Accident Insurance Application Form

A policy which covers you and takes care of your financial burden in case of an accident

Coverage in case of disability and death

Compensation for medical expenses

Home alteration and vehicle modification benefit

Highest compensation of 125% of the sum insured

Accident Insurance Application Form

Full Name

Mobile Number

Email Id

I authorize Bajaj Finserv representative to call /SMS towards this application and other products/services. This consent overrides my registration for DNC/NDNC. T&C

Accident Insurance Application Form

Accident Insurance Application Form

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