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  • Bajaj Allianz Bharatiya Pravasi Bima Form

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Bajaj Allianz General Insurance Company Limited Head Office & Regd. Office: GE Plaza, Airport Road, Yerawada, Pune 411 006 PRAVASI BHARATIYA BIMA YOJANA PROPOSAL FORM Important: this proposal.

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How to fill out the Bajaj Allianz Bharatiya Pravasi Bima Form online

Filling out the Bajaj Allianz Bharatiya Pravasi Bima Form online is a straightforward process that requires attention to detail. This guide provides step-by-step instructions to help you complete the form accurately and efficiently, ensuring a smooth insurance application experience.

Follow the steps to successfully complete the form online.

  1. Click the ‘Get Form’ button to obtain the form and open it for editing.
  2. Enter the name of the insured person in the designated field, ensuring it matches the name on their official identification.
  3. Fill in the telephone number for contact purposes. Ensure it is current and correct.
  4. Enter the date of birth of the insured person. This is crucial for determining eligibility and coverage.
  5. Input the passport number of the insured. This information is necessary for identity verification.
  6. Provide the passport issue date along with the expiration date to validate travel details.
  7. Fill in the name of the nominee, who will be entitled to claim in the event of any unforeseen circumstances.
  8. Specify the relationship with the nominee in the respective field for clarity.
  9. Provide the address and telephone number of the nominee, including the pin code, for contact.
  10. Enter the name and address of the sponsor or company associated with the insured.
  11. Input the destination country where the insured will be traveling for employment.
  12. Provide details of the occupation and designation of the job the insured is headed to.
  13. Indicate if there are any existing disabilities. If yes, provide detailed information.
  14. If the insured is suffering from any disease, details including name of medicines must be provided.
  15. Disclose any past hospitalizations, including details such as the reason and duration.
  16. Provide the name and contact details of the family doctor for any necessary medical references.
  17. Specify the required policy period based on your travel and insurance needs.
  18. List the details of family members to be covered, including name, date of birth, and any existing conditions for spouse and children.
  19. Review all information for accuracy. Ensure everything is complete and accurate to avoid issues.

Start filling out your Bajaj Allianz Bharatiya Pravasi Bima Form online today for efficient processing.

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Contact support

You can call on 1800-209-7272 to check your application status.

How to file Motor Insurance claims? First things first, call our toll-free number 1800-209-5858 or visit us online to register your claim.

Registered & Head Office- 87, M.G. Road, Fort, Mumbai-400001. This insurance scheme is available to all Indians Citizens between the age group of 18-60 years whilst stay abroad having valid visa for the purpose of employment only, for the period of cover as stated in the schedule to the policy.

The Pravasi Bharatiya Bima Yojana (PBBY) is a mandatory insurance scheme aimed at safeguarding the interests of Indian emigrant workers falling under Emigration Check Required (ECR) category going for overseas employment to ECR countries.

Presently, the scheme provides an insurance cover of Rs. 10 lakhs in case of accidental death/permanent disability at an insurance premium of Rs. 275 and Rs. 375 for a period of two and three years respectively.

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