Bajaj Allianz House,
Airport Road, Yerawada,
Pune-411006
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I/We hereby give voluntary consent to BAGIC/Company to share my/our personal information and data provided in this proposal form with its group companies or any other person in connection with the Insurance Policy or otherwise, including for providing products and services of group companies that may be of interest to me/us, to be used in accordance with their respective privacy policies and subject to appropriate measures being in place to safeguard my/our personal information.
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To support our Go Green initiative, we will send the policy copy on your email. This is a digitally signed valid document. The hard copy of the policy would be sent on request only. Please confirm if you still want to receive the physical hard copy of your insurance policy.
Premium for 1 year policy
₹ 28,000 + gst View premium break-up
1CPA cover (years)
Premium for 2 year policy
₹ 28,000 + gst View premium break-up
1CPA cover (years)
Premium for 3 year policy
₹ 28,000 + gst View premium break-up
1CPA cover (years)
Premium for 5 year policy
₹ 28,000 + gst View premium break-up
1CPA cover (years)
Third Party Cover is applicable for 5 years.
Free health check-up. Discount of up to 20% for co-payment option. Convalescence benefits up to Rs 7,500 per year.
Free health check-up. Discount of up to 20% for co-payment option. Convalescence benefits up to Rs 7,500 per year.
Free health check-up. Discount of up to 20% for co-payment option. Convalescence benefits up to Rs 7,500 per year.
Free health check-up. Discount of up to 20% for co-payment option. Convalescence benefits up to Rs 7,500 per year.
Free health check-up. Discount of up to 20% for co-payment option. Convalescence benefits up to Rs 7,500 per year.
Free health check-up. Discount of up to 20% for co-payment option. Convalescence benefits up to Rs 7,500 per year.
To issue your policy, we require a few more details
Quote Reference ID:dffdf
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Select your nominee from the dropdown list.Your precious vehicle is now covered with our two-wheeler insurance third-party liability policy.
MH-02-BG-6897
Hero Passion Pro, S Petrol
29 May 2018
29 May 2018
Link your EIA number here: ‘E-Insurance Account' (EIA) is the portfolio of insurance policies of a proposer/policyholder held in an electronic form with an insurance repository.
Just purchased Health insurance policy from Bajaj Allianz. Smooth process. Feeling secure!
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Since your policy has expired, it cannot be renewed online. Our executive will call you on your registered number to
assist you with the renewal. Also, you can call us on 020-66495000 to renew your policy.
Thank you for submitting the details.
Since your policy has expired, it cannot be renewed online. Our executive will call you on your registered number to
assist you with the renewal. Also, you can call us on 020-66495000 to renew your policy.
Just purchased Health insurance policy from Bajaj Allianz. Smooth process. Feeling secure!
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To save them click 'Cancel' and then the 'Recalculate' button. To continue without making any changes click 'OK'
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Thank you for the interest shown in our insurance plan and submitting the details. On the basis of the information provided, our executive will get in touch with you. For future correspondence, You can also call on toll-free number 1800-209-0144 or mail us at websales@bajajallianz.co.in in case of any queries.