Checkout

Proposer Details

Please Note- (*) fields are mandatory

Full Name*

Email Address*

Mobile No.*

Date of Birth*

Height (in Cms/in Feet & Inches)*

Weight (in Kg)*

Qualification*

Father Name*

Mother Name*

Gender*

Job Type*

Job Title*

Company Name*

Length of Services (in Years)*

Annual Income*

Nature of Work*

Marital Status* Unmarried Married

Spouse Details (Husband/Wife)

Spouse Name*

Spouse Occupation

Spouse Income (Yearly)

Details of Spouse all old LIC Policies

Proposer medical history

No medical history Yes

Medical Details* During the last five years did you consult a Medical Practitioner for any ailment requiring treatment for more than a week ?
Have you ever been admitted to any hospital or nursing home for general check up, observation, treatment or operation?
Have you remained absent from place of work on grounds of health during the last 5 years ?
Cancer/leukemia/lymphoma/tumour/cyst/ any other growth/lumps/blood disorder/enlarged glands.
Any operation, accident or injury/any bodily defect or deformity
Any other diseases

Nominee Details

Nominee Name*

Age (Years)*

Relationship*

Have your any old lic policies?* Yes
No

Provide your all old LIC Policy Numbers*

Communication Address

Address*

City*

State*

Pincode*

Upload Proposer Documents

Pan Card*

Aadhar Card (Front)*

Aadhar Card (Back)*

Photo*

Scan Signature*

Cancel Cheque/Passbook*

Income proof (ITR/26AS/Salary Slip/Form 16) any one if annualise premium more than Rs. 1,00,000/- if available

Cart

POLICY NAME

SUBTOTAL

LIC’s Micro Bachat Plan (951)

Sum Assured:

50000

Accidental/Disability:

50000

Premium Value:

4242

GST Value:

Payment Mode:

Yearly

Age:

Policy Terms:

Premium Paying Terms:

Premium

4242

Total Premium

4242

By clicking this you read & agree to the website Terms & Conditions

Note: For monthly mode of premium payment, 2 months premium have to be paid initially. eNACH (Auto deduction from your bank) setup is mandatory.

Your personal data will be used to process your order Privacy Policy

By applying online, you agree to the terms and conditions and also to be contacted by our team for the purchase of the selected plan. Issuance of new policy is subject to underwriting rules of LIC and fulfillment of KYC and other requirements which are to be self-declared by the buyer. Final premium you pay will be inclusive of verification amount if policy is issued else is borne by the applicant.

Checkout

Checkout

Proposer Details

Spouse Details (Husband/Wife)

Child Details & Upload Documents

Proposer medical history

Nominee Details

Communication Address

Upload Proposer Documents

Cart

Menu

LIC Plan Type

LIC Policy

Our Policies

Contact Us