Thank you for showing your interest in Swasthya Ratna Policy . We request you to kindly fill the following information.
Tell us about yourself
Trader Name :
Address 1 :
Address 2 :
Address 3 :
Contact Person's Name :
Contact Person's Number :
Email Id :
Grade / Turn Over :
Export T.O.upto 0.25 Cr
Export T.O. from 0.25 Cr to 1 Cr
Export T.O. from 1 Cr to 5 Cr
Export T.O from 5 Cr to 15 Cr.
Export T.O. from 15 Cr to 50 Cr.
Export T.O. from 50 Cr to 100 Cr.
Export T.O. from 100 Cr to 500 Cr.
Export T.O. from 500 Cr to 1000 Cr.
Export T.O. above 1000 CR.
Total no of Employees:
Choose a Plan
Select Sum Insured :
Family Option :
Self + Spouse + 2 Dependant Children
Self + any 3 members including Parents
Select the Plan :
Relation Manager :
For complete details of the coverages, please refer to the
I have read & understood the policy coverages, terms and conditions.
I wish to buy this policy for my members.