4 Easy Steps to Get Student Health Insurance

health insurance

Step 1

Get a Quote

Step 2

Select Plan

Step 3

Personal Information

Step 4

Payment

Student Personal Information

Name

This field is required

Email Id

This field is required

Phone Number

Gender

This field is required

Date of Birth

This field is required

Your University

Travel Information

Your current location?

This field is required

Travel Date

This field is required

Coverage Period

Upload Passport Front and Back (PDF)

Other Information

Pan Number

This field is required

Sponsor Name

This field is required

Emergency Contact Number

Phone

This field is required

Alternate Email Id

This field is required

Mother’s Name

This field is required

Passport Number

This field is required

Nominees Name

This field is required

Nominee Relation

This field is required

Address In India Line 1

This field is required

Address In India Line 2

This field is required

City

This field is required

State

This field is required

Pincode

This field is required

Need help? Chat with us