Get Proposal Form For Vidyarthi - Mediclaim For Students

Filling out the Proposal Form for VIDYARTHI - Mediclaim for Students is an essential step in securing health insurance coverage tailored for students. This guide will provide you with clear, step-by-step instructions to successfully complete the form online.

Follow the steps to complete the Proposal Form effectively.

1. Click the ‘Get Form’ button to access the Proposal Form, enabling you to open it for editing.
2. In the first section, enter the name of the proposer in the designated field. This refers to the individual applying for insurance on behalf of the student.
3. Provide the postal address of the proposer along with their telephone number. Ensure that this information is accurate to facilitate communication.
4. List the name and address of the educational institution where the student is currently enrolled. This includes any additional details regarding the student's area of study.
5. Enter the name and address of the medical practitioner or family doctor responsible for the student's healthcare. This information is crucial for emergency contacts.
6. Select the sum insured opted for hospitalization expenses cover by marking the appropriate box. Options range from Rs. 50,000 to Rs. 200,000.
7. In the next section, detail the information of individuals to be covered, including their names, dates of birth, disciplines, class of study, sex, their relationship with the proposer, and any existing ailments or disabilities.
8. Attach two recent stamp-size photographs of the student in the specified area of the form.
9. Indicate whether you prefer a cumulative bonus or a discount in the renewal premium after a claim-free year.
10. If applicable, provide details of any existing Mediclaim Insurance, including the name of the insurer and sum insured.
11. In the assignment section, clearly state the name of the person to whom the payable moneys will be assigned in the event of the proposer's death.
12. Complete the declaration by signing and dating the document, affirming that all provided information is accurate and complete.
13. Once all information is filled correctly, review the completed form. Users may choose to save changes, download the document, print it, or share it as needed.

Begin filling out your Proposal Form online now for seamless health coverage.