onlineinsurance.hdfclife.com
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Submitted URL: http://t4.lifecare.hdfclife.life/r/?id=h9058c69,850ad2b,3be0b5
Effective URL: https://onlineinsurance.hdfclife.com/buy-online-savings-plans/click-2-achieve/basic-details?source=AD_Email_C2A_CrossSelling_TCVM&age...
Submission: On April 26 via manual from GB — Scanned from GB
Effective URL: https://onlineinsurance.hdfclife.com/buy-online-savings-plans/click-2-achieve/basic-details?source=AD_Email_C2A_CrossSelling_TCVM&age...
Submission: On April 26 via manual from GB — Scanned from GB
Form analysis 3 forms found in the DOM
<form class="theme-form" id="c2achlead">
<div class="row form-group clearfix">
<div class="col-sm-5 col-md-4 form-box">
<label class="field-lbl">Are you Buying for yourself?</label>
<div class="custom-radio">
<input type="radio" name="proposerBuyingForItself" value="Yes" cin="proposerBuyingForItself" id="propYes" onchange="QNIAPP.C2ACH_ACT.setClob_ops('proposerBuyingForItself',this.value);" checked="">
<label for="propYes">Yes</label>
<input type="radio" name="proposerBuyingForItself" value="No" cin="proposerBuyingForItself" id="propNo" onchange="QNIAPP.C2ACH_ACT.setClob_ops('proposerBuyingForItself',this.value);">
<label for="propNo">No</label>
</div>
</div>
<div class="col-sm-5 col-md-4 form-box" id="propnri1">
<label class="field-lbl">Are you an NRI?</label>
<div class="custom-radio">
<input type="radio" name="pnri" value="1" id="propnriyes" cin="pnri" onclick="QNIAPP.C2ACH_ACT.setClob_ops('pnri','1');">
<label for="propnriyes">Yes</label>
<input type="radio" name="pnri" value="0" id="propnrino" checked="" cin="pnri" onclick="QNIAPP.C2ACH_ACT.setClob_ops('pnri','0');">
<label for="propnrino">No</label>
</div>
</div>
</div>
<div class="clearfix pholder-box form-group life-assured desk_mB0" style="display: none;">
<div class="form-group whome-buy policy-hldr col-sm-10">
<label class="field-lbl"> Enter details of the person for whom you are buying the policy</label>
</div>
<div class="form-group life-assured">
<div class="row">
<div class="col-sm-5 col-md-4 form-box etooltip">
<label class="field-lbl" for="fname">First Name</label>
<input type="text" name="First Name" id="fname_id" class="form-control" cxss="1" cin="fname" ccaption="First Name" creqd="1" ctype="SA" maxlength="30" onblur="QNIAPP.C2ACH_ACT.setClob_ops('fname',this.value);" disabled=""
msg="Enter first name as per Government ID proof such as Aadhaar card, PAN card etc.">
</div>
<div class="col-sm-5 col-md-4 form-box etooltip">
<label class="field-lbl" for="lname">Last Name <small>(Optional)</small></label>
<input type="text" name="Last Name" id="lname_id" class="form-control" cin="lname" cxss="1" ccaption="Last Name" creqd="0" ctype="SA" maxlength="30" onblur="QNIAPP.C2ACH_ACT.setClob_ops('lname',this.value);" data-valid="optional"
msg="Enter last name as per Government ID proof such as Aadhaar card, PAN card etc.">
</div>
</div>
</div>
<div class="form-group clearfix frmdetails life-assured">
<div class="row">
<div class="col-sm-5 col-md-4 form-box">
<label class="field-lbl">Gender</label>
<div class="custom-radio">
<input type="radio" ccaption="Gender" cin="gender" name="gender" id="genderM_id" value="M" cchild="genderF_id" onclick="QNIAPP.C2ACH_ACT.setClob_ops('gender','M')" checked="">
<label for="genderM_id">Male</label>
<input type="radio" ccaption="Gender" cin="gender" name="gender" id="genderF_id" value="F" onclick="QNIAPP.C2ACH_ACT.setClob_ops('gender','F')">
<label for="genderF_id">Female</label>
</div>
</div>
<div class="col-sm-5 col-md-4 form-box customInput calender divi">
<label class="field-lbl" for="dob">Date of Birth <span class="question-tip" data-toggle="tooltip" data-placement="top" title="" style="cursor: default;"
data-bs-original-title="We need your Date of Birth to calculate your age & suggest plans." aria-label="We need your Date of Birth to calculate your age & suggest plans."><img src="static/ux/images/c2p3d_v2_questions.svg"
alt=""></span></label>
<div class="rel etooltip">
<input type="text" disabled="" name="Date of Birth" data-pattern="/^\d{1,2}\/\d{1,2}\/\d{4}$/" inputmode="numeric" class="form-control calendar-input datePick" value="" cxss="1" placeholder="DD/MM/YYYY" id="dob_id"
ccaption="Date of Birth" creqd="1" ctype="DD" cin="dob" onchange="QNIAPP.C2ACH_ACT.setClob_ops('dob',this)" msg="Enter Date of Birth as per Government ID proof such as Aadhaar card, PAN card etc."
style="cursor: text; background: none;">
<input type="text" tabindex="-1" class="alternateDP" data-append="true"
style="background:url(./static/ux/images/c2p3d_v2_calendar.svg) right center no-repeat;width:30px;height:30px;pointer-events:initial;border: none;background-size: 24px auto;position: absolute;display: inline-block;right: 0;top: 0;cursor: pointer;"
id="mobiscroll1714121236228" readonly="">
</div>
<div class="smNote_LA" style="display: block;"></div>
<p class="la_age_min_max">Min: 30 days | Max: 65 yrs</p>
</div>
</div>
</div>
<div class="row form-group clearfix life-assured">
<div class="col-sm-5 col-md-4 form-box">
<label class="field-lbl">Is the person an NRI?</label>
<div class="custom-radio">
<input type="radio" name="nri" cin="nri" value="1" id="nriyes" onclick="QNIAPP.C2ACH_ACT.setClob_ops('nri','1');">
<label for="nriyes">Yes</label>
<input type="radio" name="nri" cin="nri" value="0" id="nrino" onclick="QNIAPP.C2ACH_ACT.setClob_ops('nri','0');" checked="">
<label for="nrino">No</label>
</div>
</div>
<div class=" col-sm-5 col-md-4 form-box life-assured nri-box1" style="display:none;">
<label for="country-button">Where do you live now?</label>
<select class="selectlist" creqd="0" cin="cntry" id="country" style="display: none;">
<option value="">--Select--</option>
<option ccode="18613" value="CNTRY_AFG">Afghanistan</option>
<option ccode="18668" value="CNTRY_AL">Albania</option>
<option ccode="18524" value="CNTRY_GBA">Alderney</option>
<option ccode="18509" value="CNTRY_DZ">Algeria</option>
<option ccode="18669" value="CNTRY_AND">Andorra</option>
<option ccode="18624" value="CNTRY_AGO">Angola</option>
<option ccode="18625" value="CNTRY_AGU">Anguilla</option>
<option ccode="18623" value="CNTRY_ABB">Antigua and Barbuda</option>
<option ccode="18565" value="CNTRY_RA">Argentina</option>
<option ccode="18627" value="CNTRY_ARM">Armenia</option>
<option ccode="18626" value="CNTRY_ARB">Aruba</option>
<option ccode="18670" value="CNTRY_AUS">Australia</option>
<option ccode="18612" value="CNTRY_A">Austria</option>
<option ccode="18628" value="CNTRY_AZB">Azerbaijan</option>
<option ccode="18679" value="CNTRY_BS">Bahamas</option>
<option ccode="18678" value="CNTRY_BRN">Bahrain</option>
<option ccode="18672" value="CNTRY_BD">Bangladesh</option>
<option ccode="18673" value="CNTRY_BDS">Barbados</option>
<option ccode="18632" value="CNTRY_BLR">Belarus</option>
<option ccode="18671" value="CNTRY_B">Belgium</option>
<option ccode="18675" value="CNTRY_BH">Belize</option>
<option ccode="18508" value="CNTRY_DY">Benin</option>
<option ccode="18629" value="CNTRY_BER">Bermuda</option>
<option ccode="18630" value="CNTRY_BHU">Bhutan</option>
<option ccode="18676" value="CNTRY_BOL">Bolivia</option>
<option ccode="18636" value="CNTRY_BSN">Bosnia</option>
<option ccode="18566" value="CNTRY_RB">Botswana</option>
<option ccode="18677" value="CNTRY_BR">Brazil</option>
<option ccode="18635" value="CNTRY_BRT">Britain</option>
<option ccode="18637" value="CNTRY_BVI">British Virgin Islands</option>
<option ccode="18745" value="CNTRY_BNI">Brunei</option>
<option ccode="18674" value="CNTRY_BG">Bulgaria</option>
<option ccode="18631" value="CNTRY_BKF">Burkina Faso</option>
<option ccode="18634" value="CNTRY_BRM">Burma</option>
<option ccode="18633" value="CNTRY_BRD">Burundi</option>
<option ccode="18542" value="CNTRY_K">Cambodia</option>
<option ccode="18639" value="CNTRY_CMR">Cameroon</option>
<option ccode="18682" value="CNTRY_CDN">Canada</option>
<option ccode="18641" value="CNTRY_CNI">Canary Islands</option>
<option ccode="18737" value="CNTRY_CTN">Cape Town</option>
<option ccode="18642" value="CNTRY_CPV">Cape Verde</option>
<option ccode="63291" value="CNTRY_CYI">Cayman Islands</option>
<option ccode="18567" value="CNTRY_RCA">Central African Republic</option>
<option ccode="18638" value="CNTRY_CHD">Chad</option>
<option ccode="18569" value="CNTRY_RCH">Chile</option>
<option ccode="18738" value="CNTRY_CHN">China</option>
<option ccode="18502" value="CNTRY_CO">Colombia</option>
<option ccode="18640" value="CNTRY_COM">Comoros</option>
<option ccode="18568" value="CNTRY_RCB">Congo</option>
<option ccode="18503" value="CNTRY_CR">Costa Rica</option>
<option ccode="18666" value="CNTRY_CV9">Cote dIvoire</option>
<option ccode="18531" value="CNTRY_HR">Croatia</option>
<option ccode="18681" value="CNTRY_C">Cuba</option>
<option ccode="18643" value="CNTRY_CRC">Curacao</option>
<option ccode="18504" value="CNTRY_CY">Cyprus</option>
<option ccode="18739" value="CNTRY_CZH">Czech</option>
<option ccode="18734" value="CNTRY_IC">Czech Republic</option>
<option ccode="18645" value="CNTRY_DPC">Democratic Republic of Congo</option>
<option ccode="18506" value="CNTRY_DK">Denmark</option>
<option ccode="18644" value="CNTRY_DJI">Djibouti</option>
<option ccode="18602" value="CNTRY_WD">Dominica</option>
<option ccode="18507" value="CNTRY_DOM">Dominican Republic</option>
<option ccode="18732" value="CNTRY_EA1">East Africa</option>
<option ccode="18729" value="CNTRY_EA">EastTimor</option>
<option ccode="18514" value="CNTRY_EC">Ecuador</option>
<option ccode="18516" value="CNTRY_ET">Egypt</option>
<option ccode="18515" value="CNTRY_ES">El Salvador</option>
<option ccode="18646" value="CNTRY_ENG">England</option>
<option ccode="18647" value="CNTRY_EQG">Equatorial Guinea</option>
<option ccode="18648" value="CNTRY_ERT">Eritrea</option>
<option ccode="18518" value="CNTRY_EW">Estonia</option>
<option ccode="18517" value="CNTRY_ETH">Ethiopia</option>
<option ccode="18649" value="CNTRY_FLI">Falkland Islands</option>
<option ccode="18521" value="CNTRY_FJI">Fiji</option>
<option ccode="18520" value="CNTRY_FIN">Finland</option>
<option ccode="18519" value="CNTRY_F">France</option>
<option ccode="18650" value="CNTRY_FRG">French Guiana</option>
<option ccode="18651" value="CNTRY_FRP">French Polynesia</option>
<option ccode="18652" value="CNTRY_GBN">Gabon</option>
<option ccode="18740" value="CNTRY_GMB">Gambia</option>
<option ccode="18735" value="CNTRY_TH">Gambia/ The Gambia</option>
<option ccode="18656" value="CNTRY_GRG">Georgia</option>
<option ccode="18505" value="CNTRY_D">Germany</option>
<option ccode="18527" value="CNTRY_GH">Ghana</option>
<option ccode="18525" value="CNTRY_GBZ">Gibraltar</option>
<option ccode="18523" value="CNTRY_GB">Great Britain</option>
<option ccode="18528" value="CNTRY_GR">Greece</option>
<option ccode="18655" value="CNTRY_GNL">Greenland</option>
<option ccode="18603" value="CNTRY_WG">Grenada</option>
<option ccode="18654" value="CNTRY_GDL">Guadeloupe</option>
<option ccode="18658" value="CNTRY_GUM">Guam</option>
<option ccode="18526" value="CNTRY_GCA">Guatemala</option>
<option ccode="18657" value="CNTRY_GUI">Guinea</option>
<option ccode="18653" value="CNTRY_GBS">Guinea bissau</option>
<option ccode="18529" value="CNTRY_GUY">Guyana</option>
<option ccode="18570" value="CNTRY_RH">Haiti</option>
<option ccode="18659" value="CNTRY_HDR">Honduras</option>
<option ccode="18614" value="CNTRY_HK">Hong Kong</option>
<option ccode="18530" value="CNTRY_H">Hungary</option>
<option ccode="18538" value="CNTRY_IS">Iceland</option>
<option ccode="18534" value="CNTRY_IND">India</option>
<option ccode="18617" value="CNTRY_RI">Indonesia</option>
<option ccode="18535" value="CNTRY_IR">Iran</option>
<option ccode="18537" value="CNTRY_IRQ">Iraq</option>
<option ccode="18536" value="CNTRY_IRL">Ireland</option>
<option ccode="18533" value="CNTRY_IL">Israel</option>
<option ccode="18532" value="CNTRY_I">Italy</option>
<option ccode="18684" value="CNTRY_CI">Ivory Coast</option>
<option ccode="18540" value="CNTRY_JA">Jamaica</option>
<option ccode="18539" value="CNTRY_J">Japan</option>
<option ccode="18541" value="CNTRY_JOR">Jordan</option>
<option ccode="18741" value="CNTRY_KSN">Kazhakistan</option>
<option ccode="18511" value="CNTRY_EAK">Kenya</option>
<option ccode="18686" value="CNTRY_KIR">Kiribati</option>
<option ccode="18543" value="CNTRY_KWT">Kuwait</option>
<option ccode="18660" value="CNTRY_KGZ">Kyrgyzstan</option>
<option ccode="18545" value="CNTRY_LAO">Laos</option>
<option ccode="18549" value="CNTRY_LV">Latvia</option>
<option ccode="18572" value="CNTRY_RL">Lebanon</option>
<option ccode="18547" value="CNTRY_LS">Lesotho</option>
<option ccode="18687" value="CNTRY_LBR">Liberia</option>
<option ccode="18546" value="CNTRY_LAR">Libya</option>
<option ccode="18522" value="CNTRY_FL">Liechtenstein</option>
<option ccode="18548" value="CNTRY_LT">Lithuania</option>
<option ccode="18662" value="CNTRY_WC">London</option>
<option ccode="18544" value="CNTRY_L">Luxembourg</option>
<option ccode="18689" value="CNTRY_MCU">Macau</option>
<option ccode="18554" value="CNTRY_MK">Macedonia</option>
<option ccode="18573" value="CNTRY_RM">Madagascar</option>
<option ccode="18690" value="CNTRY_MDR">Madeira</option>
<option ccode="18556" value="CNTRY_MW">Malawi</option>
<option ccode="18615" value="CNTRY_MAL">Malaysia</option>
<option ccode="18691" value="CNTRY_MLD">Maldives</option>
<option ccode="18574" value="CNTRY_RMM">Mali</option>
<option ccode="18550" value="CNTRY_M">Malta</option>
<option ccode="18742" value="CNTRY_MGL">Mangolia</option>
<option ccode="18692" value="CNTRY_MSI">Marshall Islands</option>
<option ccode="18693" value="CNTRY_MTQ">Martinique</option>
<option ccode="18571" value="CNTRY_RIM">Mauritania</option>
<option ccode="18555" value="CNTRY_MS">Mauritius</option>
<option ccode="18553" value="CNTRY_MEX">Mexico</option>
<option ccode="18688" value="CNTRY_MCN">Micronesia</option>
<option ccode="18664" value="CNTRY_MDV">Moldova</option>
<option ccode="18552" value="CNTRY_MC">Monaco</option>
<option ccode="18730" value="CNTRY_MG5">Montenegro</option>
<option ccode="18694" value="CNTRY_MTS">Monteserrat</option>
<option ccode="18551" value="CNTRY_MA">Morocco</option>
<option ccode="18695" value="CNTRY_MZB">Mozambique</option>
<option ccode="18680" value="CNTRY_BUR">Myanmar</option>
<option ccode="18700" value="CNTRY_NMB">Namibia</option>
<option ccode="18696" value="CNTRY_NAU">Nauru</option>
<option ccode="18620" value="CNTRY_NEP">Nepal</option>
<option ccode="18559" value="CNTRY_NL">Netherlands</option>
<option ccode="18697" value="CNTRY_NCD">New Caledonia</option>
<option ccode="18736" value="CNTRY_NZL">New Zealand</option>
<option ccode="18558" value="CNTRY_NIC">Nicaragua</option>
<option ccode="18575" value="CNTRY_RN">Niger</option>
<option ccode="18601" value="CNTRY_WAN">Nigeria</option>
<option ccode="18699" value="CNTRY_NIU">Niue</option>
<option ccode="18665" value="CNTRY_NK">North Korea</option>
<option ccode="18698" value="CNTRY_NIR">Northern Ireland</option>
<option ccode="18557" value="CNTRY_N">Norway</option>
<option ccode="18619" value="CNTRY_OMA">Oman</option>
<option ccode="18743" value="CNTRY_OTH">Other</option>
<option ccode="18562" value="CNTRY_PK">Pakistan</option>
<option ccode="18702" value="CNTRY_PLU">Palau</option>
<option ccode="18701" value="CNTRY_PLS">Palestine</option>
<option ccode="18616" value="CNTRY_PA">Panama</option>
<option ccode="18703" value="CNTRY_PNG">Papua New guinea</option>
<option ccode="18564" value="CNTRY_PY">Paraguay</option>
<option ccode="18561" value="CNTRY_PE">Peru</option>
<option ccode="18579" value="CNTRY_RP">Philippines</option>
<option ccode="18563" value="CNTRY_PL">Poland</option>
<option ccode="18560" value="CNTRY_P">Portugal</option>
<option ccode="18704" value="CNTRY_PUR">Puerto Rico</option>
<option ccode="18705" value="CNTRY_QTR">Qatar</option>
<option ccode="18731" value="CNTRY_RS">RSA</option>
<option ccode="18707" value="CNTRY_ROC">Republic of Congo</option>
<option ccode="18577" value="CNTRY_ROK">Republic of Korea</option>
<option ccode="18706" value="CNTRY_REU">Reunion</option>
<option ccode="18576" value="CNTRY_RO">Romania</option>
<option ccode="18581" value="CNTRY_RUS">Russia</option>
<option ccode="18582" value="CNTRY_RWA">Rwanda</option>
<option ccode="18604" value="CNTRY_WS">Samoa</option>
<option ccode="18580" value="CNTRY_RSM">San Marino</option>
<option ccode="18715" value="CNTRY_STP">Sao Principe and Tome</option>
<option ccode="18621" value="CNTRY_SA">Saudi Arabia</option>
<option ccode="18708" value="CNTRY_SCL">Scotland</option>
<option ccode="18587" value="CNTRY_SN">Senegal</option>
<option ccode="18714" value="CNTRY_SRB">Serbia</option>
<option ccode="18589" value="CNTRY_SY">Seychelles</option>
<option ccode="18600" value="CNTRY_WAL">Sierra Leone</option>
<option ccode="18618" value="CNTRY_SGP">Singapore</option>
<option ccode="18585" value="CNTRY_SK">Slovakia</option>
<option ccode="18711" value="CNTRY_SLV">Slovenia</option>
<option ccode="18713" value="CNTRY_SMI">Solomon Islands</option>
<option ccode="18588" value="CNTRY_SP">Somalia</option>
<option ccode="18608" value="CNTRY_ZA">South Africa</option>
<option ccode="18744" value="CNTRY_SKA">South Korea</option>
<option ccode="115791" value="CNTRY_SSUD">South Sudan</option>
<option ccode="18510" value="CNTRY_E">Spain</option>
<option ccode="18685" value="CNTRY_CL">Sri Lanka</option>
<option ccode="18709" value="CNTRY_SKN">St Kitts and Nevis</option>
<option ccode="18710" value="CNTRY_SLU">St Lucia</option>
<option ccode="18712" value="CNTRY_SMA">St Martin</option>
<option ccode="18717" value="CNTRY_SVG">St Vincent and Grenadines</option>
<option ccode="18716" value="CNTRY_SUD">Sudan</option>
<option ccode="18586" value="CNTRY_SME">Surinam</option>
<option ccode="18661" value="CNTRY_SW">Swansea</option>
<option ccode="18584" value="CNTRY_SD">Swaziland</option>
<option ccode="18583" value="CNTRY_S">Sweden</option>
<option ccode="18683" value="CNTRY_CH">Switzerland</option>
<option ccode="18590" value="CNTRY_SYR">Syria</option>
<option ccode="18719" value="CNTRY_THT">Tahiti</option>
<option ccode="18611" value="CNTRY_TAI">Taiwan</option>
<option ccode="18720" value="CNTRY_TJK">Tajikistan</option>
<option ccode="18512" value="CNTRY_EAT">Tanzania</option>
<option ccode="18591" value="CNTRY_T">Thailand</option>
<option ccode="18718" value="CNTRY_TBT">Tibet</option>
<option ccode="18592" value="CNTRY_TG">Togo</option>
<option ccode="18721" value="CNTRY_TKL">Tokelau</option>
<option ccode="18722" value="CNTRY_TNG">Tonga</option>
<option ccode="18596" value="CNTRY_TT">Trinidad and Tobago</option>
<option ccode="18594" value="CNTRY_TN">Tunisia</option>
<option ccode="18595" value="CNTRY_TR">Turkey</option>
<option ccode="18593" value="CNTRY_TMN">Turkmenistan</option>
<option ccode="18723" value="CNTRY_TUC">Turks and Caicos</option>
<option ccode="18724" value="CNTRY_TVL">Tuvalu</option>
<option ccode="106297" value="CNTRY_USV">US Virgin Islands</option>
<option ccode="18513" value="CNTRY_EAU">Uganda</option>
<option ccode="18597" value="CNTRY_UA">Ukraine</option>
<option ccode="18622" value="CNTRY_UAE">United Arab Emirates</option>
<option ccode="18725" value="CNTRY_UKG">United Kingdom</option>
<option ccode="18598" value="CNTRY_USA">United States of America</option>
<option ccode="18578" value="CNTRY_ROU">Uruguay</option>
<option ccode="18726" value="CNTRY_UZB">Uzbekistan</option>
<option ccode="18727" value="CNTRY_VAN">Vanuatu</option>
<option ccode="106296" value="CNTRY_VATCN">Vatican</option>
<option ccode="18606" value="CNTRY_YV">Venezuela</option>
<option ccode="18599" value="CNTRY_VN">Vietnam</option>
<option ccode="18663" value="CNTRY_W96">Watford</option>
<option ccode="18733" value="CNTRY_WE">West Africa</option>
<option ccode="18728" value="CNTRY_WSA">Western Sahara</option>
<option ccode="18667" value="CNTRY_ADN">Yemen</option>
<option ccode="18605" value="CNTRY_YU">Yugoslavia</option>
<option ccode="18609" value="CNTRY_ZRE">Zaire</option>
<option ccode="18607" value="CNTRY_Z">Zambia</option>
<option ccode="18610" value="CNTRY_ZW">Zimbabwe</option>
</select><span class="ui-selectmenu-button ui-widget ui-state-default ui-corner-all" tabindex="0" id="country-button" role="combobox" aria-expanded="false" aria-autocomplete="list" aria-owns="country-menu" aria-haspopup="true"
aria-activedescendant="ui-id-7606" aria-labelledby="ui-id-7606" aria-disabled="false" style="width: 0px;"><span class="ui-icon ui-icon-triangle-1-s"></span><span class="ui-selectmenu-text">India</span></span>
</div>
</div>
<div class="form-group life-assured">
<div class="row">
<div class="col-sm-5 col-md-4 form-box etooltip">
<label class="field-lbl" for="mob">Mobile Number</label>
<input class="form-control country-code" name="Country code" type="text" cxss="1" ccaption="Mobile Country Code" value="91" ctype="NI" id="std_code" cin="mobnopre" maxlength="4" creqd="0"
onblur="QNIAPP.C2ACH_ACT.setClob_ops('mobnopre',this.value);" msg="" readonly="readonly" disabled="disabled" style="pointer-events: none;">
<input type="text" inputmode="numeric" name="Mobile No" disabled="" class="form-control country-mob" cxss="1" ccaption="Mobile" id="mobno_id" cin="mobno" creqd="1" ctype="MN" maxlength="10"
onblur="QNIAPP.C2ACH_ACT.setClob_ops('mobno',this.value);" placeholder="Mobile Number" msg="">
</div>
<div class="col-sm-5 col-md-4 form-box">
<label class="field-lbl" for="email">And Email ID</label>
<div class="awesomplete" style="width: 100%;"><input type="text" name="Email ID" disabled="" class="form-control " cxss="1" ccaption="Email id" id="email" cin="email" creqd="1" ctype="EM"
onblur="QNIAPP.C2ACH_ACT.setClob_ops('email',this.value);" autocomplete="off" placeholder="Email ID" aria-expanded="false" aria-owns="awesomplete_list_2" role="combobox">
<ul hidden="" role="listbox" id="awesomplete_list_2"></ul><span class="visually-hidden" role="status" aria-live="assertive" aria-atomic="true">Type 2 or more characters for results.</span>
</div>
</div>
</div>
<!-- <div class="row mr-top16">
<div class="col-sm-10 col-md-8 text-light double-box">Your mobile number and email id are needed so that we can get in touch with you in case of any concerns. We respect our customers' privacy and do not spam them.</div>
</div> -->
</div>
<div class="form-group netbankingpaymentla" style="display: none">
<div class="row">
<div class="col-sm-5 col-md-4 form-box">
<div class="tool-div clearfix">
<label>Annual Income<span class="red-astrik">*</span></label>
</div>
<input type="text" inputmode="numeric" class="form-control lannualIncome onfocus" cxss="1" ccaption="Annual Income" id="annualincm" name="AnnualIncome" cin="annualincm" creqd="0" ctype="NI"
onblur="QNIAPP.C2ACH_ACT.setClob_ops('annualincm',this.value);">
<br>
<div class="annualIncInWords" id="annualIncInWordsId">Zero</div>
</div>
</div>
</div>
</div>
<div class="form-group life-assured whome-buy entrdtls col-sm-10" style="display: none">
<label class="field-lbl"> Enter your details</label>
</div>
<div class="form-group" id="leadFormFocus">
<div class="row">
<div class="col-sm-5 col-md-4 form-box etooltip">
<label class="field-lbl" for="fname">What's your First Name?</label>
<input type="text" name="First Name" class="form-control onfocus" cin="pfname" cxss="1" ccaption="Proposer's First Name" creqd="1" maxlength="30" ctype="SA" id="pfname" onblur="QNIAPP.C2ACH_ACT.setClob_ops('pfname',this.value);"
msg="Enter your first name as per Government ID proof such as Aadhaar card, PAN card etc.">
</div>
<div class="col-sm-5 col-md-4 form-box etooltip">
<label class="field-lbl" for="lname">What's your Last Name? <small>(Optional)</small></label>
<input type="text" name="Last Name" class="form-control " autocomplete="off" cin="plname" cxss="1" ccaption="Proposer's last Name" creqd="0" maxlength="30" ctype="SA" id="plname" data-valid="optional"
onblur="QNIAPP.C2ACH_ACT.setClob_ops('plname',this.value);" msg="Enter your last name as per Government ID proof such as Aadhaar card, PAN card etc.">
</div>
</div>
</div>
<div class="form-group clearfix frmdetails">
<div class="row">
<div class="col-sm-5 col-md-4 form-box">
<label class="field-lbl">What's your Gender?</label>
<div class="custom-radio">
<input type="radio" ccaption="Gender" cin="pgender" name="pgender" id="pgenderM_id" value="M" cchild="pgenderF_id" onclick="QNIAPP.C2ACH_ACT.setClob_ops('pgender','M')" checked="">
<label for="pgenderM_id">Male</label>
<input type="radio" ccaption="Gender" cin="pgender" name="pgender" id="pgenderF_id" value="F" onclick="QNIAPP.C2ACH_ACT.setClob_ops('pgender','F')">
<label for="pgenderF_id">Female</label>
</div>
</div>
<div class="col-sm-5 col-md-4 form-box customInput calender divi">
<label class="field-lbl" for="dob">What's your Date of Birth? <span class="question-tip" data-toggle="tooltip" data-placement="top" title="" style="cursor: default;"
data-bs-original-title="We need your Date of Birth to calculate your age & suggest plans." aria-label="We need your Date of Birth to calculate your age & suggest plans."><img src="static/ux/images/c2p3d_v2_questions.svg"
alt=""></span></label>
<div class="rel etooltip">
<!-- <a class="date-icon" href="#"></a> -->
<input type="text" name="Date of Birth" data-pattern="/^\d{1,2}\/\d{1,2}\/\d{4}$/" inputmode="numeric" class="form-control calendar-input datePick" value="" cxss="1" placeholder="DD/MM/YYYY" id="pdob_id" ccaption="Proposer's Date of Birth"
creqd="1" ctype="DD" cin="pdob" onchange="QNIAPP.C2ACH_ACT.setClob_ops('pdob',this)" msg="Enter your Date of Birth as per Government ID proof such as Aadhaar card, PAN card etc." style="cursor: text; background: none;">
<input type="text" tabindex="-1" class="alternateDP" data-append="true"
style="background:url(./static/ux/images/c2p3d_v2_calendar.svg) right center no-repeat;width:30px;height:30px;pointer-events:initial;border: none;background-size: 24px auto;position: absolute;display: inline-block;right: 0;top: 0;cursor: pointer;"
id="mobiscroll1714121236229" readonly="">
</div>
<div class="smNote_PROP" style="display: block;"></div>
<p class="pph_age_min_max">Min: 18 yrs | Max: 65 yrs</p>
</div>
</div>
</div>
<div class="form-group clearfix">
<div class="row">
<div class="col-sm-5 col-md-4 form-box" id="propnri2" style="display: none ;" "="">
<label class=" field-lbl">Are you an NRI?</label>
<div class="custom-radio">
<input type="radio" name="pnri1" value="1" id="propnriyes1" cin="pnri" onclick="QNIAPP.C2ACH_ACT.setClob_ops('pnri','1');">
<label for="propnriyes1">Yes</label>
<input type="radio" name="pnri1" value="0" id="propnrino1" checked="" cin="pnri" onclick="QNIAPP.C2ACH_ACT.setClob_ops('pnri','0');">
<label for="propnrino1">No</label>
</div>
</div>
</div>
</div>
<div class="form-group ">
<div class="row">
<div class="col-sm-5 col-md-4 form-box etooltip">
<label class="field-lbl" for="mob">What's your Mobile Number?</label>
<input class="form-control country-code" inputmode="numeric" name="Country code" type="text" value="91" cxss="1" ccaption="Mobile Country Code" cin="pmobnopre" id="pstd_code" ctype="NI" creqd="0" maxlength="4"
onblur="QNIAPP.C2ACH_ACT.setClob_ops('pmobnopre',this.value);" msg="" readonly="readonly" disabled="disabled" style="pointer-events: none;">
<input type="text" inputmode="numeric" name="Mobile No" class="form-control country-mob" cxss="1" ccaption="Proposer's Mobile" cin="pmobno" creqd="1" ctype="MN" maxlength="10" id="pmobno"
onblur="QNIAPP.C2ACH_ACT.setClob_ops('pmobno',this.value);" placeholder="Mobile Number" msg="">
</div>
<div class="col-sm-5 col-md-4 form-box">
<label class="field-lbl" for="email">And your Email ID?</label>
<div class="awesomplete"><input type="text" name="Email ID" class="form-control " cxss="1" ccaption="Proposer's Email id" id="pemail" cin="pemail" creqd="1" ctype="EM" onblur="QNIAPP.C2ACH_ACT.setClob_ops('pemail',this.value);"
autocomplete="off" placeholder="Email ID" aria-expanded="false" aria-owns="awesomplete_list_3" role="combobox">
<ul hidden="" role="listbox" id="awesomplete_list_3"></ul><span class="visually-hidden" role="status" aria-live="assertive" aria-atomic="true">Type 2 or more characters for results.</span>
</div>
</div>
</div>
<div class="row mr-top16">
<div class="col-sm-10 col-md-8 text-light double-box">Your mobile number and email id are needed so that we can get in touch with you in case of any concerns. We respect our customers' privacy and do not spam them.</div>
</div>
</div>
<div class="form-group ">
<div class="row">
<div class="col-sm-5 col-md-4 unselect form-box qualla">
<label for="qual">What is your Educational Qualification?</label>
<select id="qualla" class="selectlist" creqd="1" onchnage="QNIAPP.C2ACH_ACT.setClob_ops('education',this.value);" style="display: none;">
<option value="">--Select--</option>
<option ccode="EDU_QUAL_PG" value="EDU_QUAL_PG">Post Graduate</option>
<option ccode="EDU_QUAL_GRAD" value="EDU_QUAL_GRAD">Graduate</option>
<option ccode="EDU_QUAL_DIPLOMA" value="EDU_QUAL_DIPLOMA">Diploma</option>
<option ccode="EDU_QUAL_HSC" value="EDU_QUAL_HSC">HSC(12th)</option>
<option ccode="EDU_QUAL_SSC" value="EDU_QUAL_SSC">SSC(10th)</option>
<option ccode="EDU_QUAL_UNDERMATRIC" value="EDU_QUAL_UNDERMATRIC">Under Matric (Class I to IX)</option>
<option ccode="EDU_QUAL_ILLITERATE" value="EDU_QUAL_ILLITERATE">Illiterate</option>
</select><span class="ui-selectmenu-button ui-widget ui-state-default ui-corner-all" tabindex="0" id="qualla-button" role="combobox" aria-expanded="false" aria-autocomplete="list" aria-owns="qualla-menu" aria-haspopup="true"
style="width: 290px;"><span class="ui-icon ui-icon-triangle-1-s"></span><span class="ui-selectmenu-text">--Select--</span></span>
</div>
<div class="col-sm-5 col-md-4 unselect form-box occupla">
<label for="occup">What is your Occupation?</label>
<select id="occupla" class="selectlist" creqd="1" onchange="QNIAPP.C2ACH_ACT.setClob_ops('occupType',this.value);" style="display: none;">
<option value="">--Select--</option>
<option ccode="OCCT_SALR" value="OCCT_SALR">Salaried</option>
<option ccode="OCCT_SEBS" value="OCCT_SEBS">Self employed/ Business</option>
<option ccode="OCCT_STUD" value="OCCT_STUD">Student</option>
<option ccode="OCCT_AGCT" value="OCCT_AGCT">Agriculture</option>
</select><span class="ui-selectmenu-button ui-widget ui-state-default ui-corner-all" tabindex="0" id="occupla-button" role="combobox" aria-expanded="false" aria-autocomplete="list" aria-owns="occupla-menu" aria-haspopup="true"
aria-activedescendant="ui-id-4512" aria-labelledby="ui-id-4512" aria-disabled="false" style="width: 290px;"><span class="ui-icon ui-icon-triangle-1-s"></span><span class="ui-selectmenu-text">--Select--</span></span>
</div>
</div>
</div>
<div class="form-group hidden" id="designation_wrapper">
<div class="row">
<div class="col-sm-5 col-md-4 form-box">
<label class="field-lbl" for="policy-">Designation</label>
<div class="rupee-box">
<select id="designation" class="selectlist" creqd="1" cin="designation" ccaption="Designation" cxss="1" style="display: none;">
<option value="">--Select--</option>
<option ccode="OCCUP_ADVO_CD" value="OCCUP_ADVO_CD">Advocate</option>
<option ccode="OCCUP_AGAO_CD" value="OCCUP_AGAO_CD">Agriculture Farmer</option>
<option ccode="OCCUP_ARCH_CD" value="OCCUP_ARCH_CD">Architect</option>
<option ccode="OCCUP_ASTR_CD" value="OCCUP_ASTR_CD">Astrologer</option>
<option ccode="OCCUP_BUTO_CD" value="OCCUP_BUTO_CD">Beauty parlour owner</option>
<option ccode="OCCUP_BOAD_CD" value="OCCUP_BOAD_CD">Boutique Owner</option>
<option ccode="OCCUP_BUSI_CD" value="OCCUP_BUSI_CD">Business</option>
<option ccode="OCCUP_DRTC_CD" value="OCCUP_DRTC_CD">Cab driver</option>
<option ccode="OCCUP_SEMF_CD" value="OCCUP_SEMF_CD">Caterer</option>
<option ccode="OCCUP_PRON_CD" value="OCCUP_PRON_CD">Chartered accountant</option>
<option ccode="OCCUP_BOSX_CD" value="OCCUP_BOSX_CD">Commision agent</option>
<option ccode="OCCUP_CONU_CD" value="OCCUP_CONU_CD">Consultant</option>
<option ccode="OCCUP_CONC_CD" value="OCCUP_CONC_CD">Contractor</option>
<option ccode="OCCUP_DIR_CD" value="OCCUP_DIR_CD">Director</option>
<option ccode="OCCUP_DOCT_CD" value="OCCUP_DOCT_CD">Doctor</option>
<option ccode="OCCUP_ENGR_CD" value="OCCUP_ENGR_CD">Engineer</option>
<option ccode="OCCUP_MDNJ_CD" value="OCCUP_MDNJ_CD">Event manager</option>
<option ccode="OCCUP_FOAF_CD" value="OCCUP_FOAF_CD">Founder Director</option>
<option ccode="OCCUP_FRAE_CD" value="OCCUP_FRAE_CD">Freelancer</option>
<option ccode="OCCUP_AGET_CD" value="OCCUP_AGET_CD">Insurance Agent</option>
<option ccode="OCCUP_UNEE_CD" value="OCCUP_UNEE_CD">Investor</option>
<option ccode="OCCUP_LAWY_CD" value="OCCUP_LAWY_CD">Lawyer</option>
<option ccode="OCCUP_MGRD_CD" value="OCCUP_MGRD_CD">Managing director</option>
<option ccode="OCCUP_OTHR_CD" value="OCCUP_OTHR_CD">Other Occupation</option>
<option ccode="OCCUP_BONB_CD" value="OCCUP_BONB_CD">Owner</option>
<option ccode="OCCUP_PAER_CD" value="OCCUP_PAER_CD">Partner</option>
<option ccode="OCCUP_PRIL_CD" value="OCCUP_PRIL_CD">Poojari</option>
<option ccode="OCCUP_PRST_CD" value="OCCUP_PRST_CD">Priest</option>
<option ccode="OCCUP_BOND_CD" value="OCCUP_BOND_CD">Properietor</option>
<option ccode="OCCUP_REAE_CD" value="OCCUP_REAE_CD">Real Estate Broker</option>
<option ccode="OCCUP_SENT_CD" value="OCCUP_SENT_CD">Senior Accountant</option>
<option ccode="OCCUP_SOFE_CD" value="OCCUP_SOFE_CD">Software Engineer</option>
<option ccode="OCCUP_SWPR_CD" value="OCCUP_SWPR_CD">Software Professional</option>
<option ccode="OCCUP_TODE_CD" value="OCCUP_TODE_CD">Tourist Guide</option>
<option ccode="OCCUP_TUTE_CD" value="OCCUP_TUTE_CD">Tuition teacher</option>
<option ccode="OCCUP_FITC_CD" value="OCCUP_FITC_CD">Yoga teacher</option>
</select><span class="ui-selectmenu-button ui-widget ui-state-default ui-corner-all" tabindex="0" id="designation-button" role="combobox" aria-expanded="false" aria-autocomplete="list" aria-owns="designation-menu" aria-haspopup="true"
style="width: 0px;"><span class="ui-icon ui-icon-triangle-1-s"></span><span class="ui-selectmenu-text"> </span></span>
</div>
</div>
</div>
</div>
<div class="form-group hidden" id="empSelect_wrapper">
<div class="row">
<div class="col-sm-5 col-md-7 unselect form-box hidden">
<label for="industryDetails-button">Industry to which your company or business belongs</label>
<select id="industryDetails" class="autoComplete selectlist" data-prop="industype" style="display: none;">
<option value="">--Select--</option>
<option ccode="INDT_AACY" value="INDT_AACY">Auto Ancillary</option>
<option ccode="INDT_ABRS" value="INDT_ABRS">Auto - Batteries</option>
<option ccode="INDT_ACC" value="INDT_ACC">Accounts</option>
<option ccode="INDT_ADAC" value="INDT_ADAC">Audit And Accounts</option>
<option ccode="INDT_ADAG" value="INDT_ADAG">Ad Agency</option>
<option ccode="INDT_ADVT" value="INDT_ADVT">Advertising</option>
<option ccode="INDT_AGCL" value="INDT_AGCL">Agrochemicals</option>
<option ccode="INDT_AGCT" value="INDT_AGCT">Agriculture</option>
<option ccode="INDT_ALMN" value="INDT_ALMN">Aluminium</option>
<option ccode="INDT_ANHB" value="INDT_ANHB">Animal Husbandry</option>
<option ccode="INDT_APRL" value="INDT_APRL">Apparels</option>
<option ccode="INDT_AQCT" value="INDT_AQCT">Aquaculture</option>
<option ccode="INDT_ARCN" value="INDT_ARCN">Air Condition</option>
<option ccode="INDT_ARCT" value="INDT_ARCT">Art And Culture</option>
<option ccode="INDT_ARFC" value="INDT_ARFC">Airforce</option>
<option ccode="INDT_ARFS" value="INDT_ARFS">Armed Forces</option>
<option ccode="INDT_ARLN" value="INDT_ARLN">Air Lines</option>
<option ccode="INDT_ARLNS" value="INDT_ARLNS">Airlines</option>
<option ccode="INDT_ARM" value="INDT_ARM">Army</option>
<option ccode="INDT_ARNT" value="INDT_ARNT">Aeronautics</option>
<option ccode="INDT_ASBT" value="INDT_ASBT">Asbestos</option>
<option ccode="INDT_ASRF" value="INDT_ASRF">Assam Rifles</option>
<option ccode="INDT_ASTG" value="INDT_ASTG">Astrology</option>
<option ccode="INDT_ATEG" value="INDT_ATEG">Atomic Energy</option>
<option ccode="INDT_ATMB" value="INDT_ATMB">Automobile</option>
<option ccode="INDT_ATMS" value="INDT_ATMS">Automobiles</option>
<option ccode="INDT_AVAT" value="INDT_AVAT">Aviation</option>
<option ccode="INDT_AYVC" value="INDT_AYVC">Ayurvedic</option>
<option ccode="INDT_B2B" value="INDT_B2B">B2B</option>
<option ccode="INDT_B2C" value="INDT_B2C">B2C</option>
<option ccode="INDT_BDFS" value="INDT_BDFS">Border Security Force</option>
<option ccode="INDT_BDMT" value="INDT_BDMT">Building Materials</option>
<option ccode="INDT_BERG" value="INDT_BERG">Bearings</option>
<option ccode="INDT_BITH" value="INDT_BITH">Biotech</option>
<option ccode="INDT_BMFT" value="INDT_BMFT">Brick Manufacturing</option>
<option ccode="INDT_BNFC" value="INDT_BNFC">Banking & Finance</option>
<option ccode="INDT_BNFI" value="INDT_BNFI">Banking Finance And Investment</option>
<option ccode="INDT_BNKG" value="INDT_BNKG">Banking</option>
<option ccode="INDT_BPO" value="INDT_BPO">BPO</option>
<option ccode="INDT_BSN" value="INDT_BSN">Business</option>
<option ccode="INDT_BTCS" value="INDT_BTCS">Beauty & Cosmetics</option>
<option ccode="INDT_BVGS" value="INDT_BVGS">Beverages</option>
<option ccode="INDT_BWDT" value="INDT_BWDT">Breweries & Distilleries</option>
<option ccode="INDT_CABL" value="INDT_CABL">Cable</option>
<option ccode="INDT_CBST" value="INDT_CBST">Cable & Satellite TV</option>
<option ccode="INDT_CEL" value="INDT_CEL">Cell</option>
<option ccode="INDT_CHML" value="INDT_CHML">Chemical</option>
<option ccode="INDT_CID" value="INDT_CID">Cid</option>
<option ccode="INDT_CINM" value="INDT_CINM">Cinema</option>
<option ccode="INDT_CIVL" value="INDT_CIVL">Civil</option>
<option ccode="INDT_CLCT" value="INDT_CLCT">Call Center</option>
<option ccode="INDT_CLMG" value="INDT_CLMG">Coal Mining</option>
<option ccode="INDT_CLT" value="INDT_CLT">Cloth</option>
<option ccode="INDT_CLTS" value="INDT_CLTS">Clothes</option>
<option ccode="INDT_CMID" value="INDT_CMID">Comodity Industry</option>
<option ccode="INDT_CMP" value="INDT_CMP">Computers</option>
<option ccode="INDT_CMT" value="INDT_CMT">Cement</option>
<option ccode="INDT_CNEM" value="INDT_CNEM">Construction Equipment Mfg.</option>
<option ccode="INDT_CNS" value="INDT_CNS">Construction</option>
<option ccode="INDT_CNST" value="INDT_CNST">Consultant</option>
<option ccode="INDT_CPMF" value="INDT_CPMF">Cement Pipe Manufacturing</option>
<option ccode="INDT_CPPF" value="INDT_CPPF">Computer Professional</option>
<option ccode="INDT_CPR" value="INDT_CPR">Copper</option>
<option ccode="INDT_CPWD" value="INDT_CPWD">CPWD</option>
<option ccode="INDT_CRCS" value="INDT_CRCS">Circus</option>
<option ccode="INDT_CRDH" value="INDT_CRDH">Courier And Despatch</option>
<option ccode="INDT_CRER" value="INDT_CRER">Courier</option>
<option ccode="INDT_CRFD" value="INDT_CRFD">Clearing And Forwarding</option>
<option ccode="INDT_CRM" value="INDT_CRM">Ceramics</option>
<option ccode="INDT_CRPF" value="INDT_CRPF">Central Reserve Police Force</option>
<option ccode="INDT_CSDB" value="INDT_CSDB">Consumer Durables</option>
<option ccode="INDT_CSEC" value="INDT_CSEC">Customs And Excise</option>
<option ccode="INDT_CSMT" value="INDT_CSMT">Cosmetics</option>
<option ccode="INDT_CSPD" value="INDT_CSPD">Consumer Products</option>
<option ccode="INDT_CTEC" value="INDT_CTEC">Central Excise</option>
<option ccode="INDT_CTGV" value="INDT_CTGV">Central Government</option>
<option ccode="INDT_CTIS" value="INDT_CTIS">Central Industrial Security Force</option>
<option ccode="INDT_CTMD" value="INDT_CTMD">Content & Media</option>
<option ccode="INDT_CTR" value="INDT_CTR">Catering</option>
<option ccode="INDT_CYC" value="INDT_CYC">Cycle</option>
<option ccode="INDT_DFNC" value="INDT_DFNC">Defence</option>
<option ccode="INDT_DIMD" value="INDT_DIMD">Diamond</option>
<option ccode="INDT_DNTL" value="INDT_DNTL">Dental</option>
<option ccode="INDT_DOCR" value="INDT_DOCR">Doctor</option>
<option ccode="INDT_DOCS" value="INDT_DOCS">Docks</option>
<option ccode="INDT_DOPT" value="INDT_DOPT">Docks And Port</option>
<option ccode="INDT_DRVG" value="INDT_DRVG">Driving</option>
<option ccode="INDT_DRY" value="INDT_DRY">Dairy</option>
<option ccode="INDT_DSTR" value="INDT_DSTR">Distribution</option>
<option ccode="INDT_DTIV" value="INDT_DTIV">Detective</option>
<option ccode="INDT_EBNK" value="INDT_EBNK">e-banking</option>
<option ccode="INDT_EBRK" value="INDT_EBRK">e-broking</option>
<option ccode="INDT_ECMC" value="INDT_ECMC">e-Commerce</option>
<option ccode="INDT_ECTC" value="INDT_ECTC">Electronics And Telecommunication</option>
<option ccode="INDT_ECTS" value="INDT_ECTS">Electronics</option>
<option ccode="INDT_ECTY" value="INDT_ECTY">Electricity</option>
<option ccode="INDT_EDU" value="INDT_EDU">Education</option>
<option ccode="INDT_EFN" value="INDT_EFN">e-finance</option>
<option ccode="INDT_ELCT" value="INDT_ELCT">Electricals</option>
<option ccode="INDT_EMGT" value="INDT_EMGT">Event Management</option>
<option ccode="INDT_ENGG" value="INDT_ENGG">Engineering</option>
<option ccode="INDT_ENGS" value="INDT_ENGS">Engines & Gensets</option>
<option ccode="INDT_ENT" value="INDT_ENT">Entertainment</option>
<option ccode="INDT_EPHS" value="INDT_EPHS">Export House</option>
<option ccode="INDT_ESLE" value="INDT_ESLE">Emergency Serv./Law Enforcemnt</option>
<option ccode="INDT_EXP" value="INDT_EXP">Export</option>
<option ccode="INDT_EXPS" value="INDT_EXPS">Explosives</option>
<option ccode="INDT_FBID" value="INDT_FBID">Fabrication Industry</option>
<option ccode="INDT_FBMF" value="INDT_FBMF">Fibre Manufacturing</option>
<option ccode="INDT_FDPD" value="INDT_FDPD">Food & Dairy Products</option>
<option ccode="INDT_FFTG" value="INDT_FFTG">Fire Fighting</option>
<option ccode="INDT_FINC" value="INDT_FINC">Finance</option>
<option ccode="INDT_FISH" value="INDT_FISH">Fishing</option>
<option ccode="INDT_FITN" value="INDT_FITN">Fitness</option>
<option ccode="INDT_FLM" value="INDT_FLM">Film</option>
<option ccode="INDT_FMCG" value="INDT_FMCG">Fmcg</option>
<option ccode="INDT_FMID" value="INDT_FMID">Film Industry</option>
<option ccode="INDT_FOBV" value="INDT_FOBV">Food & beverages (F&B)</option>
<option ccode="INDT_FOD" value="INDT_FOD">Food</option>
<option ccode="INDT_FRBG" value="INDT_FRBG">Fire Brigade</option>
<option ccode="INDT_FRGG" value="INDT_FRGG">Forgings</option>
<option ccode="INDT_FRM" value="INDT_FRM">Farming</option>
<option ccode="INDT_FRNT" value="INDT_FRNT">Furniture</option>
<option ccode="INDT_FRST" value="INDT_FRST">Forestry</option>
<option ccode="INDT_FRZ" value="INDT_FRZ">Fertilizer</option>
<option ccode="INDT_GASP" value="INDT_GASP">Gas Supply</option>
<option ccode="INDT_GLD" value="INDT_GLD">Gold</option>
<option ccode="INDT_GLS" value="INDT_GLS">Glass</option>
<option ccode="INDT_GNSY" value="INDT_GNSY">General Physician</option>
<option ccode="INDT_GOVF" value="INDT_GOVF">Government Officer</option>
<option ccode="INDT_GOVS" value="INDT_GOVS">Government Sector</option>
<option ccode="INDT_GPH" value="INDT_GPH">Graphic</option>
<option ccode="INDT_GRCY" value="INDT_GRCY">Grocery</option>
<option ccode="INDT_GRMT" value="INDT_GRMT">Garments</option>
<option ccode="INDT_GTC" value="INDT_GTC">Greeting Cards / Gifts</option>
<option ccode="INDT_HCR" value="INDT_HCR">Healthcare</option>
<option ccode="INDT_HCTY" value="INDT_HCTY">H.R.Consultancy</option>
<option ccode="INDT_HDCF" value="INDT_HDCF">Handicrafts</option>
<option ccode="INDT_HDCT" value="INDT_HDCT">Handicraft</option>
<option ccode="INDT_HDLM" value="INDT_HDLM">Handloom</option>
<option ccode="INDT_HDW" value="INDT_HDW">Hardware</option>
<option ccode="INDT_HGW" value="INDT_HGW">Highways</option>
<option ccode="INDT_HHAP" value="INDT_HHAP">Household Appliances / Utensils</option>
<option ccode="INDT_HHPD" value="INDT_HHPD">Household Products</option>
<option ccode="INDT_HLT" value="INDT_HLT">Health</option>
<option ccode="INDT_HMLN" value="INDT_HMLN">Home Loans</option>
<option ccode="INDT_HMPY" value="INDT_HMPY">Homeopathy</option>
<option ccode="INDT_HSFN" value="INDT_HSFN">Housing Finance</option>
<option ccode="INDT_HSPL" value="INDT_HSPL">Hospital</option>
<option ccode="INDT_HSPY" value="INDT_HSPY">Hospitality</option>
<option ccode="INDT_HSRY" value="INDT_HSRY">Hoisery</option>
<option ccode="INDT_HSY" value="INDT_HSY">Hosiery</option>
<option ccode="INDT_HTCT" value="INDT_HTCT">Horticulture</option>
<option ccode="INDT_HTL" value="INDT_HTL">Hotel</option>
<option ccode="INDT_HWF" value="INDT_HWF">Housewife</option>
<option ccode="INDT_ICT" value="INDT_ICT">Income Tax</option>
<option ccode="INDT_IMP" value="INDT_IMP">Import</option>
<option ccode="INDT_INB" value="INDT_INB">Investment Banking</option>
<option ccode="INDT_INC" value="INDT_INC">Info Communication</option>
<option ccode="INDT_INFT" value="INDT_INFT">Information Technology</option>
<option ccode="INDT_INK" value="INDT_INK">Inks</option>
<option ccode="INDT_INS" value="INDT_INS">Insurance</option>
<option ccode="INDT_INT" value="INDT_INT">Interiors</option>
<option ccode="INDT_INTM" value="INDT_INTM">Instrumentation</option>
<option ccode="INDT_IPRP" value="INDT_IPRP">IT - Peripherals</option>
<option ccode="INDT_IPXP" value="INDT_IPXP">Import And Export</option>
<option ccode="INDT_IRG" value="INDT_IRG">Irrigation</option>
<option ccode="INDT_IRN" value="INDT_IRN">Iron</option>
<option ccode="INDT_ITBP" value="INDT_ITBP">Indo - Tibetan Border Police</option>
<option ccode="INDT_ITDG" value="INDT_ITDG">Interior Design</option>
<option ccode="INDT_ITH" value="INDT_ITH">IT - Hardware</option>
<option ccode="INDT_ITID" value="INDT_ITID">IT Industry</option>
<option ccode="INDT_ITN" value="INDT_ITN">Internet</option>
<option ccode="INDT_JURN" value="INDT_JURN">Journalism</option>
<option ccode="INDT_JWL" value="INDT_JWL">Jewellery</option>
<option ccode="INDT_KITW" value="INDT_KITW">Knitwears</option>
<option ccode="INDT_KRN" value="INDT_KRN">Kirana</option>
<option ccode="INDT_LATR" value="INDT_LATR">Leather</option>
<option ccode="INDT_LBCT" value="INDT_LBCT">Lubricants</option>
<option ccode="INDT_LBR" value="INDT_LBR">Labour</option>
<option ccode="INDT_LDGH" value="INDT_LDGH">Lodge & Guest House</option>
<option ccode="INDT_LGJS" value="INDT_LGJS">Legal And Justice</option>
<option ccode="INDT_LGTS" value="INDT_LGTS">Logistics</option>
<option ccode="INDT_LQR" value="INDT_LQR">Liquor</option>
<option ccode="INDT_LUGG" value="INDT_LUGG">Luggage</option>
<option ccode="INDT_MACH" value="INDT_MACH">Machinery</option>
<option ccode="INDT_MB" value="INDT_MB">Mobile</option>
<option ccode="INDT_MBID" value="INDT_MBID">Marble Industry</option>
<option ccode="INDT_MCHC" value="INDT_MCHC">Mechanical</option>
<option ccode="INDT_MDC" value="INDT_MDC">Medicine</option>
<option ccode="INDT_MDCL" value="INDT_MDCL">Medical</option>
<option ccode="INDT_MDET" value="INDT_MDET">Media And Entertainment</option>
<option ccode="INDT_MDOF" value="INDT_MDOF">Medical Officer</option>
<option ccode="INDT_MDPC" value="INDT_MDPC">Medical Practitioner</option>
<option ccode="INDT_MEDA" value="INDT_MEDA">Media</option>
<option ccode="INDT_MHMR" value="INDT_MHMR">Merchant Marine</option>
<option ccode="INDT_MHNV" value="INDT_MHNV">Merchant Navy</option>
<option ccode="INDT_MNFT" value="INDT_MNFT">Manufacturing</option>
<option ccode="INDT_MNG" value="INDT_MNG">Mining</option>
<option ccode="INDT_MNQR" value="INDT_MNQR">Mining And Quarrying</option>
<option ccode="INDT_MPT" value="INDT_MPT">Milk Plant</option>
<option ccode="INDT_MRBK" value="INDT_MRBK">Merchant Banking</option>
<option ccode="INDT_MRN" value="INDT_MRN">Marine</option>
<option ccode="INDT_MTL" value="INDT_MTL">Metals</option>
<option ccode="INDT_MTPT" value="INDT_MTPT">Motor Parts</option>
<option ccode="INDT_MTVH" value="INDT_MTVH">Motor Vehicles</option>
<option ccode="INDT_MUS" value="INDT_MUS">Music</option>
<option ccode="INDT_NAV" value="INDT_NAV">Navy</option>
<option ccode="INDT_NEW" value="INDT_NEW">News</option>
<option ccode="INDT_NFMT" value="INDT_NFMT">Non-ferrous Metals</option>
<option ccode="INDT_NSGD" value="INDT_NSGD">National Security Guard</option>
<option ccode="INDT_OFAT" value="INDT_OFAT">Office Automation</option>
<option ccode="INDT_OIL" value="INDT_OIL">Oil</option>
<option ccode="INDT_OLCT" value="INDT_OLCT">Oil And Lubricants</option>
<option ccode="INDT_ONG" value="INDT_ONG">ONGC</option>
<option ccode="INDT_ONGC" value="INDT_ONGC">Oil And Natural Gas</option>
<option ccode="INDT_OPTL" value="INDT_OPTL">Optical</option>
<option ccode="INDT_ORDN" value="INDT_ORDN">Ordnance</option>
<option ccode="INDT_ORF" value="INDT_ORF">Oil Refining</option>
<option ccode="INDT_ORFY" value="INDT_ORFY">Oil Refinery</option>
<option ccode="INDT_ORG" value="INDT_ORG">Oil Rig</option>
<option ccode="INDT_OSCN" value="INDT_OSCN">Outsourcing</option>
<option ccode="INDT_OTHR" value="INDT_OTHR">Other</option>
<option ccode="INDT_PCAB" value="INDT_PCAB">Power Cables</option>
<option ccode="INDT_PCTL" value="INDT_PCTL">Pharmaceutical</option>
<option ccode="INDT_PEQT" value="INDT_PEQT">Power Equipment</option>
<option ccode="INDT_PEST" value="INDT_PEST">Pesticides</option>
<option ccode="INDT_PFMG" value="INDT_PFMG">Poultry Farming</option>
<option ccode="INDT_PFSL" value="INDT_PFSL">Professional</option>
<option ccode="INDT_PGHB" value="INDT_PGHB">Paying Hobbies</option>
<option ccode="INDT_PGLG" value="INDT_PGLG">Property Dealing</option>
<option ccode="INDT_PIP" value="INDT_PIP">Pipe</option>
<option ccode="INDT_PLCT" value="INDT_PLCT">Placement</option>
<option ccode="INDT_PLST" value="INDT_PLST">Plastics</option>
<option ccode="INDT_PLTC" value="INDT_PLTC">Politics</option>
<option ccode="INDT_PLTN" value="INDT_PLTN">Plantation</option>
<option ccode="INDT_PMCT" value="INDT_PMCT">Pharmaceutials</option>
<option ccode="INDT_PMNG" value="INDT_PMNG">Paper Manufacturing</option>
<option ccode="INDT_PMRY" value="INDT_PMRY">Petroleum Refinery</option>
<option ccode="INDT_PNST" value="INDT_PNST">Printing and Stationery</option>
<option ccode="INDT_PNT" value="INDT_PNT">Paint</option>
<option ccode="INDT_PNTG" value="INDT_PNTG">Painting</option>
<option ccode="INDT_POLC" value="INDT_POLC">Police</option>
<option ccode="INDT_PORT" value="INDT_PORT">Port</option>
<option ccode="INDT_PRLT" value="INDT_PRLT">Public relations</option>
<option ccode="INDT_PRST" value="INDT_PRST">Priest</option>
<option ccode="INDT_PSUP" value="INDT_PSUP">Power Supply</option>
<option ccode="INDT_PTRL" value="INDT_PTRL">Petroleum</option>
<option ccode="INDT_PUBL" value="INDT_PUBL">Publishing</option>
<option ccode="INDT_PWD" value="INDT_PWD">PWD</option>
<option ccode="INDT_PWR" value="INDT_PWR">Power</option>
<option ccode="INDT_PYRN" value="INDT_PYRN">Polyester Yarn</option>
<option ccode="INDT_PYSY" value="INDT_PYSY">Physiotherapy</option>
<option ccode="INDT_QUAR" value="INDT_QUAR">Quarrying</option>
<option ccode="INDT_RDAF" value="INDT_RDAF">Radio AM & FM</option>
<option ccode="INDT_RDCT" value="INDT_RDCT">Roads And Construction</option>
<option ccode="INDT_RDIO" value="INDT_RDIO">Radio</option>
<option ccode="INDT_RDWY" value="INDT_RDWY">Roadways</option>
<option ccode="INDT_REST" value="INDT_REST">Real Estate</option>
<option ccode="INDT_RFNY" value="INDT_RFNY">Refinery</option>
<option ccode="INDT_RLWY" value="INDT_RLWY">Railways</option>
<option ccode="INDT_RSCH" value="INDT_RSCH">Research</option>
<option ccode="INDT_RTAP" value="INDT_RTAP">Retired Army Personal</option>
<option ccode="INDT_RTL" value="INDT_RTL">Retail</option>
<option ccode="INDT_RTRD" value="INDT_RTRD">Retired</option>
<option ccode="INDT_RUBB" value="INDT_RUBB">Rubber</option>
<option ccode="INDT_SALS" value="INDT_SALS">Sales</option>
<option ccode="INDT_SCHL" value="INDT_SCHL">School</option>
<option ccode="INDT_SCTY" value="INDT_SCTY">Security</option>
<option ccode="INDT_SCWF" value="INDT_SCWF">Social Welfare</option>
<option ccode="INDT_SDGN" value="INDT_SDGN">Sand & Granite</option>
<option ccode="INDT_SERV" value="INDT_SERV">Service</option>
<option ccode="INDT_SFDK" value="INDT_SFDK">Soft Drinks</option>
<option ccode="INDT_SFTW" value="INDT_SFTW">Software</option>
<option ccode="INDT_SGR" value="INDT_SGR">Sugar</option>
<option ccode="INDT_SHPP" value="INDT_SHPP">Shipping</option>
<option ccode="INDT_SHRS" value="INDT_SHRS">Shares</option>
<option ccode="INDT_SHSB" value="INDT_SHSB">Sashastra Seema Bal</option>
<option ccode="INDT_SLK" value="INDT_SLK">Silk</option>
<option ccode="INDT_SLMK" value="INDT_SLMK">Sales And Marketing</option>
<option ccode="INDT_SLMN" value="INDT_SLMN">Salesman</option>
<option ccode="INDT_SNTY" value="INDT_SNTY">Sanitary</option>
<option ccode="INDT_SPBD" value="INDT_SPBD">Ship Building</option>
<option ccode="INDT_SPDT" value="INDT_SPDT">Soaps & Detergents</option>
<option ccode="INDT_SPFF" value="INDT_SPFF">Special Frontier Force</option>
<option ccode="INDT_SPGM" value="INDT_SPGM">Sports And Games</option>
<option ccode="INDT_SPRT" value="INDT_SPRT">Sports</option>
<option ccode="INDT_SRCT" value="INDT_SRCT">Sericulture</option>
<option ccode="INDT_SRGN" value="INDT_SRGN">Surgeon</option>
<option ccode="INDT_STBR" value="INDT_STBR">Stock Broking</option>
<option ccode="INDT_STD" value="INDT_STD">Student</option>
<option ccode="INDT_STEL" value="INDT_STEL">Steel</option>
<option ccode="INDT_STGV" value="INDT_STGV">State Government</option>
<option ccode="INDT_STNY" value="INDT_STNY">Stationary</option>
<option ccode="INDT_TATR" value="INDT_TATR">Travel And Tour</option>
<option ccode="INDT_TAXN" value="INDT_TAXN">Taxation</option>
<option ccode="INDT_TBCO" value="INDT_TBCO">Tobacco & Cigarettes</option>
<option ccode="INDT_TCNG" value="INDT_TCNG">Teaching</option>
<option ccode="INDT_TCOMM" value="INDT_TCOMM">Telecommunications</option>
<option ccode="INDT_TECH" value="INDT_TECH">Technology</option>
<option ccode="INDT_TELE" value="INDT_TELE">Telecom</option>
<option ccode="INDT_THTR" value="INDT_THTR">Theatre</option>
<option ccode="INDT_TIND" value="INDT_TIND">Travel Industry</option>
<option ccode="INDT_TLES" value="INDT_TLES">Tiles</option>
<option ccode="INDT_TRDG" value="INDT_TRDG">Trading</option>
<option ccode="INDT_TRDR" value="INDT_TRDR">Trader</option>
<option ccode="INDT_TRSM" value="INDT_TRSM">Tourism</option>
<option ccode="INDT_TRSP" value="INDT_TRSP">Transport</option>
<option ccode="INDT_TRUM" value="INDT_TRUM">Tourisum</option>
<option ccode="INDT_TUTN" value="INDT_TUTN">Tuition</option>
<option ccode="INDT_TV" value="INDT_TV">TV</option>
<option ccode="INDT_TVBG" value="INDT_TVBG">TV Broadcasting</option>
<option ccode="INDT_TVPN" value="INDT_TVPN">Television Production</option>
<option ccode="INDT_TVSN" value="INDT_TVSN">Television</option>
<option ccode="INDT_TXAF" value="INDT_TXAF">Tax And Finance</option>
<option ccode="INDT_TXTL" value="INDT_TXTL">Textile</option>
<option ccode="INDT_UNEM" value="INDT_UNEM">Unemployed</option>
<option ccode="INDT_UNIN" value="INDT_UNIN">Unearned Income</option>
<option ccode="INDT_VETR" value="INDT_VETR">Veterenary</option>
<option ccode="INDT_WATR" value="INDT_WATR">Water</option>
<option ccode="INDT_WGDS" value="INDT_WGDS">White Goods</option>
<option ccode="INDT_WOOL" value="INDT_WOOL">Wool</option>
<option ccode="INDT_WTCH" value="INDT_WTCH">Watch</option>
<option ccode="INDT_WTRT" value="INDT_WTRT">Water Treatment</option>
<option ccode="INDT_WVNG" value="INDT_WVNG">Weaving</option>
<option ccode="INDT_YARN" value="INDT_YARN">Yarn</option>
</select><span class="ui-selectmenu-button ui-widget ui-state-default ui-corner-all" tabindex="0" id="industryDetails-button" role="combobox" aria-expanded="false" aria-autocomplete="list" aria-owns="industryDetails-menu" aria-haspopup="true"
style="width: 0px;"><span class="ui-icon ui-icon-triangle-1-s"></span><span class="ui-selectmenu-text"> </span></span>
</div>
</div>
</div>
<div class="form-group netbankingpaymentpph" style="">
<div class="row">
<div class="col-sm-5 col-md-4 form-box">
<div class="tool-div clearfix">
<label>Annual Income<span class="red-astrik">*</span></label>
</div>
<input type="text" inputmode="numeric" class="form-control pannualIncome onfocus" cxss="1" ctype="INOPS" ccaption="Annual Income" id="pannualincm" name="Annual Income" cin="pannualincm" creqd="1"
onblur="QNIAPP.C2ACH_ACT.setClob_ops('pannualincm',this.value);">
<br>
<div class="pannualIncInWords" id="pannualIncInWordsId">Zero</div>
</div>
</div>
<div id="qni-quoteinput-messages"></div>
</div>
<div class="form-group clearfix">
<div class="row">
<div class="col-sm-5 col-md-4 clearfix nri-box" style="display: none !important;">
<div class="col-sm-5 col-md-4 form-box">
<label for="country-button">Country of residence</label>
<select class="selectlist" creqd="0" id="country_prop" cin="pcntry" style="display: none;">
<option value="">--Select--</option>
<option ccode="18613" value="CNTRY_AFG">Afghanistan</option>
<option ccode="18668" value="CNTRY_AL">Albania</option>
<option ccode="18524" value="CNTRY_GBA">Alderney</option>
<option ccode="18509" value="CNTRY_DZ">Algeria</option>
<option ccode="18669" value="CNTRY_AND">Andorra</option>
<option ccode="18624" value="CNTRY_AGO">Angola</option>
<option ccode="18625" value="CNTRY_AGU">Anguilla</option>
<option ccode="18623" value="CNTRY_ABB">Antigua and Barbuda</option>
<option ccode="18565" value="CNTRY_RA">Argentina</option>
<option ccode="18627" value="CNTRY_ARM">Armenia</option>
<option ccode="18626" value="CNTRY_ARB">Aruba</option>
<option ccode="18670" value="CNTRY_AUS">Australia</option>
<option ccode="18612" value="CNTRY_A">Austria</option>
<option ccode="18628" value="CNTRY_AZB">Azerbaijan</option>
<option ccode="18679" value="CNTRY_BS">Bahamas</option>
<option ccode="18678" value="CNTRY_BRN">Bahrain</option>
<option ccode="18672" value="CNTRY_BD">Bangladesh</option>
<option ccode="18673" value="CNTRY_BDS">Barbados</option>
<option ccode="18632" value="CNTRY_BLR">Belarus</option>
<option ccode="18671" value="CNTRY_B">Belgium</option>
<option ccode="18675" value="CNTRY_BH">Belize</option>
<option ccode="18508" value="CNTRY_DY">Benin</option>
<option ccode="18629" value="CNTRY_BER">Bermuda</option>
<option ccode="18630" value="CNTRY_BHU">Bhutan</option>
<option ccode="18676" value="CNTRY_BOL">Bolivia</option>
<option ccode="18636" value="CNTRY_BSN">Bosnia</option>
<option ccode="18566" value="CNTRY_RB">Botswana</option>
<option ccode="18677" value="CNTRY_BR">Brazil</option>
<option ccode="18635" value="CNTRY_BRT">Britain</option>
<option ccode="18637" value="CNTRY_BVI">British Virgin Islands</option>
<option ccode="18745" value="CNTRY_BNI">Brunei</option>
<option ccode="18674" value="CNTRY_BG">Bulgaria</option>
<option ccode="18631" value="CNTRY_BKF">Burkina Faso</option>
<option ccode="18634" value="CNTRY_BRM">Burma</option>
<option ccode="18633" value="CNTRY_BRD">Burundi</option>
<option ccode="18542" value="CNTRY_K">Cambodia</option>
<option ccode="18639" value="CNTRY_CMR">Cameroon</option>
<option ccode="18682" value="CNTRY_CDN">Canada</option>
<option ccode="18641" value="CNTRY_CNI">Canary Islands</option>
<option ccode="18737" value="CNTRY_CTN">Cape Town</option>
<option ccode="18642" value="CNTRY_CPV">Cape Verde</option>
<option ccode="63291" value="CNTRY_CYI">Cayman Islands</option>
<option ccode="18567" value="CNTRY_RCA">Central African Republic</option>
<option ccode="18638" value="CNTRY_CHD">Chad</option>
<option ccode="18569" value="CNTRY_RCH">Chile</option>
<option ccode="18738" value="CNTRY_CHN">China</option>
<option ccode="18502" value="CNTRY_CO">Colombia</option>
<option ccode="18640" value="CNTRY_COM">Comoros</option>
<option ccode="18568" value="CNTRY_RCB">Congo</option>
<option ccode="18503" value="CNTRY_CR">Costa Rica</option>
<option ccode="18666" value="CNTRY_CV9">Cote dIvoire</option>
<option ccode="18531" value="CNTRY_HR">Croatia</option>
<option ccode="18681" value="CNTRY_C">Cuba</option>
<option ccode="18643" value="CNTRY_CRC">Curacao</option>
<option ccode="18504" value="CNTRY_CY">Cyprus</option>
<option ccode="18739" value="CNTRY_CZH">Czech</option>
<option ccode="18734" value="CNTRY_IC">Czech Republic</option>
<option ccode="18645" value="CNTRY_DPC">Democratic Republic of Congo</option>
<option ccode="18506" value="CNTRY_DK">Denmark</option>
<option ccode="18644" value="CNTRY_DJI">Djibouti</option>
<option ccode="18602" value="CNTRY_WD">Dominica</option>
<option ccode="18507" value="CNTRY_DOM">Dominican Republic</option>
<option ccode="18732" value="CNTRY_EA1">East Africa</option>
<option ccode="18729" value="CNTRY_EA">EastTimor</option>
<option ccode="18514" value="CNTRY_EC">Ecuador</option>
<option ccode="18516" value="CNTRY_ET">Egypt</option>
<option ccode="18515" value="CNTRY_ES">El Salvador</option>
<option ccode="18646" value="CNTRY_ENG">England</option>
<option ccode="18647" value="CNTRY_EQG">Equatorial Guinea</option>
<option ccode="18648" value="CNTRY_ERT">Eritrea</option>
<option ccode="18518" value="CNTRY_EW">Estonia</option>
<option ccode="18517" value="CNTRY_ETH">Ethiopia</option>
<option ccode="18649" value="CNTRY_FLI">Falkland Islands</option>
<option ccode="18521" value="CNTRY_FJI">Fiji</option>
<option ccode="18520" value="CNTRY_FIN">Finland</option>
<option ccode="18519" value="CNTRY_F">France</option>
<option ccode="18650" value="CNTRY_FRG">French Guiana</option>
<option ccode="18651" value="CNTRY_FRP">French Polynesia</option>
<option ccode="18652" value="CNTRY_GBN">Gabon</option>
<option ccode="18740" value="CNTRY_GMB">Gambia</option>
<option ccode="18735" value="CNTRY_TH">Gambia/ The Gambia</option>
<option ccode="18656" value="CNTRY_GRG">Georgia</option>
<option ccode="18505" value="CNTRY_D">Germany</option>
<option ccode="18527" value="CNTRY_GH">Ghana</option>
<option ccode="18525" value="CNTRY_GBZ">Gibraltar</option>
<option ccode="18523" value="CNTRY_GB">Great Britain</option>
<option ccode="18528" value="CNTRY_GR">Greece</option>
<option ccode="18655" value="CNTRY_GNL">Greenland</option>
<option ccode="18603" value="CNTRY_WG">Grenada</option>
<option ccode="18654" value="CNTRY_GDL">Guadeloupe</option>
<option ccode="18658" value="CNTRY_GUM">Guam</option>
<option ccode="18526" value="CNTRY_GCA">Guatemala</option>
<option ccode="18657" value="CNTRY_GUI">Guinea</option>
<option ccode="18653" value="CNTRY_GBS">Guinea bissau</option>
<option ccode="18529" value="CNTRY_GUY">Guyana</option>
<option ccode="18570" value="CNTRY_RH">Haiti</option>
<option ccode="18659" value="CNTRY_HDR">Honduras</option>
<option ccode="18614" value="CNTRY_HK">Hong Kong</option>
<option ccode="18530" value="CNTRY_H">Hungary</option>
<option ccode="18538" value="CNTRY_IS">Iceland</option>
<option ccode="18534" value="CNTRY_IND">India</option>
<option ccode="18617" value="CNTRY_RI">Indonesia</option>
<option ccode="18535" value="CNTRY_IR">Iran</option>
<option ccode="18537" value="CNTRY_IRQ">Iraq</option>
<option ccode="18536" value="CNTRY_IRL">Ireland</option>
<option ccode="18533" value="CNTRY_IL">Israel</option>
<option ccode="18532" value="CNTRY_I">Italy</option>
<option ccode="18684" value="CNTRY_CI">Ivory Coast</option>
<option ccode="18540" value="CNTRY_JA">Jamaica</option>
<option ccode="18539" value="CNTRY_J">Japan</option>
<option ccode="18541" value="CNTRY_JOR">Jordan</option>
<option ccode="18741" value="CNTRY_KSN">Kazhakistan</option>
<option ccode="18511" value="CNTRY_EAK">Kenya</option>
<option ccode="18686" value="CNTRY_KIR">Kiribati</option>
<option ccode="18543" value="CNTRY_KWT">Kuwait</option>
<option ccode="18660" value="CNTRY_KGZ">Kyrgyzstan</option>
<option ccode="18545" value="CNTRY_LAO">Laos</option>
<option ccode="18549" value="CNTRY_LV">Latvia</option>
<option ccode="18572" value="CNTRY_RL">Lebanon</option>
<option ccode="18547" value="CNTRY_LS">Lesotho</option>
<option ccode="18687" value="CNTRY_LBR">Liberia</option>
<option ccode="18546" value="CNTRY_LAR">Libya</option>
<option ccode="18522" value="CNTRY_FL">Liechtenstein</option>
<option ccode="18548" value="CNTRY_LT">Lithuania</option>
<option ccode="18662" value="CNTRY_WC">London</option>
<option ccode="18544" value="CNTRY_L">Luxembourg</option>
<option ccode="18689" value="CNTRY_MCU">Macau</option>
<option ccode="18554" value="CNTRY_MK">Macedonia</option>
<option ccode="18573" value="CNTRY_RM">Madagascar</option>
<option ccode="18690" value="CNTRY_MDR">Madeira</option>
<option ccode="18556" value="CNTRY_MW">Malawi</option>
<option ccode="18615" value="CNTRY_MAL">Malaysia</option>
<option ccode="18691" value="CNTRY_MLD">Maldives</option>
<option ccode="18574" value="CNTRY_RMM">Mali</option>
<option ccode="18550" value="CNTRY_M">Malta</option>
<option ccode="18742" value="CNTRY_MGL">Mangolia</option>
<option ccode="18692" value="CNTRY_MSI">Marshall Islands</option>
<option ccode="18693" value="CNTRY_MTQ">Martinique</option>
<option ccode="18571" value="CNTRY_RIM">Mauritania</option>
<option ccode="18555" value="CNTRY_MS">Mauritius</option>
<option ccode="18553" value="CNTRY_MEX">Mexico</option>
<option ccode="18688" value="CNTRY_MCN">Micronesia</option>
<option ccode="18664" value="CNTRY_MDV">Moldova</option>
<option ccode="18552" value="CNTRY_MC">Monaco</option>
<option ccode="18730" value="CNTRY_MG5">Montenegro</option>
<option ccode="18694" value="CNTRY_MTS">Monteserrat</option>
<option ccode="18551" value="CNTRY_MA">Morocco</option>
<option ccode="18695" value="CNTRY_MZB">Mozambique</option>
<option ccode="18680" value="CNTRY_BUR">Myanmar</option>
<option ccode="18700" value="CNTRY_NMB">Namibia</option>
<option ccode="18696" value="CNTRY_NAU">Nauru</option>
<option ccode="18620" value="CNTRY_NEP">Nepal</option>
<option ccode="18559" value="CNTRY_NL">Netherlands</option>
<option ccode="18697" value="CNTRY_NCD">New Caledonia</option>
<option ccode="18736" value="CNTRY_NZL">New Zealand</option>
<option ccode="18558" value="CNTRY_NIC">Nicaragua</option>
<option ccode="18575" value="CNTRY_RN">Niger</option>
<option ccode="18601" value="CNTRY_WAN">Nigeria</option>
<option ccode="18699" value="CNTRY_NIU">Niue</option>
<option ccode="18665" value="CNTRY_NK">North Korea</option>
<option ccode="18698" value="CNTRY_NIR">Northern Ireland</option>
<option ccode="18557" value="CNTRY_N">Norway</option>
<option ccode="18619" value="CNTRY_OMA">Oman</option>
<option ccode="18743" value="CNTRY_OTH">Other</option>
<option ccode="18562" value="CNTRY_PK">Pakistan</option>
<option ccode="18702" value="CNTRY_PLU">Palau</option>
<option ccode="18701" value="CNTRY_PLS">Palestine</option>
<option ccode="18616" value="CNTRY_PA">Panama</option>
<option ccode="18703" value="CNTRY_PNG">Papua New guinea</option>
<option ccode="18564" value="CNTRY_PY">Paraguay</option>
<option ccode="18561" value="CNTRY_PE">Peru</option>
<option ccode="18579" value="CNTRY_RP">Philippines</option>
<option ccode="18563" value="CNTRY_PL">Poland</option>
<option ccode="18560" value="CNTRY_P">Portugal</option>
<option ccode="18704" value="CNTRY_PUR">Puerto Rico</option>
<option ccode="18705" value="CNTRY_QTR">Qatar</option>
<option ccode="18731" value="CNTRY_RS">RSA</option>
<option ccode="18707" value="CNTRY_ROC">Republic of Congo</option>
<option ccode="18577" value="CNTRY_ROK">Republic of Korea</option>
<option ccode="18706" value="CNTRY_REU">Reunion</option>
<option ccode="18576" value="CNTRY_RO">Romania</option>
<option ccode="18581" value="CNTRY_RUS">Russia</option>
<option ccode="18582" value="CNTRY_RWA">Rwanda</option>
<option ccode="18604" value="CNTRY_WS">Samoa</option>
<option ccode="18580" value="CNTRY_RSM">San Marino</option>
<option ccode="18715" value="CNTRY_STP">Sao Principe and Tome</option>
<option ccode="18621" value="CNTRY_SA">Saudi Arabia</option>
<option ccode="18708" value="CNTRY_SCL">Scotland</option>
<option ccode="18587" value="CNTRY_SN">Senegal</option>
<option ccode="18714" value="CNTRY_SRB">Serbia</option>
<option ccode="18589" value="CNTRY_SY">Seychelles</option>
<option ccode="18600" value="CNTRY_WAL">Sierra Leone</option>
<option ccode="18618" value="CNTRY_SGP">Singapore</option>
<option ccode="18585" value="CNTRY_SK">Slovakia</option>
<option ccode="18711" value="CNTRY_SLV">Slovenia</option>
<option ccode="18713" value="CNTRY_SMI">Solomon Islands</option>
<option ccode="18588" value="CNTRY_SP">Somalia</option>
<option ccode="18608" value="CNTRY_ZA">South Africa</option>
<option ccode="18744" value="CNTRY_SKA">South Korea</option>
<option ccode="115791" value="CNTRY_SSUD">South Sudan</option>
<option ccode="18510" value="CNTRY_E">Spain</option>
<option ccode="18685" value="CNTRY_CL">Sri Lanka</option>
<option ccode="18709" value="CNTRY_SKN">St Kitts and Nevis</option>
<option ccode="18710" value="CNTRY_SLU">St Lucia</option>
<option ccode="18712" value="CNTRY_SMA">St Martin</option>
<option ccode="18717" value="CNTRY_SVG">St Vincent and Grenadines</option>
<option ccode="18716" value="CNTRY_SUD">Sudan</option>
<option ccode="18586" value="CNTRY_SME">Surinam</option>
<option ccode="18661" value="CNTRY_SW">Swansea</option>
<option ccode="18584" value="CNTRY_SD">Swaziland</option>
<option ccode="18583" value="CNTRY_S">Sweden</option>
<option ccode="18683" value="CNTRY_CH">Switzerland</option>
<option ccode="18590" value="CNTRY_SYR">Syria</option>
<option ccode="18719" value="CNTRY_THT">Tahiti</option>
<option ccode="18611" value="CNTRY_TAI">Taiwan</option>
<option ccode="18720" value="CNTRY_TJK">Tajikistan</option>
<option ccode="18512" value="CNTRY_EAT">Tanzania</option>
<option ccode="18591" value="CNTRY_T">Thailand</option>
<option ccode="18718" value="CNTRY_TBT">Tibet</option>
<option ccode="18592" value="CNTRY_TG">Togo</option>
<option ccode="18721" value="CNTRY_TKL">Tokelau</option>
<option ccode="18722" value="CNTRY_TNG">Tonga</option>
<option ccode="18596" value="CNTRY_TT">Trinidad and Tobago</option>
<option ccode="18594" value="CNTRY_TN">Tunisia</option>
<option ccode="18595" value="CNTRY_TR">Turkey</option>
<option ccode="18593" value="CNTRY_TMN">Turkmenistan</option>
<option ccode="18723" value="CNTRY_TUC">Turks and Caicos</option>
<option ccode="18724" value="CNTRY_TVL">Tuvalu</option>
<option ccode="106297" value="CNTRY_USV">US Virgin Islands</option>
<option ccode="18513" value="CNTRY_EAU">Uganda</option>
<option ccode="18597" value="CNTRY_UA">Ukraine</option>
<option ccode="18622" value="CNTRY_UAE">United Arab Emirates</option>
<option ccode="18725" value="CNTRY_UKG">United Kingdom</option>
<option ccode="18598" value="CNTRY_USA">United States of America</option>
<option ccode="18578" value="CNTRY_ROU">Uruguay</option>
<option ccode="18726" value="CNTRY_UZB">Uzbekistan</option>
<option ccode="18727" value="CNTRY_VAN">Vanuatu</option>
<option ccode="106296" value="CNTRY_VATCN">Vatican</option>
<option ccode="18606" value="CNTRY_YV">Venezuela</option>
<option ccode="18599" value="CNTRY_VN">Vietnam</option>
<option ccode="18663" value="CNTRY_W96">Watford</option>
<option ccode="18733" value="CNTRY_WE">West Africa</option>
<option ccode="18728" value="CNTRY_WSA">Western Sahara</option>
<option ccode="18667" value="CNTRY_ADN">Yemen</option>
<option ccode="18605" value="CNTRY_YU">Yugoslavia</option>
<option ccode="18609" value="CNTRY_ZRE">Zaire</option>
<option ccode="18607" value="CNTRY_Z">Zambia</option>
<option ccode="18610" value="CNTRY_ZW">Zimbabwe</option>
</select><span class="ui-selectmenu-button ui-widget ui-state-default ui-corner-all" tabindex="0" id="country_prop-button" role="combobox" aria-expanded="false" aria-autocomplete="list" aria-owns="country_prop-menu" aria-haspopup="true"
aria-activedescendant="ui-id-7855" aria-labelledby="ui-id-7855" aria-disabled="false" style="width: 0px;"><span class="ui-icon ui-icon-triangle-1-s"></span><span class="ui-selectmenu-text">India</span></span>
</div>
</div>
</div>
</div>
<div class="form-group">
<div class="row">
<div class="col-sm-5 col-md-4 form-box">
<label class="field-lbl ext-lbl">Are you an existing customer of HDFC Life? <span class="question-tip v2_mob_pointerEvnt_reset" data-bs-html="true" data-toggle="tooltip" data-placement="top" title="" style="cursor: default;"
data-bs-original-title="Existing customer of HDFC Life means that your policy* should be currently in "Active" or "Paid up" status <br><br>*Not applicable for Group Life insurance policies"
aria-label="Existing customer of HDFC Life means that your policy* should be currently in "Active" or "Paid up" status <br><br>*Not applicable for Group Life insurance policies"><img
src="static/ux/images/c2p3d_v2_questions.svg" alt=""></span></label>
<div class="custom-radio">
<input type="radio" name="exst_cust" id="exst_cust_yes" value="1" cin="isExCustomer" onclick="QNIAPP.C2ACH_ACT.setClob_ops('isExCustomer','1');"> <label for="exst_cust_yes">Yes</label>
<input type="radio" name="exst_cust" id="exst_cust_no" value="0" cin="isExCustomer" onclick="QNIAPP.C2ACH_ACT.setClob_ops('isExCustomer','0');" checked="checked"> <label for="exst_cust_no">No</label>
</div>
</div>
</div>
</div>
<p class="ndncsection">I hereby consent to receive insurance policy related communication/ documents from HDFC Life or its authorized representatives, overriding my NCPR registration (if any), through:</p>
<div class="form-group ndncform">
<div class="custom-checkbox col-sm-10 col-md-8 callsms-checkbox">
<input type="checkbox" cin="checkboxdisclaimer" class="contact-check" name="contact-check" id="contact-check" creqd="1">
<label for="contact-check"></label>
<div class="cluttered" id="cluttered">
<span>Call, SMS, Email</span>
</div>
</div>
</div>
<div class="form-group ndncform">
<div class="custom-checkbox col-sm-10 col-md-8 whatsapp-checkbox">
<input type="checkbox" cin="whatsappdisclaimer" class="contact-whatsapp" name="contact-whatsapp" id="contact-whatsapp" creqd="0">
<label for="contact-whatsapp"></label>
<div class="cluttered" id="cluttered">
<span class="c2pl-ndnc">Voice over Internet Protocol including WhatsApp</span>
</div>
</div>
</div>
<!-- latest -->
<div class="form-group ndncform">
<div class="custom-checkbox col-sm-10 col-md-8 suitabiltydisclaimer">
<input type="checkbox" name="checkbox-suitabilty" id="suitabilty" creqd="1">
<label for="suitabilty"></label>
<div class="cluttered" id="cluttered"> To undergo suitability analysis, please <a id="suitabilityMatrixLink" href="#suitabilityMatrix">click here</a>. If you wish to bypass the suitability analysis please click on the checkbox. By selecting the
checkbox, you declare to consciously bypass the recommended suitability module and purchase the policy based on your independent assessment. </div>
</div>
</div>
<div class="btn-grp">
<div class="nextBtn button-red">
<button type="button" id="proceedNext" class="btn btn-primary v2_nextBtn btn-primary1 next_s">Next</button>
</div>
</div>
<!-- latest ends -->
</form><form id="qtDtlsSubmitOps">
<input type="hidden" name="head.userid" value="Test">
<input type="hidden" name="head.chnl" value="Online">
<!-- TODO -->
<input type="hidden" name="quoteid" id="" cin="">
<input type="hidden" name="leadid" id="" cin="leadid" value="">
<input id="product_id" type="hidden" cin="product" value="C2ACH">
<input type="hidden" id="touchpoint_id" name="touchpoint" cin="touchpoint" value="OPS">
<input id="_actionid" name="_actionid" type="hidden">
<input id="inputobj" name="JSON.body" type="hidden">
<input type="hidden" id="incpDt_id" readonly="" cin="incpDt" ctype="DD" size="10" ccaption="Inception Date" value="26/04/2024">
<input type="hidden" id="qtDt_id" name="qtDt" cin="qtDt" ctype="DD" size="10" ccaption="Quote Date" value="26/04/2024">
<input id="categcd" name="categcd" type="hidden" cin="categcd" value="">
</form><form id="frmQueryStr"><input type="hidden" name="source" value="AD_Email_C2A_CrossSelling_TCVM"><input type="hidden" name="utm_medium" value="C2A"><input type="hidden" name="agentcode" value="00760659"><input type="hidden" name="utm_source"
value="AD_Email"><input type="hidden" name="_portalid" value="ops_c2ach"><input type="hidden" name="utm_campaign" value="AD_Email_C2A_CrossSelling_TCVM"><input type="hidden" name="language" value="en"><input type="hidden" name="prodcd"
value="C2ACHE"><input type="hidden" name="utm_term" value="Prospecting"><input type="hidden" name="categcd" value="SVNG"><input type="hidden" name="utm_content" value="Perfm"></form>Text Content
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COMPARE PLAN BENEFITS HERE
Benefits / Plan Option Life Protect Life & CI Rebalance Income Plus Life Cover
(Lumpsum) Critical Illness Cover (Lumpsum) Critical Illness Cover (Waiver of
Premium)
(Available at Extra Cost)
(In-built feature)
Monthly Income Accidental Death (Additional Cover)
(Available at Extra Cost)
Return of Premium
(Available at Extra Cost)
(Available at Extra Cost)
(In-built feature - For Fixed term)
Whole Life
COMPARE PLAN BENEFITS HERE
Benefits \ Plan Option Life Protect Insta Protect Life & CI Rebalance Income
Plus Life Cover (Lumpsum) Critical Illness Cover (Lumpsum) Critical Illness
Cover (Waiver of Premium)
(Available at Extra Cost)
Monthly Income Accidental Death (Additional Cover)
(Available at Extra Cost)
Return of Premium
(Available at Extra Cost)
(Available at Extra Cost)
(Available at Extra Cost)
(In-built feature - For Fixed term)
Whole Life
HDFC Life Click 2 Acheive
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and TobagoTunisiaTurkeyTurkmenistanTurks and CaicosTuvaluUS Virgin
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bissauGuyanaHaitiHondurasHong
KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyIvory
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KEY PRODUCT FEATURES
GUARANTEED1 BENEFITS
Rest assured of the returns
FLEXIBILITY2 IN CHOICE OF BENEFITS
Guaranteed benefits as a lump sum or as regular income
LIFE INSURANCE COVER
For financial security of your family
TAX BENEFITS
You may be eligible for tax benefits as per prevailing tax laws3
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Your details are not matching with the data in our records. We request you to
please contact your Relationship Manager or visit your nearest branch for
further assistance.
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KEY PRODUCT FEATURES
×
GUARANTEED1 BENEFITS
Rest assured of the returns
FLEXIBILITY2 IN CHOICE OF BENEFITS
Guaranteed benefits as a lump sum or as regular income
LIFE INSURANCE COVER
For financial security of your family
TAX BENEFITS
You may be eligible for tax benefits as per prevailing tax laws3
×
We regret to inform you that currently we are unable to offer any option under
this plan.
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×
YOUR APPLICATION HAS BEEN SAVED
You can resume your application by clicking on the link shared on your Email ID
and via SMS on your mobile number .
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WHAT'S INCLUDED IN COVID 19 COVER?
* Medical expenses for hospitalization like room rent, nursing expenses,
ICU/ICCU expenses, blood, oxygen, ventilator charges, costs towards
diagnostics, PPE Kit, gloves, mask and such similar other expenses.
* Medical expenses for treatment of COVID 19 availed at home for maximum up to
14 days.
* Medical expenses incurred on treatment of any comorbidity along with the
treatment for COVID 19
* If you opt for AYUSH treatment (Ayurveda, Yoga and Naturopathy, Unani, Siddha
and Homeopathy systems of medicines), it will also covered.
* Pre-hospitalization expenses for 15 days and post hospitalization expenses
for 30 days is also covered under this policy.
Note: The above mentioned benefits will be applicable only if you are found to
be COVID 19 positive
To know more, read Product Brochure
* Download Brochure
* Glossary
List
×
Medical expenses for Hospitalization during the policy term for treatment of
COVID including treatment of any Co-Morbidity illness will be covered up to the
Sum Insured for:
* Room Rent, Boarding, Nursing Expenses as provided by the Hospital / Nursing
Home.
* Intensive Care Unit (ICU) / Intensive Cardiac Care Unit (ICCU) expenses.
* Surgeon, Anesthetist, Medical Practitioner, Consultants, Specialist Fees
whether paid directly to the treating doctor / surgeon or to the hospital
* Anesthesia, blood, oxygen, operation theatre charges, surgical appliances,
ventilator charges, medicines and drugs, costs towards diagnostics,
diagnostic imaging modalities, PPE Kit, gloves, mask and such similar other
expenses.
* Road Ambulance subject to a maximum of Rs.2000/- per hospitalization for the
Ambulance services offered by a Hospital or by an Ambulance service provider,
provided that the Ambulance is availed only in relation to COVID
Hospitalization
Note:Expenses of Hospitalization for a minimum period of 24 consecutive hours
only shall be admissible.
1-Day Claim Settlement
is available for the following:
. . . . . . . . . . . . . . . . . .
* Cumulative claim amount on all policies up to ₹2 crores
* 1 day claim settlement is exclusively available for policies bought online
* Claim does not require field investigation
* All requisite documents# submitted by the nominee before 3 PM on a working
day at HDFC Life branches. Intimations beyond 3 PM will be taken up the next
business day
* HDFC Life will pay an interest^ on your death claim amount for every day of
delay beyond one working day
T&C Apply
1) For all claims fulfilling above mentioned conditions, provided we receive all
the required documents, the claim will be processed within one working day and
decision will be communicated accordingly. 2) Investigation / Open title / Rival
/ Court involved Claims are excluded. 3) Policy duration at the time of event is
at least >=3 years. 4) Saturday, Sunday, public festivals and non-NAV days (for
ULIP) are excluded (not treated as a working day)
^Interest rate would be at 6.25%per annum.
#Documentation Details
Claim form, Nominee photograph, Pan card copy, Identity and Address proof of
nominee. (If nominee is minor, documents of appointee to be submitted). Death
certificate issued by competent authority for death registrations. Medical cause
of death certificate. Cancelled cheque/copy with the name of nominee/appointee
mentioned on it as per the passbook of the nominee/appointee. Past & current
complete medical records including discharge/death summary, indoor case papers,
investigation reports, consultation notes. In case of an accidental death,
additional documents will be required. Post Mortem Report, Panchnama, Police
Inquest report, First/Final Information report, Viscera/Chemical Analysis
report.
×
AllABCDEFGHIJKLMNOPQRSTUVWXYZ
A
Accident:
Sudden, unforeseen and involuntary event caused by external, visible and violent
means.
Accidental & Total Permanent Disability(ATPD):
When the Life Assured is totally, continuously and permanently disabled *
* Please read the product brochure for complete details specific to your policy.
Accidental Death:
Death by or due to a bodily injury caused by an Accident, independent of all
other causes of death.
Agent:
Insurance company representative licensed by the state who solicits, negotiates
or effects contracts of insurance, and provides service to the policyholder for
the insurer.
Annualized Premium:
Annualized premium shall be the premium amount payable in a year excluding the
taxes, rider premiums, underwriting extra premiums and loadings for modal
premiums, if any.
Annuity:
Periodic payments made by the insurer to the Annuitant for a specified period or
till survival.
Annuity benefits:
A series of payments payable at regular intervals, in return of a certain sum
paid upfront, under an annuity contract.
Appointee:
The person who is authorized to receive the Sum Assured when the Nominee is a
minor.
Assignee:
The person to whom the policy ownership (rights and benefits) is transferred.
Assignment:
A provision wherein the Policyholder can assign or transfer a Policy in
accordance with Section 38 of the Insurance Act, 1938.
Assets under Management (AUM):
The total value of Shareholders & Policyholders investments managed by the
insurance company.
Authority/ IRDAI:
Insurance Regulatory and Development Authority of India.
B
Beneficiary:
The person named in the policy to receive the insurance proceeds at the death of
the insured.
C
Cash Bonus:
The bonus amount paid out to the policy holder at specified frequency, as
applicable. However, there is No guarantee to the declaration of future rates of
the bonus.
Charges:
The amount taken by the insurer towards your insurance cover. These are usually
associated with ULIP policies. The % and type of charge depends on different
products.
Some of them are Premium Allocation Charge, Policy Administration Charge,Fund
Management Charge, Mortality Charge, Premium Redirection Charge, Statutory
Charge, Switching Charge, Partial Withdrawal Charge, Discontinuance ChargeThe
amount taken by the insurer towards your insurance cover. These are usually
associated with ULIP policies. The % and type of charge depends on different
products.
Claimant:
The person who is raising the claim request.
Claim:
It is the amount paid by the insurer to the claimant on occurrence of the event
as specified in the policy contract eg: The amount that nominee receives on
death of life assured is the claim amount.
Claims Process:
It is the intimation of the claimant to the insurer to initiate the settlement
of the policy.
COI:
The document issued to the scheme member in group products which contains terms
and conditions applicable to the product.
Critical Illness(CI):
Additional cover Is given in case of detection of specified critical illnesses*
*The list is defined in the product brochure. Please read it
carefully.Additional cover Is given in case of detection of specified critical
illnesses*.
Cut-off time:
The time by which we must have accepted your instructions to invest in, or
encash Units from a Fund,at the associated valuation time. As per Regulations,
the current Cut-off time is 3.00pm. This is usually applicable to ULIP policies.
D
Date of Inception:
The date on which the policy was first issued.
Date of Risk Commencement:The date from which the insurance cover starts.
Death Benefit:
The amount which is payable on death of life assured.
Deferment Period:
period from date of inception of the cover till the date on which the first
annuity payment is made by the insurer to the Annuitant. This can be chosen by
the Annuitant basis his financial needs.
Discontinuance of Policy:
The Policy wherein the Policyholder has discontinued the payment of Premium
E
Effective Date:
The date from which the Scheme shall first commence as set out in the Policy
Schedule.
Endowment Plan:
An insurance policy, that apart from providing life coverage, also pays a
lumpsum amount on maturtiy in case the policyholder sruvives the specified term.
It pays the full sum assured to the nominees in case of the insured passes away.
Exit Date:
Date on which the coverage stops due to occurrence of any of the following
events:
i. Death,
ii. Policy being terminated or lapsed.
iii. Free Look Cancellation.
iv. Payment of Maturity benefit.
v. Surrender.
Extra Life Sum Assured:
The additional sum assured that is paid to nominee in case of death of life
assured due to accident**.
This depends on the product. Please read the brochure for complete details.
The additional sum assured that is paid to nominee in case of death of life
assured due to accident*.
F
First year premium:
Premium received during the first year of the contract.
Free Look period:
The specified period during which the policyholder can review the terms and
conditions of the Policy and has the option to return the Policy and receive
refund.
Frequency of Premium Payment:
It indicates the schedule of your premium payments. eg:
every month (monthly),
once in 3 months (quarterly)
once in 6 months (half-yearly)
once in a year (annually)
one time payment (single)It indicates the schedule of your premium payments eg:
every month (monthly),
once in 3 months (quarterly)
once in 6 months (half-yearly)
once in a year (annually)
Fund Value, Unit Fund Value:
The value obtained by multiplying the number of Units allocated to your Policy
by the corresponding price of the Units. This is usually applicable for ULIP
products
For eg: No of units - 10, Unit price of each unit - 50
therefore, fund value = 10 * 50 = 500The value obtained by multiplying the
number of Units allocated to your Policy by the corresponding price of the
Units. This is usually applicable for ULIP products.
Funds:
Each of the Funds earmarked by the Company for Unit Linked business and
available to this product
G
Grace Period:
Extra days allowed to pay the premium post the premium due date without any loss
of continuity of benefits. It is 15 days for monthly frequency and 30 days for
remaining frequencies.
Group Insurance:
Life insurance usually without medical examination, on a group of people under a
master policy. It is typically issued to an employer for the benefit of
employees, or to members of an association.
H
Hospitalisation:
Admission in a Hospital for a minimum period of 24 consecutive In-patient Care
hours except for specified procedures/ treatments, where such admission could be
for a period of less than 24 consecutive hours.
I
Injury:
Accidental physical bodily harm excluding Illness or disease solely and directly
caused by external, violent and visible and evident which is verified and
certified by a Medical Practitioner.
In-patient Care:
Treatment for which the insured person has to stay in a Hospital for more than
24 hours for a covered event.
Intensive Care Unit (ICU):
Ward or wing of hospital which is specially equipped for the continuous
monitoring and treatment of patients who are in a critical condition, or require
life support facilities Ward or wing of hospital which is specially equipped for
the continuous monitoring and treatment of patients who are in a critical
condition, or require.
Interim bonus:
The bonus that is paid in the event of a claim(maturity, death or surrender) of
a participating policy, for the period from the last declared bonus date. This
is paid to provide for the policyholder's share of bonus from the last declared
date till the date eligible for bonus, when the claim is payable.
k
Keyman Insurance:
The life insurance policy taken by an employer on the life of another person who
is or was his employee/connected to his business in any manner whatsoever.
< Previous Next >
Disclaimer:To read the complete definitions as stated by IRDAI and displayed
across this website, you can refer the specimen policy documents here:
https://www.hdfclife.com/policy-documents
WE NEED A FEW DETAILS TO RECOMMEND SUITABLE PLANS FOR YOU
* Your Goal of Investment
Regular Income Regular Savings Wealth Generation Child's Education Pension
Wealth Generation
* Your risk appetite level
Very Low Low Medium High Very High Medium
* Insurance policies you own
Nil 1 2 3 to 5 more than 5 Nil
* Annual Income
Less than 5 lakhs 5 lakhs to 10 lakhs 10 lakhs to 25 lakhs 25 lakhs to 1 Cr
more than 1 Cr 10 lakhs to 25 lakhs
* Marital Status
Single / divorced Married Married with dependent Kids Retired Married with
dependent Kids
* Age Group
Less than 18 years 18 to 25 years 26 to 35 years 36 to 45 years More than 45
years 26 to 35 years
BELOW ARE THE 3 OPTIONS THAT ARE RECOMMENDED FOR YOU
HDFC LIFE SANCHAY PLUS
It is a non-participating, non-linked, savings plan that offers guaranteed
returns for you and your family.
Choose Plan Download Brochure
HDFC LIFE CLICK 2 WEALTH
A Unit Linked, Non Participating, Life Insurance plan that offers market linked
returns, charges minimally, provides valuable financial protection for you and
your family
Choose Plan Download Brochure
HDFC LIFE SANCHAY PAR ADVANTAGE
It is a participating life insurance plan that provides an option to avail cover
for whole of life (till the age 100 years) and helps generate a regular income
and build a corpus to achieve the planned goals.
Choose Plan Download Brochure
View Other plans
BELOW ARE OTHER PLAN OPTIONS AVAILABLE FOR YOU
You may continue to purchase the below product(s) based on your independent
assessment of the risks, merits and suitability.
* HDFC LIFE SMART PROTECT PLAN
A Unit Linked Life Insurance Plan, that addresses your long-term savings
needs and also provides you protection in the form of a life cover.
Choose Plan Download Brochure
* HDFC LIFE SUPER INCOME PLAN
An income plan with regular guaranteed income eliminating all worries about
future expenses.
Choose Plan Download Brochure
* SANCHAY MAXIMISER
A savings combo solution which helps you achieve your goals & live an
uncompromised life, even after retirement, and also ensures that you leave
behind a legacy for your family.
Choose Plan Download Brochure
* HDFC LIFE CLICK 2 INVEST - ULIP
A ULIP that offers you market linked returns along with valuable financial
protection for your family
Choose Plan Download Brochure
* HDFC LIFE SAMPOORN SAMRIDHI PLUS
A Plan which helps you build wealth and plan your legacy while enjoying
lifetime coverage.
Choose Plan Download Brochure
* HDFC LIFE SARAL PENSION
It is a single premium non-participating non-linked individual immediate
annuity plan that offers you basic annuity options and provides you an
opportunity to live life on your terms.
Choose Plan Download Brochure
* HDFC LIFE PENSION GUARANTEED PLAN
A Single premium non-participating annuity product which provides a regular
guaranteed income for lifetime.
Choose Plan Download Brochure
* HDFC LIFE NEW IMMEDIATE ANNUITY PLAN
A smart plan that ensures a regular income post-retirement.
Choose Plan Download Brochure
* HDFC LIFE SAMPOORN NIVESH
A ULIP with multiple benefit options for your financial requirements &
insurance needs.
Choose Plan Download Brochure
* HDFC LIFE CLASSICASSURE PLUS
An investment cum insurance plan with benefits for your long term financial
goals.
Choose Plan Download Brochure
* HDFC LIFE CANCER CARE
A Comprehensive Cancer Care plan that offers lump sum benefit on diagnosis of
Early Stage and Major Cancer.
Choose Plan Download Brochure
* HDFC LIFE SYSTEMATIC PENSION PLAN
It is a Non-Linked, Participating, Individual, Savings, Pension Plan that
helps you build a corpus for retirement so that you can live a comfortable
life post retirement.
Choose Plan Download Brochure
* HDFC LIFE SMART SECOND INNINGS
It is a Non-Linked, Participating, Individual, Savings, Pension Plan that
helps you build a corpus for retirement so that you can live a comfortable
life post retirement.
Choose Plan Download Brochure
* HDFC SL YOUNGSTAR SUPER PREMIUM
The plan accumulates savings for your child's future. Choose from four
different funds, select tenure & sum assured.
Choose Plan Download Brochure
* HDFC LIFE YOUNGSTAR UDAAN
A plan that helps you empower your child's dreams and live the rest of your
life as the proud parents you deserve to be.
Choose Plan Download Brochure
* HDFC LIFE CLICK 2 PROTECT LIFE
An intelligent term plan that provides benefits as per your changing age and
life style needs and helps you truly stay protected.
Choose Plan Download Brochure
* HDFC SL CREST
A ULIP plan to reach your short-term investment goals.
Choose Plan Download Brochure
* HDFC LIFE PROGROWTH PLUS
A unit-linked savings-cum-insurance plan (ULIP) that grows your savings by
investing in the stock market without compromising on the life cover.
Choose Plan Download Brochure
* HDFC SL PROGROWTH SUPER II
A smart savings-cum-insurance ULIP that will help you save long-term.
Choose Plan Download Brochure
* HDFC SL PROGROWTH FLEXI
A savings-cum-insurance unit-linked plan (ULIP) that enables you to provide
financial security to your loved ones.
Choose Plan Download Brochure
* HDFC LIFE SMART WOMAN PLAN
A life insurance policy that provides smart options for women.
Choose Plan Download Brochure
* HDFC LIFE PERSONAL PENSION PLUS
A plan that offers secure and stable returns for a hassle-free life post
retirement.
Choose Plan Download Brochure
* HDFC LIFE GUARANTEED PENSION PLAN
A retirement plan designed to help you build and secure your fund to enjoy
the post retirement income.
Choose Plan Download Brochure
* HDFC LIFE CLASSIC ONE
It is a Single Premium Unit Linked Plan with a unique option that offers
coverage for two individuals to help optimize the investments along with
additional coverage benefit.
Choose Plan Download Brochure
* CLICK 2 PROTECT HEALTH
A life and health insurance plan that gives your family all-round protection
Choose Plan Download Brochure
* HDFC LIFE CAPITAL SHIELD
It is an investment-cum-insurance plan that offers the potential of higher
returns, by investing a part of your money in equity and the balance in debt.
Choose Plan Download Brochure
* HDFC LIFE CARDIAC CARE
A plan which provides financial protection in case you are diagnosed with a
cardiac condition or are undergoing a procedure as covered under the policy
Choose Plan Download Brochure
* HDFC LIFE EASY HEALTH
A health insurance that helps you bounce back to health post
hospitalization,surgery or critical illness.
Choose Plan Download Brochure
* HDFC LIFE CLICK 2 RETIRE
An online ULIP that offers market linked returns with minimal charges and
helps you achieve your retirement goals.
Choose Plan Download Brochure
* HDFC LIFE GUARANTEED SAVINGS PLAN
A Plan which helps you create a corpus for your life goals by offering a
guaranteed lump sum at maturity and protects your life goals from
eventualities through a life insurance cover.
Choose Plan Download Brochure
* HDFC LIFE SARAL JEEVAN BIMA
A pure protection plan which provides comprehensive protection at an
affordable price and protect yourself and your loved ones against the
uncertainties that life may throw at you.
Choose Plan Download Brochure
* HDFC LIFE SANCHAY FIXED MATURITY PLAN
It is a Non-Participating, Non-Linked Individual Savings insurance plan for
single/joint life with lumpsum benefit payable on Maturity. This plan
provides guaranteed benefits along with flexibility to choose your investment
term.
Choose Plan Download Brochure
* HDFC LIFE GUARANTEED INCOME INSURANCE PLAN
HDFC Life Guaranteed Income Insurance Plan provides a guaranteed regular
income to help you boost your life style.
Choose Plan Download Brochure
* HDFC LIFE SARAL JEEVAN
It's a non-linked, non-participating life cum Savings insurance plan that
provides life insurance cover during the policy term and Guaranteed Sum
Assured on maturity to help meet your necessities.
Choose Plan Download Brochure
* HDFC LIFE INCOME ADVANTAGE PLAN
It's a Non-Linked Participating Individual Saving cum protection Life
Insurance plan which works to your advantage and provides a regular income.
This plan not only helps you fulfill your family's growing needs but also
ensures that they enjoy a happy life at all times.
Choose Plan Download Brochure
* HDFC LIFE SMART INCOME PLAN
HDFC Life Smart Income Plan is Non-Linked, Participating Individual Life
Insurance Savings Plan that provides Guaranteed Income Benefit during the
income payout term with 2 benefit options: Enhanced Maturity and Enhanced
Income to choose from, at the inception of the policy.
Choose Plan Download Brochure
* HDFC LIFE GUARANTEED WEALTH PLUS
HDFC Life Guaranteed Wealth Plus is a Non-Linked, Participating Individual
Life Insurance plan that provides financial security to your family in your
abscence and also long term guaranteed returns to help you fulfill your
dreams.
Choose Plan Download Brochure
* HDFC LIFE ASSURED GAIN PLUS
HDFC Life Assured Gain Plus is a traditional insurance-cum-investment plan in
which you pay for just 5 years and enjoy life cover over the full policy
term.
Choose Plan Download Brochure
* HDFC LIFE SMART PENSION PLAN
HDFC Life Smart Pension Plan is a Unit Linked Individual pension plan that
helps you save along your working years and build a retirement corpus to
prepare for retirement.
Choose Plan Download Brochure
* HDFC LIFE CLICK 2 ACHIEVE
It's a non-linked, non-participating life cum Savings insurance plan that
provides life insurance cover during the policy term and Guaranteed Sum
Assured on maturity to help meet your necessities.
Choose Plan Download Brochure
* HDFC LIFE SAMPOORNA JEEVAN PLAN
HDFC Life Sampoorna jeevan is a unique Life insurance cum savings plan,which
not only provides life insurance cover till age 75 or 100 years but also
gives you the power to customize the payouts to suit your changing life stage
financial needs.
Choose Plan Download Brochure
* HDFC LIFE SMART PROTECT PLAN
A Unit Linked Life Insurance Plan, that addresses your long-term savings
needs and also provides you protection in the form of a life cover.
Choose Plan Download Brochure
PrevNext
About HDFC Life
* HDFC Life's Total Assets Under Management (AUM)4 crossed
₹2,30,000 Cr5
(For Financial Year 2022-23)
* 6.8 crore lives insured
(For Financial Year 2022-23)
* We have honoured 99.39% Individual Claims!6
Check last 5 years claims trend
(For Financial Year 2022-23)
* 1-Day Claim Settlement
We help you claim what is rightfully yours with 1 Day Claim Settlement(
exclusively available for policies bought online). * Know More
THIS SITE BEST VIEWED AT 1366 PX X 768 PX USING THE LATEST FIREFOX, IE, CHROME,
SAFARI VERSIONS.
∧As per internal data related to HDFC Life Click 2 Protect Life
(UIN:101N139V04), product purchased online for FY 2021-22 upto February 2022.
Disclaimer
1. Provided all due premiums have been paid and the policy is in force.
2. Flexibility to choose Death Benefit, Premium Payment Term, Policy Term,
Benefit structure as per structure chosen by customer.
3. Tax Benefits as per the relevant sections of the Income Tax Act, 1961. Tax
benefits are subject to changes in tax laws.
4. AUM is the value of assets managed by a company for its customers.
5. As on 31st March 2023, AUM is Rs. 2,38,782 crore. Data is as per HDFC life
Integrated Annual Report FY 2022-23.
6. Individual death claim settlement ratio by number of policies as per audited
annual statistics for 2022-23.
HDFC Life Insurance Company Limited ("HDFC Life"). CIN:
L65110MH2000PLC128245,IRDAI Reg. No. 101
Registered Office:Registered Office: Lodha Excelus, 13th Floor, Apollo Mills
Compound, N.M. Joshi Marg, Mahalaxmi, Mumbai 400 011. For purchasing a new
policy, you can Email us on buyonline@hdfclife.in and call us on 1800-266-9777
(All days, from 9 am to 9pm). For in-progress applications (post payment), you
can email us on onlinequery@hdfclife.in and call us on 1800-266-0315 (All days,
from 10 am to 7 pm).
The name/letter 'HDFC' in the name/logo of HDFC Life Insurance Company Limited
(HDFC Life) belongs to HDFC Bank Limited and is used by HDFC Life under license
from HDFC Bank Limited.
HDFC Life C2P Super Plan (UIN: XXXXXXXXXXX) is a Participating Money Back Life
Insurance Plan and HDFC Life Income Benefit on Accidental Disability Rider (UIN:
XXXXXXXXXXX, Form no. R501-21-01), HDFC Life Critical Illness Plus Rider (UIN:
XXXXXXXXXXX, Form no. R501-23-01) and HDFC Life Protect Plus Rider (UIN:
101B016V01) are the names of the riders . For more details on risk factors,
associated terms and conditions and exclusions please read sales brochure
carefully before concluding a sale. ARN:XXXXXXXX.
HDFC Life Click 2 Achieve (UIN: 101N186V03) is a Non-Linked, Non-Participating
Individual Life Insurance Savings Plan. For more details on risk factors,
associated terms and conditions and exclusions please read sales brochure
carefully before concluding a sale. Achieve ARN: ED/11/23/6435.
HDFC Life C2P Super Plan (UIN: XXXXXXXXXXX) is a Participating Money Back Life
Insurance Plan and HDFC Life Income Benefit on Accidental Disability Rider (UIN:
XXXXXXXXXXX, Form no. R501-21-01), HDFC Life Critical Illness Plus Rider (UIN:
XXXXXXXXXXX, Form no. R501-23-01) and HDFC Life Protect Plus Rider (UIN:
101B016V01) are the names of the riders . For more details on risk factors,
associated terms and conditions and exclusions please read sales brochure
carefully before concluding a sale. ARN:XXXXXXXX.
HDFC Life C2P Super Plan (UIN: XXXXXXXXXXX) is a Participating Money Back Life
Insurance Plan and HDFC Life Income Benefit on Accidental Disability Rider (UIN:
XXXXXXXXXXX, Form no. R501-21-01), HDFC Life Critical Illness Plus Rider (UIN:
XXXXXXXXXXX, Form no. R501-23-01) and HDFC Life Protect Plus Rider (UIN:
101B016V01) are the names of the riders . For more details on risk factors,
associated terms and conditions and exclusions please read sales brochure
carefully before concluding a sale. ARN:XXXXXXXX.
BEWARE OF SPURIOUS PHONE CALLS AND FICTITIOUS/FRAUDULENT OFFERS
* IRDAI is not involved in activities like selling insurance policies,
announcing bonus or investment of premiums. Public receiving such phone calls
are requested to lodge a police complaint.
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*
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×
CLAIM SETTLEMENT RATIO
(PERCENTAGE AND AVERAGE CLAIM SETTLEMENT TIME)
2022-23
99.39%
Average Claim settlement time: 2 days
2021-22
98.66%
Average Claim settlement time: 3 days
2020-21
98.01%
Average Claim settlement time: 5 days
2019-20
99.07%
Average Claim settlement time: 4 days
2018-19
99.03%
Average Claim settlement time: 4 days
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