Get Bajaj Allianz Extra Care Proposal Form

Filling out the Bajaj Allianz Extra Care Proposal Form online is an essential step in securing your insurance coverage. This guide provides a clear, step-by-step approach to help you navigate the form efficiently, ensuring all necessary information is accurately provided.

Follow the steps to complete the form accurately and efficiently.

1. Click the ‘Get Form’ button to access the Bajaj Allianz Extra Care Proposal Form and open it in your preferred digital editor.
2. Begin with the 'Proposer Details' section. You will need to provide your full name, including title, first name, middle name, and surname. Ensure you fill this out in block letters.
3. Indicate if you are an existing Bajaj Allianz customer by selecting 'Yes' or 'No'. If 'Yes', provide your existing policy number.
4. Complete the gender field by selecting the appropriate option: Male, Female, or Other.
5. Fill in your date of birth and permanent/ residential address, ensuring that all details such as house name, number, city, and pin code are accurate.
6. Provide your correspondence address, ensuring that it is distinct from your permanent address if necessary.
7. Enter your mobile number and email address, which will be used for communication purposes.
8. Fill out the educational qualification and family monthly income sections according to your current status.
9. Specify your marital status and provide details about your occupation.
10. In 'Plans', select the insurance plan that suits your needs by checking the option next to the desired plan.
11. Provide details of the persons to be insured, including their full names, dates of birth, gender, age, height, weight, occupation, and relationship to you.
12. Complete the health-related questions, honestly indicating any illnesses, histories of insurance, and details about family medical history.
13. In the declaration section, affirm that all information provided is true and complete by signing and dating the form.
14. Finally, review all sections for accuracy, then save your changes, and download, print, or share the filled form as required.

Start completing your Bajaj Allianz Extra Care Proposal Form online today for a seamless insurance experience.