Get New India Personal Accident Proposal Form

Filling out the New India Personal Accident Proposal Form online can streamline your application process and ensure that all necessary information is collected accurately. This guide provides step-by-step instructions to help you navigate each section of the form with ease.

Follow the steps to successfully complete your proposal form online.

1. Click ‘Get Form’ button to obtain the form and open it in your editor.
2. In the first section labeled 'Name', enter your full name as the proposer. This information is crucial for identification purposes.
3. Next, fill in your address in the 'Address' section to ensure that communications regarding your policy are directed correctly.
4. Provide your age in the 'Age Last Birthday' field to help determine eligibility and calculate premiums.
5. Indicate your current profession or occupation in the 'Profession/Occupation' section, along with the corresponding statistical code.
6. Input your annual income. This information may affect your premium and benefits.
7. In the 'Capital Sum Insured' section, state the amount for which you wish to be insured. This will determine your coverage.
8. Fill in the 'Period of Insurance' by specifying the coverage start and end dates.
9. Select your desired benefits by ticking the appropriate box under 'Benefit to be Covered'. Choose from Table A, Table B, Table C, or Table D.
10. Indicate if you wish to have medical expenses related to accidents covered by selecting 'Yes' or 'No'.
11. If you wish to include family members under your policy, provide their names, ages, relationships, and incomes in the 'Family Package Cover' section.
12. Complete the declaration for assignment by stating the relationship to the insured person, ensuring all details are correct.
13. Finally, read and confirm all declarations regarding the accuracy of your answers. Ensure you sign and date the form at the end.

Complete your New India Personal Accident Proposal Form online today for efficient processing.