www.bajajallianzlife.com
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Submitted URL: http://nmc.sg/a4Zrpa
Effective URL: https://www.bajajallianzlife.com/campaign/bajaj-allianz-life-goal-assure-new-fund-offer.html?utm_source=OfflineCampaigns&utm_medi...
Submission: On January 29 via manual from IN — Scanned from SG
Effective URL: https://www.bajajallianzlife.com/campaign/bajaj-allianz-life-goal-assure-new-fund-offer.html?utm_source=OfflineCampaigns&utm_medi...
Submission: On January 29 via manual from IN — Scanned from SG
Form analysis 1 forms found in the DOM
GET javascript:;
<form action="javascript:;" class="GoalAssure" method="get" id="goalassureForm">
<h1 class="lig-heading"><span>New Fund Available: Midcap Index Fund</span></h1>
<p class="new_fund_offer">Available @ <b>₹</b>10<sup>**</sup> NAV</p>
<div id="SelfSelect" class="">
<div class="row">
<div class="column-50">
<div class="input-container fieldBox ">
<div class="placeholder">Full Name </div><input name="Full Name" placeholder="" type="text" data-label="true" data-json="name" data-validation="required,alphaOnly,fullNameOnly" class="input" data-element="true" data-analytics="true"
data-component-name="Life Goal Assure Calculator">
<div class="error"></div>
<label for="firstname" class="placeholders">Full Name*</label>
</div>
</div>
<div class="column-50 responsive-style">
<div class="input-container gender-toggle">
<label class="label-style">Gender</label>
<div class="fieldBox" data-rel="gender" data-validation="required" data-json="gender" data-gender="" data-error="gender">
<div class="toggle-radiobox">
<input type="radio" id="male" name="gender" value="M" checked="" data-element="true" data-analytics="true" data-component-name="Life Goal Assure Calculator">
<label for="male"><img src="/content/dam/balic/life-goal-assure-calculator/male.png"> Male</label>
<input type="radio" id="female" name="gender" value="F" data-element="true" data-analytics="true" data-component-name="Life Goal Assure Calculator">
<label for="female"><img src="/content/dam/balic/life-goal-assure-calculator/female.png"> Female</label>
</div>
<div class="error">Please select gender</div>
</div>
<div class="error"></div>
</div>
</div><!--colum50-->
</div><!--row-->
<div class="row">
<div class="column-50">
<div class="input-container datepicker-lifegoal fieldBox" id="generlDOB">
<div class="placeholder">DD/MM/YYYY </div><input type="text" data-flag="QUOTE_GENERATION" size="30" data-json="selfDateOfBirth" placeholder="" data-error="Date of Birth" name="Date of Birth" data-validation="required, dateOnly"
data-dob="" value="" class="input buyOnlineDatepicker ageverify hasDatepicker" data-analytics="true" data-component-name="Life Goal Assure Calculator" id="dp1706512908093"><button type="button" class="ui-datepicker-trigger">...</button>
<div class="error"></div>
<div class="cut"></div>
<label for="Date" class="placeholders">Date Of Birth*</label>
<p> <span data-json="selfAge" data-age="" value="">0</span> Years</p>
<!--<div class="age-minor-msg">
<p>You are under 18, please fill <a href="javascript:;">Minor</a> form</p>
</div>-->
</div>
</div>
<div class="column-50">
<div class="input-container country-code fieldBox">
<div class="selectBox">
<div class="selectedValue">+91</div><select class="form-control" data-element="true" data-analytics="true" data-component-name="Life Goal Assure Calculator">
<option value="91">+91</option>
<option value="43">+43</option>
<option value="61">+61</option>
<option value="32">+32</option>
<option value="359">+359</option>
<option value="1">+1</option>
<option value="420">+420</option>
<option value="45">+45</option>
<option value="44">+44</option>
<option value="358">+358</option>
<option value="33">+33</option>
<option value="49">+49</option>
<option value="30">+30</option>
<option value="299">+299</option>
<option value="31">+31</option>
<option value="852">+852</option>
<option value="36">+36</option>
<option value="354">+354</option>
<option value="353">+353</option>
<option value="39">+39</option>
<option value="32">+32</option>
<option value="81">+81</option>
<option value="82">+82</option>
<option value="965">+965</option>
<option value="352">+352</option>
<option value="230">+230</option>
<option value="31">+31</option>
<option value="64">+64</option>
<option value="44">+44</option>
<option value="47">+47</option>
<option value="968">+968</option>
<option value="48">+48</option>
<option value="351">+351</option>
<option value="40">+40</option>
<option value="39">+39</option>
<option value="44">+44</option>
<option value="39">+39</option>
<option value="65">+65</option>
<option value="421">+421</option>
<option value="34">+34</option>
<option value="46">+46</option>
<option value="41">+41</option>
<option value="971">+971</option>
<option value="44">+44</option>
<option value="1">+1</option>
<option value="379">+379</option>
<option value="44">+44</option>
</select>
</div>
<div class="placeholder">Mobile Number </div><input name="Mobile Number" type="text" data-label="true" data-json="mobile" maxlength="10" placeholder="" data-validation="required,numbersOnly,mobileOnly,maxlength"
class="numberOnly select" data-element="true" data-analytics="true" data-component-name="Life Goal Assure Calculator">
<div class="error"></div>
<div class="cut"></div>
<label for="firstname" class="placeholders">Mobile Number*</label>
</div>
</div>
</div><!--row-->
<div class="row">
<div class="column-50">
<div class="input-container fieldBox">
<div class="placeholder">xyz@gmail.com </div><input name="Email Id" type="text" data-label="true" data-json="emailId" placeholder="" data-validation="required,email" maxlength="30" class="input" data-element="true"
data-analytics="true" data-component-name="Life Goal Assure Calculator">
<div class="error"></div>
<div class="cut"></div>
<label for="firstname" class="placeholders">Email ID*</label>
</div>
</div>
<div class="column-50">
<div class="input-container fieldBox">
<div class="placeholder">Pin Code </div><input name="Pin code" type="text" data-label="true" data-json="pincode" maxlength="6" placeholder="" data-validation="required,numbersOnly,maxlength" class="numberOnly input" data-element="true"
data-analytics="true" data-component-name="Life Goal Assure Calculator">
<div class="error"></div>
<div class="cut"></div>
<label for="firstname" class="placeholders">Pin Code*</label>
</div>
</div>
</div>
<!-- Added Class NriRow and EmpRow -->
<div class="NriRow">
<div class="row">
<div class="column-50">
<div class="input-container ic1 goals fieldBox">
<div class="selectBox input focused">
<div class="selectedValue">Wealth Creation</div><select class=" form-control" name="Goal" data-validation="required" data-error="Goal" data-element="true" data-analytics="true" data-component-name="Life Goal Assure Calculator">
<option value="" disabled="">Select your Goal</option>
<option value="wealthCreate">Wealth Creation</option>
<option value="childEdu">Child Education</option>
<option value="dreamHome">Dream Home</option>
<option value="retirement">Happy Retirement</option>
<option value="businessExp">Business Expansion</option>
<option value="travel">Travel</option>
<option value="ownBoss">Start-up</option>
<option value="conFund">Contingency Fund</option>
<option value="secureFamFuture">Secure Family's Future</option>
<option value="Other">Other</option>
</select>
<div class="error"></div>
</div>
<div class="cut"></div>
<label for="firstname" class="placeholders">Select Your Goal</label>
</div>
</div>
<div class="column-50 responsive-style">
<div class="input-container nri-toggle">
<label class="label-style">NRI</label>
<div class="fieldBox" data-rel="nri" data-validation="required" data-gender="" data-error="nri">
<div class="toggle-radiobox">
<input type="radio" name="selfnri" value="true" id="SelfNRIyes" data-element="true" data-analytics="true" data-component-name="Life Goal Assure Calculator">
<label for="SelfNRIyes">Yes</label>
<input type="radio" name="selfnri" value="false" id="SelfNRIno" checked="" data-element="true" data-analytics="true" data-component-name="Life Goal Assure Calculator">
<label for="SelfNRIno">No</label>
</div>
<div class="error">Please Select option</div>
</div>
<div class="error"></div>
</div>
</div>
</div>
<!--If NRI selected YES-->
<div class="d-none" id="Y-SelfNRI">
<div class="row">
<div class="column-50">
<div class="input-container fieldBox">
<div class="placeholder">Country Code </div><input name="Country Code" type="text" data-label="true" data-json="countryCode" maxlength="3" placeholder="" data-validation="required,numbersOnly,maxlength" class="numberOnly input"
data-element="true" data-analytics="true" data-component-name="Life Goal Assure Calculator">
<div class="error"></div>
<div class="cut"></div>
<label for="Countrycode" class="placeholders">Country Code*</label>
</div>
</div>
<div class="column-50">
<div class="input-container fieldBox">
<div class="placeholder">Alternate Number </div><input name="Alternate Number" type="text" data-label="true" data-validation="required" data-json="alternateMobile" placeholder="" class="numberOnly input" data-element="true"
data-analytics="true" data-component-name="Life Goal Assure Calculator">
<div class="error"></div>
<div class="cut"></div>
<label for="Alternatenumber" class="placeholders">Alternate Number*</label>
</div>
</div>
</div>
</div>
</div><!--NriRow End -->
</div>
<div class="row">
<div class=" disp-desktop">
<input type="submit" value="Get Free Quote" class="submit-btn" onclick="getQuotes()">
<button type="submit" value="" class=" lig-btn submit-btn" onclick="ongetQuote()" data-analytics="true" data-href="no" data-component-name="Life Goal Assure Calculator">SUBMIT</button>
</div><br>
<div class="checkboxWrap1 requiredField accept-terms checkBox column-100">
<input data-flag="QUOTE_GENERATION" name="checkbox" type="checkbox" id="accept" data-error="Select checkbox" data-validation="required" checked="" data-element="true" data-analytics="true" data-component-name="Life Goal Assure Calculator">
<label for="accept">I agree and consent to the <a href="javascript:;" class="readmore">Terms & Conditions and the Privacy Policy </a></label>
<div class="error"></div>
<!-- <label for="accept">I hereby authorize Bajaj Allianz Life Insurance Co. Ltd. to contact me. It will override my registry on the NCPR.
<a href="javascript:;" class="read-more-btn">Read more</a></label> -->
</div>
<div class="checkboxWrap1 requiredField checkBox column-100">
<input data-flag="QUOTE_GENERATION" name="checkbox" type="checkbox" id="declare" data-error="Select checkbox" data-validation="required" checked="" data-element="true" data-analytics="true" data-component-name="Life Goal Assure Calculator">
<label for="declare">I hereby declare that i have undergoan suitability analysis or have chosen to bypass the suggested suitability module as I have understood benefits, terms and conditions of the product/plan chosen by me and I further
declare that the product/plan selected by me suits my requirements. </label>
<div class="error"></div>
</div>
</div>
<div class=" disp-mobile">
<!-- <input type="submit" value="Get Free Quote" class="submit-btn" onClick="getQuote()" /> -->
<button type="submit" value="" class=" lig-btn submit-btn bottom-fixed " data-analytics="true" data-component-name="Life Goal Assure Calculator" onclick="ongetQuote()">SUBMIT</button>
</div>
</form>Text Content
Claim Settlement Ratio of 99.04%~ Talk to An Expert × Buy New Policy @ 1800-209-4040 Monday to Saturday: 9:00 AM to 7:00 PM (IST) NEW FUND AVAILABLE: MIDCAP INDEX FUND Available @ ₹10** NAV Full Name Full Name* Gender Male Female Please select gender DD/MM/YYYY ... Date Of Birth* 0 Years +91 +91 +43 +61 +32 +359 +1 +420 +45 +44 +358 +33 +49 +30 +299 +31 +852 +36 +354 +353 +39 +32 +81 +82 +965 +352 +230 +31 +64 +44 +47 +968 +48 +351 +40 +39 +44 +39 +65 +421 +34 +46 +41 +971 +44 +1 +379 +44 Mobile Number Mobile Number* xyz@gmail.com Email ID* Pin Code Pin Code* Wealth Creation Select your Goal Wealth Creation Child Education Dream Home Happy Retirement Business Expansion Travel Start-up Contingency Fund Secure Family's Future Other Select Your Goal NRI Yes No Please Select option Country Code Country Code* Alternate Number Alternate Number* SUBMIT I agree and consent to the Terms & Conditions and the Privacy Policy I hereby declare that i have undergoan suitability analysis or have chosen to bypass the suggested suitability module as I have understood benefits, terms and conditions of the product/plan chosen by me and I further declare that the product/plan selected by me suits my requirements. SUBMIT X TERMS & CONDITIONS I hereby authorize Bajaj Allianz Life Insurance Co. Ltd. to call me on the contact number made available by me on the website with a specific request to call back. I further declare that, irrespective of my contact number being registered on National Customer Preference Register (NCPR) or on National Do Not Call Registry (NDNC), any call made, SMS or WhatsApp sent in response to my request shall not be construed as an Unsolicited Commercial Communication even though the content of the call may be for the purposes of explaining various insurance products and services or solicitation and procurement of insurance business Please refer to BALIC Privacy Policy NOW AVAILABLE WITH Bajaj Allianz Life Future Wealth Gain II A Unit- linked Non- Participating Individual Life Savings Insurance Plan Bajaj Allianz Life Smart Wealth Goal II A Unit- linked Non- Participating Individual Life Savings Insurance Plan Bajaj Allianz Life Magnum Fortune Plus II A Unit-linked Non-Participating Individual Life Savings Insurance Plan Bajaj Allianz Life Future Gain II A Unit Linked Non-Participating Individual Life Savings Insurance Plan Bajaj Allianz Life Goal Assure II A Unit-linked Non-Participating Individual Life Savings Insurance Plan Bajaj Allianz Life Invest Protect Goal A Unit-linked Non-Participating Individual Life Savings Insurance Plan Bajaj Allianz Life LongLife Goal A Unit-Linked Non-Participating Whole Life Insurance Plan In addition to the already existing funds, Midcap Index fund is now available with the above mentioned products. Customer has an option to choose from other available funds apart from Midcap Index fund. WHY BAJAJ ALLIANZ LIFE INSURANCE Claim Settlement Ratio of 99.04%~ Number of lives covered# Solvency ratio of 516%^ AAA; Stable Rating by CARE$ CUSTOMER TESTIMONIAL It was a really nice experience buying a Bajaj policy online. The process was quite smooth. Also, the portal is user friendly, funds are performing well. - GARIMA TOMAR Had a great experience with Online Buying process of BALIC. It was very simple & helps you with suggestions if you find any obstacle. Thank you for hassle-free Experience... - AYUSH AGARWAL Bajaj Allianz employee was very helpful, she helped me to select the best policy. It’s been a very pleasure experience with Bajaj Allianz. - CHETAN RACHH It was a really nice experience buying a Bajaj policy online. The process was quite smooth. Also, the portal is user friendly, funds are performing well. - GARIMA TOMAR Had a great experience with Online Buying process of BALIC. It was very simple & helps you with suggestions if you find any obstacle. Thank you for hassle-free Experience... - AYUSH AGARWAL Bajaj Allianz employee was very helpful, she helped me to select the best policy. It’s been a very pleasure experience with Bajaj Allianz. - CHETAN RACHH It was a really nice experience buying a Bajaj policy online. The process was quite smooth. Also, the portal is user friendly, funds are performing well. - GARIMA TOMAR prev next 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. Risk Factors and Warning Statements: Bajaj Allianz Life Insurance Company Limited and Bajaj Allianz Life Smart Wealth Goal II, Bajaj Allianz Life Future Wealth Gain II, Bajaj Allianz Life Future Gain II, Bajaj Allianz Life Goal Assure II, Bajaj Allianz Life LongLife Goal, Bajaj Allianz Life Invest Protect Goal, Bajaj Allianz Life Magnum Fortune Plus II are the names of the company and the product respectively and do not in any way indicate the quality of the product and its future prospects or returns. Unlike traditional products, Bajaj Allianz Life Smart Wealth Goal II, Bajaj Allianz Life Future Wealth Gain II, Bajaj Allianz Life Future Gain II, Bajaj Allianz Life Goal Assure II, Bajaj Allianz Life LongLife Goal, Bajaj Allianz Life Magnum Fortune Plus II, Bajaj Allianz Life Invest Protect Goal are Unit Linked Insurance Plans (ULIPs). Investment in ULIPs is subject to risks associated with the capital markets. The policy holder is solely responsible for his/her decisions while investing in ULIPs. For more details on risk factors, terms and conditions please read sales brochure & policy document (available on www.bajajallianzlife.com) carefully before concluding a sale. Regd. Office Address: Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006, IRDAI Reg.No.: 116 | CIN: U66010PN2001PLC015959 | Mail us : customercare@bajajallianz.co.in | Call on : Toll free no. 1800 209 7272 | Bajaj Allianz Life Smart Wealth Goal II - A Unit- linked Non- Participating Individual Life Savings Insurance Plan (UIN: 116L179V01), Bajaj Allianz Life Future Wealth Gain II - A Unit- linked Non- Participating Individual Life Savings Insurance Plan (UIN: 116L178V01), Bajaj Allianz Life Future Gain II - A Unit Linked Non-Participating Individual Life Savings Insurance Plan (UIN: 116L181V01), Bajaj Allianz Life Goal Assure II - A Unit Linked Non-Participating Individual Life Savings Insurance Plan (UIN: 116L180V02), Bajaj Allianz Life LongLife Goal - A Unit-Linked Non-Participating Whole Life Insurance Plan (UIN:116L156V03), Bajaj Allianz Life Invest Protect Goal -A Unit-linked Non-Participating Individual Life Savings Insurance Plan (UIN : 116L177V02), Bajaj Allianz Life Magnum Fortune Plus II - A Unit-linked Non-Participating Individual Life Savings Insurance Plan (UIN: 116L182V01) The Logo of Bajaj Allianz Life Insurance Co. Ltd. is provided on the basis of license given by Bajaj Finserv Ltd. to use its “Bajaj” Logo and Allianz SE to use its “Allianz” logo. All charges/ taxes, as applicable, will be borne by the Policyholder. ~Individual Death Claim Settlement Ratio for FY 2022-2023 #Individual & Group as on 31st March, 2023 ^Solvency ratio 516% as at 31 March 2023 against IRDAI mandated 150% $For details refer to press release published by CARE ^As on 30th Sep 2023 Please consult the financial advisor before investing. Past performance is not indicative of future performance. BJAZ-OT-EC-04984/23