Personal Details for Health Insurance FY 21-22

Your Name as per Aadhar card *

Gender *

Your Date of Birth *

Are you married? *

Your Spouse Name as per aadhaar card *

Your Spouse Date of Birth *

Your Child Name as per aadhaar card *

Your Child Date of birth *

Your Child Name as per aadhaar card

Your Child Date of birth

Your Designation in Enthu Tech *