OnlinePolicy

Mahalaxmi Life Policy Plan List Select Your Plan

FirstName

MiddleName

LastName

Mobile

PermanentAddress

TemporaryAddress

MartialStatus Select MartialStatus Married UnMarried Separated Divorced

Nationality

Academic Qualification Select Academic Qualification Literate Under SEE SEE Intermediate Bachelor Master PHD

Age Of Proof

Age Proof Document No

CitizenShip Issue Date

Occupation Select Occupation DRIVER SERVICE GOVERNMENT EMPLOYEE ARMY DOCTOR Bussiness PLAYER

Spouse

Father

Mother

GrandFather

Son

Daughter

Daughter-In-Law

Age Proof Document No

Date of Birth (Proposer)

Sum Assured (Rs.)

Policy Term Select Your Term

Paying Term Select Your Paying Term

Rider

PayMent Mode Select Your Mode Yearly