IGIProtect


Fields marked with asterik (*) are mandatory.

 


Product : *


Packages : *


Date of Birth : *
Select Date








Fields marked with asterik (*) are mandatory.

 


Step 1 Information


Product:
Package:

Date Of Birth:

Age:



Name : *
Email : *


*
City : *


Mobile: *
Example : 03002598569
Office Contact:
Example : 021 32598569


Home Contact:
Example : 021 32598569
Occupation :


Mailing Address: *
Health Declaration * - I hereby declare that I am in good health and I agree that there shall be no contract of insurance unless a policy is issued on this application and full premium actually paid thereon.


Occupation Declaration * -Are you now a member of any military force, or do you now or intend to undertake or participate in any kind of racing,scuba or sky-diving, hang gliding or any other hazardous sport or activity, or do you fly or intent to fly other than as a fare-paying passenger on regularly scheduled airlines or are you a member or worker of or in any way affiliated with any political party?




to view the Terms And Conditions.



Application Finalization

Step 1




Product:
Package:
Amount:
DOB:

Step 2





Name:
Email :


CNIC :
City :


Phone :
Occupation:


Mobile :
Office Contact:


Mailing Address:


Occupation Declaration -Are you now a member of any military force, or do you now or intend to undertake or participate in any kind of racing,scuba or sky-diving, hang gliding or any other hazardous sport or activity, or do you fly or intent to fly other than as a fare-paying passenger on regularly scheduled airlines or are you a member or worker of or in any way affiliated with any political party? :
Health Declaration - I hereby declare that I am in good health and I agree that there shall be no contract of insurance unless a policy is issued on this application and full premium actually paid thereon :