and pdf formats only

1

Photograph

Use your webcam to click your photo or upload your scanned photograph (file size should not exceed X Mb )

Take Selfie
Select File
2

PAN

(max file upload size should not exceed X Mb)

Take Photo
Select File
3

Address Proof (require any one)

Address proof should match with either your mailing or permanent address. (file size should not exceed X Mb)

Front
Take Photo
Select File
Back
Take Photo
Select File
Front
Take Photo
Select File
Back
Take Photo
Select File
Front
Take Photo
Select File
Back
Remove
Uploading 80%
4

Income proof (require any one)

Your income proof should match with your declared annual income.
Income proof to calculate eligibility of your life cover. please ensure of your salary/income is clearly visible in the proof. (file size should not exceed X Mb)

Last 6 month’s bank statement where your salary/ income is credited

Take Photo
Select File

Policy Summary close
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Total Premium

1,715 monthly

Policy holder details

Name:

Madhushree Bhide

Address:

505, Akruti Erica, shradhananda road, vile parle east, Mumbai 400057.

Date of birth:

Contact:

Email ID:

abc@abc.com

Policy details

Accordion content 2

Nominee details

Nominee name:

Acdui Xyze

Date of birth:

Relation with policyholder:

Nominee receives cover amount as:

1 CRORE as regular Income