pnbmelife.in
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Submitted URL: http://pnbmelife.in/
Effective URL: https://pnbmelife.in/
Submission: On September 22 via manual from IN — Scanned from DE
Effective URL: https://pnbmelife.in/
Submission: On September 22 via manual from IN — Scanned from DE
Form analysis
1 forms found in the DOMPOST ./Input.aspx
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<input type="button" name="defaultbtn" value="" onclick="javascript:__doPostBack('defaultbtn','')" id="defaultbtn" style="display: none">
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<div class="main-layout mlp">
<header>
<div class="product-name col-lg-12 col-md-12">
<div class="col-lg-4 col-md-4 col-xs-4 flexDiv mt-3rem ">
<img src="resources/pnbmetlife.png" class="pnbLogo h-45">
</div>
<div class="col-lg-8 col-md-8 col-xs-8 flexDiv mt-16">
<div class="col-lg-12 col-md-12 col-xs-12 noPadding hidden-xs">
<ul class="top_menu menu-list">
<li>
<div class="btn-group">
<button type="button" class="btn btn-secondary dropdown-toggle PartnerList" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false"> Partner Login <i></i>
</button>
<span class="topDropdownArrow"></span>
<div class="dropdown-menu">
<a class="dropdown-item" href="http://pnbmetsmart.metlifeportal.co.in" target="_blank">PNB</a>
<a class="dropdown-item" href="http://metsmart.metlifeportal.co.in" target="_blank">NON PNB</a>
<a class="dropdown-item" href="http://metconnect.metlifeportal.co.in" target="_blank">Agency (Advisor)</a>
<a class="dropdown-item" href="http://metconnect.metlifeportal.co.in" target="_blank">Agency (Employees)</a>
<a class="dropdown-item" href="http://metsmart.metlifeportal.co.in" target="_blank">Direct Marketing</a>
<a class="dropdown-item" href="http://ill.metlifeportal.co.in/illustration/default.aspx" target="_blank">Business Illustration</a>
<a class="dropdown-item" href="https://mobileapp.portal.pnbmetlife.com/estore/index.html" target="_blank">eBranch MOS Store (iPad)</a>
</div>
</div>
</li>
<li class="border-left-none"><a href="https://www.pnbmetlife.com/about-us/index.html" target="_top" id="txtAboutUs" title="About Us">About Us</a></li>
<li><a href="https://www.pnbmetlife.com/investments/track-fund-value.html" target="_top" id="txtInvestments" title="Investments">Investments</a></li>
<li><a href="https://www.pnbmetlife.com/news/press-release/2017/index.html" target="_top" id="txtNews" title="News">News</a></li>
<li><a href="https://www.pnbmetlife.com/careers/hr-philosophy.html" target="_top" id="txtCareers" title="Careers">Careers</a></li>
<li class="pr-0"><a href="https://www.pnbmetlife.com/financial-advisor/life-at-pnb-metlife.html" target="_top" id="txtBeanAdvisor" title="Be an Advisor">Be an Advisor</a></li>
</ul>
</div>
<div class="col-lg-12 col-md-12 col-xs-12 noPadding pull-right">
<div class="main_menu_wrapper">
<div class="head_social_lnk">
<a href="tel:18004256969">1800-425-69-69</a>
<ul class="social_lnk">
<li><a href="https://www.facebook.com/PNBMetLife" class="fb" target="_new" title="Facebook">Facebook</a></li>
<li class="hidden-xs"><a href="https://twitter.com/PNBMetlife1" class="twit" target="_new" title="Twitter">Twitter</a></li>
<li class="hidden-xs"><a href="https://www.linkedin.com/company/pnb-metlife-india-insurance-co-ltd" class="linkedin" target="_new" title="Linkedin">Linkedin</a></li>
<li class="hidden-xs"><a href="https://www.youtube.com/user/pnbmetlife" class="youetube" target="_new" title="You Tube">You Tube</a></li>
</ul>
</div>
</div>
</div>
</div>
<div class="col-xs-12 noPadding pull-right bgGreen bg-green-div"></div>
<div class="col-lg-12">
<div class="col-lg-12 brdBtm">
<span class="generateIlls">Generate Illustration</span>
</div>
</div>
<div class="wrapper">
<div class="col-lg-12 col-md-12 col-xs-12">
<div class="product_category_list text-center">
<div class="changePro policy_search bootstrap-select.btn-group">
<label class="product_name_ico"><span class="mandatory">*</span></label>
<div class="change-product btn dropdown-toggle change-product-toggle change-product-toggle">
<span class="pull-left">Select Product</span>
<span class="caret pull-right"></span>
</div>
</div>
<div class="overlay1"></div>
<div class="product_list d-none">
<ul class="category_list">
<li id="lblCatId_1">
<span class="category_name">Savings Plans</span>
<ul class="product_name">
<li id="12012" onclick="ProductSelect(this);">PNB MetLife Bachat Yojana </li>
<li id="12007" onclick="ProductSelect(this);">PNB MetLife Super Saver Plan</li>
<li id="14004" onclick="ProductSelect(this);">PNB MetLife Guaranteed Income Plan</li>
<li id="12040" onclick="ProductSelect(this);">PNB MetLife Century Plan</li>
<li id="12044" onclick="ProductSelect(this);">PNB MetLife Guaranteed Future Plan</li>
</ul>
</li>
<li id="lblCatId_2">
<span class="category_name">Child Plans</span>
<ul class="product_name">
<li id="14003" onclick="ProductSelect(this);">PNB MetLife Guaranteed Savings Plan</li>
</ul>
</li>
<li id="lblCatId_3">
<span class="category_name">Protection Plans</span>
<ul class="product_name">
<li id="14005" onclick="ProductSelect(this);">PNB MetLife Aajeevan Suraksha</li>
<li id="12017" onclick="ProductSelect(this);">PNB MetLife Family Income Protector Plus</li>
<li id="12015" onclick="ProductSelect(this);">PNB MetLife Income Protection Plan</li>
<li id="12032" onclick="ProductSelect(this);">PNB MetLife Saral Jeevan Bima</li>
<li id="12005" onclick="ProductSelect(this);">PNB MetLife Mera Jeevan Suraksha Plan</li>
<li id="12003" onclick="ProductSelect(this);">PNB MetLife Mera Term Plan</li>
<li id="12023" onclick="ProductSelect(this);">PNB MetLife Mera Term Plan Plus</li>
</ul>
</li>
<li id="lblCatId_4">
<span class="category_name">Wealth Plans</span>
<ul class="product_name">
<li id="12025" onclick="ProductSelect(this);">PNB MetLife Smart Platinum Plus</li>
<li id="12006" onclick="ProductSelect(this);">PNB MetLife Smart Platinum</li>
<li id="12039" onclick="ProductSelect(this);">PNB MetLife Mera Wealth Plan</li>
</ul>
</li>
<li id="lblCatId_5">
<span class="category_name">Retirement Plans</span>
<ul class="product_name">
<li id="12029" onclick="ProductSelect(this);">PNB Metlife Immediate Annuity Plan </li>
<li id="12014" onclick="ProductSelect(this);">PNB MetLife Retirement Savings Plan</li>
<li id="12033" onclick="ProductSelect(this);">PNB MetLife Saral Pension</li>
</ul>
</li>
<li id="lblCatId_6">
<span class="category_name">Health Plans</span>
<ul class="product_name">
<li id="12024" onclick="ProductSelect(this);">Mera Mediclaim Plan</li>
</ul>
</li>
<li id="lblCatId_7" style="display: none;">
<span class="category_name">Group Products</span>
<ul class="product_name">
<li id="12043" onclick="ProductSelect(this);">PNB MetLife Complete Loan Protection Plan - Centrum</li>
</ul>
</li>
<li id="lblCatId_8">
<span class="category_name">POS</span>
<ul class="product_name">
<li id="12009" onclick="ProductSelect(this);">PNB MetLife POS Suraksha</li>
<li id="12045" onclick="ProductSelect(this);">PNB MetLife Guaranteed Future Plan - POS</li>
</ul>
</li>
</ul>
</div>
<input type="hidden" name="hdProductid" id="hdProductid">
<input type="hidden" name="hdProductName" id="hdProductName">
</div>
</div>
<div class="col-lg-1 col-sm-1 hide">
<a href="ProductPage.aspx" class="home-icon-product">
<span class="fa fa-home" title="Home"></span>
</a>
</div>
</div>
</div>
</header>
<div class="lhs-fixed-layout hide">
<ul class="index">
<li>
<a href="#basic_information" class="scroll-index active">1</a>
</li>
<li>
<a href="#product_information" class="scroll-index">2</a>
</li>
<li id="showSummery" class="hide">
<a href="#summery_section" class="scroll-index">3</a>
</li>
</ul>
</div>
<div class="content-layout">
<div class="main-content col-lg-1 col-md-1 col-sm-4 col-xs-12 panel-group NumSec hide">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 noPadding Mumbiring">
<ul class="NumberSec">
<li>
<a href="#BasicInfoInpt" class="is-active NumClick">1</a>
</li>
<li class="NumTwoHide d-none" style="display: none;">
<a href="#ProductInfo" class="NumClick">2</a>
</li>
<li class="NumTwoHideR d-none" style="display: none;">
<a href="#rid_section" class="NumClick">3</a>
</li>
</ul>
</div>
</div>
<div class="clear " id="">
<div class="main-content col-lg-11 col-lg-offset-1 col-md-11 col-md-offset-1 col-sm-10 col-sm-offset-1 col-xs-12 panel-group" id="BasicInfoInpt">
<h1 class="col-lg-12 col-md-12 col-sm-12 col-xs-12 bold product bold-product">
<span id="headerproductname">Product Name</span>
</h1>
<div class=" col-lg-12 col-md-12 col-sm-12 col-xs-12 noPadding" id="contentDiv">
<div class="basic-info panel-default panelDefaultCss noPadding m-t-3per col-xs-12">
<div class="content-heading accordion col-lg-12 col-md-12 col-sm-12 col-xs-12 panel-heading panelHeadingCss flexDiv" id="basic_information" data-toggle="collapse" data-target="#subPanel" aria-expanded="true">
<h2 class="col-lg-11 col-md-11 col-xs-10 px-10">Basic Information</h2>
<i class="glyphicon glyphicon-large col-lg-1 more-less flexCol glyphicon-minus text-right"></i>
<div class="edit-icon col-lg-1 col-md-1 col-xs-2 hide">
<span class="fa fa-pencil"></span>
</div>
<div class="col-lg-12 col-md-12 col-xs-10 collapse p-0">
<span class="col-md-1 border-bottom-2px"></span>
<span class="col-md-11 border-bottom-1px"></span>
</div>
</div>
<div class="accordion_data panel-body collapse in col-xs-12 p-10px" id="subPanel">
<div class="col-lg-12 col-xs-12 noPadding">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 noPaddingMob">
<h4 class="subHeading subHeadingBlue"><i class="fa fa-dot-circle-o f-10" aria-hidden="true"></i> Life Assured Details</h4>
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 basic-info-section noPadding">
<div class="col-md-2 col-sm-2 col-xs-12 p-r-0 mb-6px" id="liSAL">
<label class="LI_SALUTATION title-field">Salutation <span class="mandetory_field hide">*</span></label>
<select name="ddlLI_SALUTATION" id="ddlLI_SALUTATION" class="form-control errLI_SALUTATION select2-hidden-accessible" tabindex="-1" aria-hidden="true">
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 216px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-autocomplete="list" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-ddlLI_SALUTATION-container"><span class="select2-selection__rendered"
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</div>
<div class="col-lg-5 col-md-5 col-sm-8 col-xs-12 noPadding mb-6px">
<div class="col-lg-12 col-xs-12">
<label class="LI_NAME title-field">Name of Life Assured <span class="mandetory_field">*</span></label>
</div>
<div class="form-inline col-sm-12 col-xs-12 p-r-0">
<input name="txtLifeAssuredFirstName" type="text" maxlength="30" id="txtLifeAssuredFirstName" class="charmaxLength disablePaste form-control col-sm-6 col-xs-6 " placeholder="First Name" oninput="validateAlpha(this);">
<input name="txtLifeAssuredLastName" type="text" maxlength="50" id="txtLifeAssuredLastName" class="charmaxLength disablePaste form-control col-sm-6 col-xs-6 margin-left-3percent" placeholder="Last Name"
oninput="validateAlpha(this);">
</div>
</div>
<div class="col-md-3 col-sm-3 col-xs-12 p-r-0 form-group">
<label class="LI_GENDER title-field">Gender <span class="mandetory_field hide">*</span></label>
<select name="ddlLI_GENDER" id="ddlLI_GENDER" class="form-control required errLI_GENDER select2-hidden-accessible" tabindex="-1" aria-hidden="true">
<option value="-1">Select</option>
<option value="M">Male</option>
<option value="F">Female</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 332px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-autocomplete="list" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-ddlLI_GENDER-container"><span class="select2-selection__rendered" id="select2-ddlLI_GENDER-container"
title="Select">Select</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
<div class="col-md-3 col-xs-6 DOB-mobile">
<label class="LI_DOB title-field">Date Of Birth <span class="mandetory_field">*</span></label>
<div class="form-group col-xs-12 noPadding">
<div class="input-group date col-xs-12 col-lg-12">
<span class="fa fa-times clear-date hidden-xs" id="DOBSpan"></span>
<input name="txtAge" type="text" id="txtAge" class="form-control tooltips required errLI_ENTRY_AGE set-date" placeholder="DD MMM YYYY" autocomplete="off">
<span class="input-group-addon calendarIcon">
<span class="fa fa-calendar" onclick="$('#txtAge').focus();"></span>
</span>
</div>
</div>
</div>
<div class="col-md-1 col-sm-2 col-xs-3 p-l-0">
<label class="LI_ENTRY_AGE title-field">Age <span class="mandetory_field">*</span></label>
<div class="form-group">
<div class="input-group age">
<span class="input-group-addon" id="lblLI_ENTRY_AGE"></span>
</div>
</div>
</div>
</div>
</div>
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 noPaddingMob" id="proposerDetails">
<h4 class="col-lg-2 col-md-2 col-sm-12 col-xs-12 subHeading subHeadingBlue pl-0" id="ProHeadingGoal"><i class="fa fa-dot-circle-o f-10" aria-hidden="true"></i> Proposer Details</h4>
<div class="col-lg-6 col-md-6 col-sm-12 col-xs-12 noPadding checkbox " id="ProOption">
<span class="col-lg-6 col-md-6 col-sm-5 col-xs-6 subHeading subHeadingBlue SameAsMobile text-right">Same as Above</span>
<div class="col-lg-4 col-md-4 col-sm-6 col-xs-6 pos-rel-top">
<span class="check yes active col-lg-6 col-md-6 col-sm-6 col-xs-6" id="check_yes">Yes</span>
<span class="check no col-lg-6 col-md-6 col-sm-6 col-xs-6" id="check_no">No</span>
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<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 row-section proposer-info noPadding hide" id="proposer_details">
<div class="col-lg-2 col-md-2 col-sm-2 col-xs-12 p-r-0" id="proSal">
<label class="LI_SALUTATION title-field">Salutation</label>
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</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-autocomplete="list" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-ddlPROPOSER_SALUTATION-container"><span class="select2-selection__rendered"
id="select2-ddlPROPOSER_SALUTATION-container"></span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper"
aria-hidden="true"></span></span>
</div>
<div class="col-md-5 col-md-5input-group-addon col-sm-8 col-xs-12 p-r-0 form-group pos-rel-top2">
<label class="LI_PROPOSER_NAME pos-rel-top">Name of Proposer</label>
<div class="form-inline col-sm-12 col-xs-12 noPadding mb-6px">
<input name="txtProposerFirstName" type="text" id="txtProposerFirstName" class="form-control col-sm-6 col-xs-6 " placeholder="First Name">
<input name="txtProposerLastName" type="text" id="txtProposerLastName" class="form-control col-sm-6 col-xs-6 margin-left-3percent" placeholder="Last Name">
</div>
</div>
<div class="col-lg-3 col-md-3 col-sm-3 col-xs-12 p-r-0 form-group">
<label class="LI_Gender title-field">Gender</label>
<select name="ddlPROPOSER_GENDER" id="ddlPROPOSER_GENDER" class="form-control errPROPOSER_GENDER required w-100 select2-hidden-accessible" tabindex="-1" aria-hidden="true">
<option selected="selected" value="-1">--Select--</option>
<option value="M">Male</option>
<option value="F">Female</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-autocomplete="list" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-ddlPROPOSER_GENDER-container"><span class="select2-selection__rendered" id="select2-ddlPROPOSER_GENDER-container"
title="--Select--">--Select--</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
<div class="col-lg-3 col-md-3 col-sm-3 col-xs-8">
<label class="LI_PROPOSER_DOB title-field">Date Of Birth</label>
<div class="form-group col-xs-12 noPadding">
<div class="input-group date col-xs-12">
<span class="fa fa-times clear-date hidden-xs"></span>
<input name="txtProposerDOB" type="text" id="txtProposerDOB" class="form-control DOB errPROPOSER_DOB required" placeholder="DD MMM YYYY" autocomplete="off">
<span class="input-group-addon calendarIcon">
<span class="fa fa-calendar errPROPOSER_AGE" onclick="$('#txtProposerDOB').focus();"></span>
</span>
</div>
</div>
</div>
<div class="col-md-1 col-sm-2 col-xs-3 p-l-0">
<label class="LI_PROPOSER_AGE title-field">Age</label>
<div class="form-group">
<div class="input-group age">
<span class="input-group-addon" id="lblProposerAge"></span>
</div>
</div>
</div>
</div>
</div>
<div class="section">
<h4 class="col-lg-6 col-md-6 col-sm-6 col-xs-6 col-xs-12 subHeading subHeadingBlue noPaddingMob hide"><i class="fa fa-dot-circle-o f-10" aria-hidden="true"></i> Other Details</h4>
<div class="col-md-12 col-md-12 col-sm-12 col-xs-12 noPaddingMob">
<div class="col-lg-3 col-md-3 col-xs-6 hide">
<div class="other_details_form_input">
<label class="title-field">Email</label>
<input name="txtEmailID" type="text" id="txtEmailID" class="form-control" placeholder="Enter Email Address">
</div>
</div>
<div class="col-md-3 col-md-3 col-sm-6 hide">
<div class="other_details_form_input">
<label class="title-field">Mobile</label>
<input name="txtPhoneNo" type="text" maxlength="10" id="txtPhoneNo" class="form-control" placeholder="Enter Mobile No.">
</div>
</div>
<div class="col-lg-3 col-md-3 col-sm-6 col-xs-6 hide">
<div class="">
<label class="title-field">State</label>
<select name="ddlState" id="ddlState" onchange="LoadCity();" class="form-control select2-hidden-accessible" tabindex="-1" aria-hidden="true">
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-autocomplete="list" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-ddlState-container"><span class="select2-selection__rendered" id="select2-ddlState-container"></span><span
class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
</div>
<div class="col-lg-3 col-md-3 col-sm-6 col-xs-6 hide">
<div class="">
<label class="title-field">City</label>
<select id="ddlCity" class="form-control select2-hidden-accessible" tabindex="-1" aria-hidden="true"></select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100px;"><span
class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-autocomplete="list" aria-haspopup="true" aria-expanded="false" tabindex="0"
aria-labelledby="select2-ddlCity-container"><span class="select2-selection__rendered" id="select2-ddlCity-container"></span><span class="select2-selection__arrow"
role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
</div>
<div class="col-lg-3 col-md-3 col-sm-6 col-xs-12 SelectGap hide" id="KFD">
<div class="">
<label class="title-field">KFD* Language</label>
<select name="language" id="language" class="form-control required select2-hidden-accessible" tabindex="-1" aria-hidden="true">
<option selected="selected" value="E">English</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-autocomplete="list" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-language-container"><span class="select2-selection__rendered" id="select2-language-container"
title="English">English</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
<span class="f-11 color-red">*Key Feature Document</span>
</div>
</div>
<div class="col-lg-3 col-md-3 col-sm-6 col-xs-12 SelectGap hide display-block" id="DivPinCode">
<div class="">
<label class="title-field">Pin Code</label>
<input type="number" id="PinCode" maxlength="6" class="form-control required" onkeypress="return isNumberKey(event)" onchange="GetState();">
</div>
</div>
<div class="col-lg-3 col-md-3 col-sm-6 col-xs-12 SelectGap hide">
<div class="">
<label class="title-field">Proposer's State</label>
<select name="ProposerState" id="ProposerState" onchange="KerlaCity(this);" class="form-control required select2-hidden-accessible" tabindex="-1" aria-hidden="true">
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-autocomplete="list" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-ProposerState-container"><span class="select2-selection__rendered"
id="select2-ProposerState-container"></span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
</div>
<div class="col-lg-3 col-md-3 col-sm-6 col-xs-12 SelectGap hide">
<div class="">
<label class="title-field">Sales Person's State</label>
<select name="SalesState" id="SalesState" onchange="KerlaCity(this);" class="form-control required select2-hidden-accessible" tabindex="-1" aria-hidden="true">
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-autocomplete="list" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-SalesState-container"><span class="select2-selection__rendered" id="select2-SalesState-container"></span><span
class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
</div>
<div class="col-lg-3 col-md-3 col-sm-6 col-xs-12 SelectGap d-none" id="GSTIN">
<div class="">
<label class="title-field">Does Proposer have GSTIN ?</label>
<select name="GST" id="GST" class="form-control required w-100 select2-hidden-accessible" onchange="KerlaCity(this);" tabindex="-1" aria-hidden="true">
<option value="">--Select--</option>
<option value="1">Yes</option>
<option value="0">No</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-autocomplete="list" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-GST-container"><span class="select2-selection__rendered" id="select2-GST-container"
title="--Select--">--Select--</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
</div>
<div class="col-lg-3 col-md-3 col-sm-6 col-xs-12 SelectGap d-none" id="GSTINumber">
<div class="">
<label class="title-field">GSTIN Number</label>
<input type="text" id="GstiVal" class="form-control required">
</div>
</div>
<div class="col-lg-3 col-md-3 col-sm-6 col-xs-12 SelectGap showOnePro d-none" id="AgentId">
<div class="">
<label class="title-field">Agent Id</label>
<input type="text" id="AgentIdval" class="form-control required">
</div>
</div>
<div class="col-lg-3 col-md-3 col-sm-6 col-xs-12 SelectGap showOnePro d-none" id="MobileNo">
<div class="">
<label class="title-field">Mobile No</label>
<input type="text" id="MobileNoval" class="form-control required">
</div>
</div>
<div class="col-lg-3 col-md-3 col-sm-6 col-xs-12 SelectGap showOnePro d-none" id="EmailId">
<div class="">
<label class="title-field">Email Id</label>
<input type="text" id="EmailIdval" class="form-control required">
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 prod_info panel-default panelDefaultCss noPadding m-t-1per hide" id="ProductInfo">
<div class="content-heading accordion flexDiv col-lg-12 col-md-12 col-sm-12 col-xs-12 panel-heading panelHeadingCss" id="product_information" data-toggle="collapse" data-target="#subPanel1" aria-expanded="true">
<h2 class="col-lg-11 col-xs-10 l-s-1px bold px-10">Product Information</h2>
<i class="glyphicon glyphicon-large flexCol col-lg-1 more-less flexCol glyphicon-minus text-right"></i>
<div class="edit-icon col-md-1 col-sm-2 hide">
<span class="fa fa-pencil"></span>
</div>
</div>
<div class="accordion_data row text-left collapse in" id="subPanel1">
<div class="col-lg-12">
<div class="row-section product-dynamic-info text-left col-lg-12 col-md-12 col-sm-12 mb-15px">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 noPadding" id="dynPart">
<div id="defField">
<div class="col-lg-3 col-md-3 col-xs-12 noPaddingMob" id="divPT">
<div class="form-control-dynamic ">
<div class="label_input labelHeight">
<div class="hidden-side-label"></div>
<label class="PR_PT autoalign title-field">PT</label>
</div>
<select name="ddlPT" id="ddlPT" class="form-control required errPR_PT select2-hidden-accessible" onchange="GetPPTList(this.options[this.selectedIndex].value);" tabindex="-1" aria-hidden="true">
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-autocomplete="list" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-ddlPT-container"><span class="select2-selection__rendered" id="select2-ddlPT-container"></span><span
class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
<input type="text" id="txtPT" disabled="disabled" class="form-control errPR_PT d-none">
</div>
</div>
<div class="col-lg-3 col-md-3 col-sm-6 col-xs-12 MarginBtmInptS noPaddingMob" id="divPPT">
<div class="form-control-dynamic ">
<div class="label_input labelHeight">
<div class="hidden-side-label"></div>
<label class="PR_PPT autoalign title-field">PPT</label>
</div>
<select name="ddlPPT" id="ddlPPT" class="form-control required errPR_PPT select2-hidden-accessible" onchange="OptionOnPtPPt();" tabindex="-1" aria-hidden="true">
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-autocomplete="list" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-ddlPPT-container"><span class="select2-selection__rendered" id="select2-ddlPPT-container"></span><span
class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
<input type="text" id="txtPPT" disabled="disabled" class="form-control errPR_PPT d-none">
</div>
</div>
<div class="col-md-3 col-md-3 col-sm-6 col-xs-12 MarginBtmInptS noPaddingMob">
<div class="form-control-dynamic ">
<div class="label_input labelHeight">
<div class="hidden-side-label"></div>
<label class="INPUT_MODE autoalign title-field height-35px" id="lblINPUT_MODE">Mode</label>
</div>
<select name="dynInput_Mode" id="dynInput_Mode" class="form-control required errINPUT_MODE select2-hidden-accessible" onchange="OnChangeMode();" tabindex="-1" aria-hidden="true">
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-autocomplete="list" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-dynInput_Mode-container"><span class="select2-selection__rendered"
id="select2-dynInput_Mode-container"></span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper"
aria-hidden="true"></span></span>
</div>
</div>
</div>
<div id="dynamiccontrol"></div>
<div id="optionDiv"></div>
<div class="col-lg-12 col-xs-12 flexDiv noPadding">
<div class="col-lg-3 col-sm-6 col-md-4 flexCol p-r-0 m-t-3per noPaddingMob" id="switchDesign">
<span>
<label class="leftDynField-css" id="leftDynField">Modal Premium</label>
<label class="switch">
<input type="checkbox" id="Premium">
<span class="slider round" onclick="ToggleCheck();" id="clickTrigger"></span>
</label>
<label class="" id="rightDynField"></label>
</span>
</div>
<div class="col-md-3 annual col-sm-6 col-xs-12 MarginBtmInptS noPaddingMob" id="divMP" data-key="@PR_MODALPREM">
<div class="label_input labelHeight">
<div class="hidden-side-label"></div>
<label class="PR_MODALPREM title-field">Modal Premium</label>
</div>
<div class="product-input">
<span class="fa fa-inr rupee "></span>
<input type="text" name="number" id="txtMP" class="form-control tooltips required errPR_ModalPrem errPR_ModalPrem-input">
<select id="ddlPR_MP" class="form-control errPR_ModalPrem hide"></select>
<br>
</div>
<span id="wtxtMP" class="amount_word"></span>
</div>
<div class="col-md-3 annual col-sm-6 col-xs-12 MarginBtmInptS" id="divAP" data-key="@PR_ANNPREM" "="">
<div class=" label_input labelHeight">
<div class="hidden-side-label"></div>
<label class="PR_ANNPREM title-field">Annual Premium</label>
</div>
<div class="product-input">
<span class="fa fa-inr rupee rupee"></span>
<input type="text" name="number" id="txtAP" class="form-control tooltips required errPR_ANNPREM errPR_ModalPrem-input">
<select id="ddlPR_AP" class="form-control errPR_ANNPREM hide">
</select>
<br>
</div>
<span id="wtxtAP" class="amount_word"></span>
</div>
<div class="col-md-3 annual col-sm-6 col-xs-12 MarginBtmInptS prStdIpCntr d-none" id="dynRenderField"></div>
<div class="col-md-3 annual col-sm-6 col-xs-12 MarginBtmInptS" id="divMI" data-key="@PR_MI">
<div class="label_input labelHeight">
<div class="hidden-side-label"></div>
<label class="PR_MI title-field">Monthly Income</label>
</div>
<div class="product-input">
<span class="fa fa-inr rupee rupee"></span>
<input type="text" name="number" id="txtMI" class="form-control tooltips required errPR_MI errPR_ModalPrem-input">
<select id="ddlPR_MI" class="form-control errPR_MI d-none select2-hidden-accessible" tabindex="-1" aria-hidden="true" style="">
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-autocomplete="list" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-ddlPR_MI-container"><span class="select2-selection__rendered" id="select2-ddlPR_MI-container"></span><span
class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
<br>
</div>
<span id="wtxtMI" class="amount_word"></span>
</div>
<div class="col-md-3 annual col-sm-6 col-xs-12 MarginBtmInptS noPaddingMob" id="divSA" data-key="@PR_SA">
<div class="label_input labelHeight">
<div class="hidden-side-label"></div>
<label class="PR_SA title-field">Sum Assured</label>
</div>
<div class="product-input">
<span class="fa fa-inr rupee"></span>
<input type="text" name="number" onkeypress="return isNumberKey(event)" id="txtSA" class="form-control tooltips required errPR_SA errPR_ModalPrem-input">
<select id="ddlPR_SA" class="form-control errPR_SA hide">
</select>
</div>
<span id="wtxtSA" class="amount_word"></span>
</div>
<div class="col-md-3 annual col-sm-6 col-xs-12 noPaddingMob" id="divSAMF" data-key="@PR_SAMF">
<div class="label_input labelHeight">
<div class="hidden-side-label"></div>
<label class="PR_SAMF title-field">SAMF</label>
</div>
<div class="product-input">
<span class="fa fa-inr rupee"></span>
<input type="text" name="number" id="txtSAMF" class="form-control tooltips required errPR_SAMF restDecimal errPR_ModalPrem-input">
<select id="ddlPR_SAMF" class="errPR_SAMF hide">
</select>
</div>
</div>
</div>
</div>
</div>
<span></span>
<hr class="hr-custom">
<div class="col-md-10 col-xs-12 noPadding divFundStrategyId-css" id="divFundStrategyId">
<div class="form-control-dynamic w-100">
<div class="col-lg-2 col-xs-6">
<label class="">Fund Strategy</label>
</div>
<div class="col-lg-4 col-xs-6 ddlFundStrategyDiv">
<select id="ddlFundStrategy" class="form-control select2-hidden-accessible" onchange="FuddlFundStrategye();" tabindex="-1" aria-hidden="true">
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-autocomplete="list" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-ddlFundStrategy-container"><span class="select2-selection__rendered"
id="select2-ddlFundStrategy-container"></span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
</div>
</div>
<div class="col-md-24 col-xs-24 d-none" id="fund-choice">
<div class="col-lg-24 col-xs-12 fund-choice">
<h4 class="font-size14">Fund Choice</h4>
<table class="table table-bordered fundChoiceTbl mb-0">
<thead>
<tr>
<th class="thead-width-33percent">Fund Name</th>
<th class="thead-width-33percent">Fund Allocation %</th>
<th class="thead-width-33percent">SFIN Codes</th>
</tr>
</thead>
</table>
<div class="" id="fundDiv">
<div class="fund-name col-md-24 col-xs-24">
<div class="col-md-20 col-xs-18">
<span>Fund Name 1</span>
</div>
<div class="input-fund col-md-4 col-xs-6">
<input type="text" class="form-control">
</div>
</div>
<div class="fund-name col-md-24 col-xs-24">
<div class="col-md-20 col-xs-18">
<span>Fund Name 2</span>
</div>
<div class="input-fund col-md-4 col-xs-6">
<input type="text" class="form-control">
</div>
</div>
<div class="col-md-24 col-xs-24"></div>
</div>
<div class="col-md-24 col-xs-24 total-fund section TotalPadding clearfix">
<div class="col-lg-4 col-md-12 col-xs-6 text-center total-css">
<span>Total</span>
</div>
<div class="col-lg-5 col-md-12 col-xs-6 bold text-center totalfundDiv">
<span id="totalFund" class="total_fund">0%</span>
<div class="fund_error_msg">Total must be 100%</div>
</div>
</div>
</div>
</div>
<div class="col-lg-12 col-md-12 col-xs-12 d-none mb-17" id="TransferLiquid">
<p class="color-red font-weight-bold">Please Select Transfer Liquid Fund</p>
</div>
<div class="col-lg-12 col-md-12 col-xs-12 section m-b-2per" id="divEMRFlat">
<div class="col-lg-3 col-md-3 col-sm-5 ">
<label>EMR</label>
<select id="ddlPR_EMRID" class="form-control required select2-hidden-accessible" tabindex="-1" aria-hidden="true">
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-autocomplete="list"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-ddlPR_EMRID-container"><span class="select2-selection__rendered" id="select2-ddlPR_EMRID-container"></span><span
class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
<div class="col-lg-3 col-md-3 col-sm-5 ">
<label>Flat Extra</label>
<select id="ddlPR_FLATEXTRAID" class="form-control required select2-hidden-accessible" tabindex="-1" aria-hidden="true">
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-autocomplete="list"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-ddlPR_FLATEXTRAID-container"><span class="select2-selection__rendered" id="select2-ddlPR_FLATEXTRAID-container"></span><span
class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
</div>
</div>
</div>
</div>
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 prod_info panel-default panelDefaultCss hide noPadding m-t-1per" id="Withdrawal">
<div class="content-heading accordion flexDiv col-lg-12 col-md-12 col-sm-12 col-xs-12 panel-heading panelHeadingCss" id="Age_Range" data-toggle="collapse" data-target="#subPanelAge" aria-expanded="true">
<h2 class="col-lg-11 col-xs-10 l-s-1px bold px-10">Withdrawal</h2>
<i class="glyphicon glyphicon-large flexCol col-lg-1 more-less flexCol glyphicon-minus text-right"></i>
<div class="edit-icon col-md-1 col-sm-2 hide">
<span class="fa fa-pencil"></span>
</div>
</div>
<div class="accordion_data row text-left collapse in" id="subPanelAge">
<div class="col-lg-12">
<div class="row-section product-dynamic-info text-left col-lg-12 col-md-12 col-sm-12 mb-15px">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 noPadding" id="">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 noPadding">
<div class="col-lg-4 FundChoise text-center bold color-1"> From Age </div>
<div class="col-lg-4 FundChoise text-center bold color-1"> To Age </div>
<div class="col-lg-4 FundChoise text-center bold color-1"> Amount </div>
</div>
<div class="col-lg-12 col-xs-12 col-md-12" id="InnerDivAge">
</div>
<div class="col-lg-12 col-xs-12 col-md-12 m-t-1per red hide" id="ValidErrorAge"> Validation Error. <br> Please check the inputs. </div>
<div class="col-lg-12 text-center col-xs-12 col-md-12 m-t-1per">
<button type="button" class="btn btn-primary btn-xs l-s-1px btnAge min-width-75" onclick="addAgeRow()">Add</button>
<button type="button" class="btn btn-primary btn-xs l-s-1px btnAge min-width-75" onclick="removeAgeRow()">Remove</button>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 section panel-default panelDefaultCss noPadding m-t-1per hide" id="child_section">
<div class="content-heading accordion col-lg-12 col-sm-12 col-xs-12 panel-heading panelHeadingCss flexDiv" id="childs_section" data-toggle="collapse" data-target="#childPanel" aria-expanded="true">
<h2 class="col-lg-11 col-xs-10 l-s-1px bold m-t-1per px-10">Child Information</h2>
<i class="glyphicon glyphicon-large flexCol col-lg-1 col-xs-1 more-less flexCol glyphicon-minus text-right"></i>
<div class="edit-icon col-lg-1 col-md-1 col-xs-2 hide">
<span class="fa fa-pencil"></span>
</div>
</div>
<div class="accordion_data collapse in" id="childPanel">
<div class="col-lg-12 col-xs-12">
<table class="table m-t-2per m-0" id="childTbl">
<thead>
<tr>
<th class="border-0">Children</th>
<th class="border-0"></th>
<th class="visibility-hidden border-0">% Sum Assured</th>
<th class="border-0"></th>
</tr>
</thead>
<tbody></tbody>
<tfoot>
<tr>
<td class="border-0"></td>
<td class="border-0"></td>
<td class="pull-right border-0">
<div class="col-lg-12 col-xs-12 noPadding m-b-1per text-center WhiteSpace HideMobileS">
<span class="total_fund bold">Total</span> : <span id="totalChildFund" class="total_fund bold">0%</span>
</div>
<div class="col-lg-12 text-center col-xs-12 bold noPadding">
<div class="childfund_error_msg red"></div>
</div>
</td>
<td class="border-0"></td>
</tr>
</tfoot>
</table>
</div>
<div class="col-lg-12 col-xs-12 p-1 text-center">
<button type="button" class="btn btn-primary btn-xs l-s-1px" onclick="addChild();">Add</button>
</div>
</div>
<div id="ChildError" class="ChildError-css"></div>
</div>
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 riders section panel-default panelDefaultCss noPadding m-t-1per hide" id="uw_mmtpp">
<div class="content-heading accordion col-lg-12 col-sm-12 col-xs-12 panel-heading panelHeadingCss flexDiv" id="riders_sectionme" data-toggle="collapse" data-target="#subPanel3" aria-expanded="true">
<h2 class="col-lg-11 col-md-11 col-xs-10 f-14 bold">Medical Underwriting</h2>
<i class="glyphicon glyphicon-large flexCol col-lg-1 col-xs-1 more-less flexCol glyphicon-minus text-right"></i>
<div class="edit-icon col-lg-1 col-md-1 col-xs-2 hide">
<span class="fa fa-pencil"></span>
</div>
</div>
<div class="accordion_data collapse in" id="subPanel3">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 ">
<div class="col-lg-3 col-md-3 col-sm-6 col-xs-12 d-none mb-20px" data-key="@PRIMARY_UW">
<div class="form-control-dynamic ">
<div class="label_input labelHeight">
<label class="autoalign title-field">Primary Underwriting</label>
</div>
<select class="form-control required errPRIMARY_UW select2-hidden-accessible" id="dynPRIMARY_UW" tabindex="-1" aria-hidden="true">
<option value="-1">Select</option>
<option value="1">Tele UW</option>
<option value="2">Medical UW</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-autocomplete="list"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-dynPRIMARY_UW-container"><span class="select2-selection__rendered" id="select2-dynPRIMARY_UW-container" title="Select">Select</span><span
class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
</div>
<div class="col-lg-3 col-md-3 col-sm-6 col-xs-12 d-none mb-20px" data-key="@SPOUSE_UW">
<div class="form-control-dynamic ">
<div class="label_input labelHeight">
<div class="hidden-side-label"></div>
<label class="autoalign title-field">Spouse Underwriting</label>
</div>
<select class="form-control required errSPOUSE_UW select2-hidden-accessible" id="dynSPOUSE_UW" tabindex="-1" aria-hidden="true">
<option value="-1">Select</option>
<option value="1">Tele UW</option>
<option value="2">Medical UW</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-autocomplete="list"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-dynSPOUSE_UW-container"><span class="select2-selection__rendered" id="select2-dynSPOUSE_UW-container" title="Select">Select</span><span
class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div>
</div>
</div>
</div>
</div>
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 riders section panel-default panelDefaultCss noPadding m-t-1per d-none" id="rid_section">
<div class="content-heading accordion col-lg-12 col-sm-12 col-xs-12 panel-heading panelHeadingCss flexDiv" id="riders_section" data-toggle="collapse" data-target="#subPanel2" aria-expanded="true">
<h2 class="col-lg-11 col-md-11 col-xs-10 f-14 bold">Riders</h2>
<i class="glyphicon glyphicon-large flexCol col-lg-1 col-xs-1 more-less flexCol glyphicon-minus text-right"></i>
<div class="edit-icon col-lg-1 col-md-1 col-xs-2 hide">
<span class="fa fa-pencil"></span>
</div>
</div>
<div class="accordion_data collapse in" id="subPanel2">
<div class="col-lg-12 col-xs-12" id="riders"></div>
</div>
</div>
</div>
<div id="divError" class="col-lg-12 col-md-12 col-xs-12 divError-css"></div>
<div class="section col-lg-12 col-md-12 prod_info d-none">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 text-center">
<button type="button" class="button hide btnBackground btnBackground-css" onclick="BackTONeed()" id="left"><i class="fa fa-arrow-left" aria-hidden="true"></i> Back </button>
<span class="button partialWithdraw validate" onclick="showPartialwithdraw();">Partial Withdrawal <span></span></span>
<button type="button" id="btnvalidate" class="button validate btnBackground btnvalidate-css" onclick="Validate(0);">Calculate <i class="fa fa-arrow-right" aria-hidden="true"></i> </button>
</div>
</div>
</div>
<div class="section summery noPadding col-lg-12 col-xs-12 d-none" id="divSummary">
<div class="content-heading accordion row col-lg-12 col-md-12 col-sm-12" id="summery_section">
<h2 class="col-md-11 col-xs-10">Summary</h2>
<div class="edit-icon col-md-1 col-xs-2 hide">
<span class="fa fa-pencil"></span>
</div>
</div>
<div class="accordion_data col-xs-12 table-responsive noPadding table-layout-inherit">
<table class="table table-bordered">
<thead>
<tr>
<th class="bold w-30percent">Name</th>
<th class="text-right hide-mobile bold hide w-17percent"><span>Annual</span> <span>Premium</span></th>
<th class="text-right bold w-17percent"><span>Installment</span> <span>Premium</span></th>
<th class="text-right hide-mobile bold w-17percent"><span>Goods</span> <span>And</span> <span>Services Tax</span></th>
<th class="text-right bold w-17percent"><span>Inst. Premium</span> <span>with GST</span></th>
</tr>
</thead>
<tbody id="riderandbi">
<tr>
<td colspan="5" class="text-center">No Record Found</td>
</tr>
</tbody>
</table>
</div>
<div class="section col-lg-12 col-md-12 col-xs-12 summary">
<div class="col-lg-12 col-md-12 col-xs-12 btn-section text-center m-t-1per">
<button type="button" class="button validate btnBackground btnBackground-css2" onclick="Validate(1);">Generate BI <i class="fa fa-download" aria-hidden="true"></i> </button>
<input type="submit" name="btnBuyNow" value="Buy Now" onclick="BuyNow();" id="btnBuyNow" class="btn btn-generate hide">
</div>
</div>
<div id="BiLoader" class="BiLoader hide col-lg-12 col-md-12 col-xs-12 noPadding text-center clearfix">
<img src="images/loading.gif" class="w-150px">
</div>
</div>
</div>
</div>
<div class="main-content col-lg-2 col-md-2 col-sm-12 col-xs-12 panel-group FixdBoxMobile hide">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 SideBox">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 noPadding HeadingSec">
<p class="BasicInfo"> Basic Information </p>
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 noPadding">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 noPadding clear M_Bottom">
<div class="col-lg-6 col-xs-6 noPadding HeadinBold"> Name <span class="pull-right MarginRight">:</span>
</div>
<div class="col-lg-6 col-xs-6 noPadding DataNormal">
<span id="FirstName"></span><span id="LastName"></span>
</div>
</div>
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 noPadding clear M_Bottom">
<div class="col-lg-6 col-xs-6 noPadding HeadinBold"> Gender <span class="pull-right MarginRight">:</span>
</div>
<div class="col-lg-6 col-xs-6 noPadding DataNormal">
<span id="GenderInput">Male</span>
</div>
</div>
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 noPadding clear M_Bottom">
<div class="col-lg-6 col-xs-6 noPadding HeadinBold"> Date of Birth <span class="pull-right MarginRight">:</span>
</div>
<div class="col-lg-6 col-xs-6 noPadding DataNormal">
<span id="DOBInput"></span>
</div>
</div>
</div>
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 noPadding">
<p class="BasicInfo pt-7px2"> Proposer Details </p>
</div>
<div id="SameAbove" class="SameAbove">Same As Above</div>
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 noPadding d-none" id="ProposerDetail">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 noPadding clear M_Bottom">
<div class="col-lg-6 col-xs-6 noPadding HeadinBold"> Name <span class="pull-right MarginRight">:</span>
</div>
<div class="col-lg-6 col-xs-6 noPadding DataNormal">
<span id="FirstName_2"></span><span id="LastName_2"></span>
</div>
</div>
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 noPadding clear M_Bottom">
<div class="col-lg-6 col-xs-6 noPadding HeadinBold"> Gender <span class="pull-right MarginRight">:</span>
</div>
<div class="col-lg-6 col-xs-6 noPadding DataNormal">
<span id="GenderInput_2">Male</span>
</div>
</div>
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 noPadding clear M_Bottom">
<div class="col-lg-6 col-xs-6 noPadding HeadinBold"> Date of Birth <span class="pull-right MarginRight">:</span>
</div>
<div class="col-lg-6 col-xs-6 noPadding DataNormal">
<span id="DOBInput_2"></span>
</div>
</div>
</div>
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 noPadding">
<p class="BasicInfo pt-7px"> Product Information </p>
</div>
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 noPadding">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 noPadding clear M_Bottom">
<div class="col-lg-6 col-xs-6 noPadding HeadinBold"> PT <span class="pull-right MarginRight">:</span>
</div>
<div class="col-lg-6 col-xs-6 noPadding DataNormal">
<span id="PtInput"></span>
</div>
</div>
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 noPadding clear M_Bottom">
<div class="col-lg-6 col-xs-6 noPadding HeadinBold"> PPT <span class="pull-right MarginRight">:</span>
</div>
<div class="col-lg-6 col-xs-6 noPadding DataNormal">
<span id="PptInput"></span>
</div>
</div>
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 noPadding clear M_Bottom">
<div class="col-lg-6 col-xs-6 noPadding HeadinBold"> Modal Premium <span class="pull-right MarginRight">:</span>
</div>
<div class="col-lg-6 col-xs-6 noPadding DataNormal">
<span id="ModalInput"></span>
</div>
</div>
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 noPadding clear M_Bottom">
<div class="col-lg-6 col-xs-6 noPadding HeadinBold"> Annual Premium <span class="pull-right MarginRight">:</span>
</div>
<div class="col-lg-6 col-xs-6 noPadding DataNormal">
<span id="AnnualInput"></span>
</div>
</div>
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 noPadding clear M_Bottom">
<div class="col-lg-6 col-xs-6 noPadding HeadinBold"> Monthly Income <span class="pull-right MarginRight">:</span>
</div>
<div class="col-lg-6 col-xs-6 noPadding DataNormal">
<span id="MIInput"></span>
</div>
</div>
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 noPadding clear M_Bottom">
<div class="col-lg-6 col-xs-6 noPadding HeadinBold"> Sum Assured <span class="pull-right MarginRight">:</span>
</div>
<div class="col-lg-6 col-xs-6 noPadding DataNormal">
<span id="SumInput"></span>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="header-hidden"></div>
</div>
<div class="col-lg-12 col-xs-12 noPaddingMbl panel-group d-none" id="pdfPart">
<div class="col-lg-12 col-xs-12 basic-info panel-default panelDefaultCss noPadding col-xs-12" id="">
<div class="content-heading accordion col-lg-12 col-md-12 col-sm-12 col-xs-12 panel-heading panelHeadingCss flexDiv" id="basic_information1" data-toggle="collapse" data-target="#desclim" aria-expanded="true">
<h2 class="col-lg-11 col-md-11 col-xs-10 custom-css-class">Generate BI</h2>
<i class="glyphicon glyphicon-large col-lg-1 more-less flexCol glyphicon-minus text-right"></i>
<div class="col-lg-12 col-md-12 col-xs-10 collapse p-0">
<span class="col-md-1 border-bottom-2px"></span>
<span class="col-md-11 border-bottom-1px"></span>
</div>
</div>
<div class="accordion_data panel-body collapse in col-xs-12 p-10px" id="desclim">
<div class="col-lg-12 col-xs-12 " id="RenderHtmlOutput">
</div>
</div>
</div>
</div>
<div class="section col-lg-12 col-md-6">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12 text-center">
<button type="button" class="button validate btnBackground hide" onclick="DownloadPDF();" id="btnDownloadPDF">Download PDF <i class="fa fa-download" aria-hidden="true"></i></button>
<button type="button" class="button validate btnBackground hide" id="btnredirect" onclick="GoTo();"></button>
</div>
</div>
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<p class="TextSays">I take pride in my association with PNB MetLife for their consistent support at various levels, this builds enthusiasm in my team and me to work more passionately.</p>
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<p class="TextSays">I have qualified 15 times for MDRT with PNB MetLife. The continued support and motivation here will help you grow at a personal level.</p>
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<p class="TextSays">From training in sales innovations to in-depth knowledge of products and customer life cycle, with PNB MetLife you will build a long-lasting career.</p>
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<h1 class="cntHeading">Life Insurance Plans</h1>
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<a href="https://www.pnbmetlife.com/insurance-plans/family-protection/mera-term-plan.html" target="_top" id="txtProplans" title="Mera Term Plan" tabindex="0">Mera Term Plan</a>
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<a href="https://www.pnbmetlife.com/hindi/insurance-plans/term-insurance-plans.html" target="_top" title="Term Insurance Plans In Hindi" tabindex="0">Term Insurance Plans In Hindi</a>
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<a href="https://www.pnbmetlife.com/hindi/insurance-plans/long-term-savings.html" target="_top" title="Long Term Savings Plans In Hindi" tabindex="0">Long Term Savings Plans In Hindi</a>
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<h1 class="foo_about_lnk cntHeading"><a href="https://www.pnbmetlife.com/about-us/index.html" target="_top" title="About Us" tabindex="0">About Us</a></h1>
<h1 class="OurDistrubutors cntHeading">Our Distributors</h1>
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<li><a rel="nofollow" href="https://www.pnbindia.in" target="_blank" title="Punjab National Bank (PNB)" tabindex="0">Punjab National Bank (PNB)</a></li>
<li><a rel="nofollow" href="https://www.jkbank.com/" target="_blank" title="The Jammu & Kashmir Bank Ltd." tabindex="0">The Jammu & Kashmir Bank Ltd.</a></li>
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* Partner Login PNB NON PNB Agency (Advisor) Agency (Employees) Direct Marketing Business Illustration eBranch MOS Store (iPad) * About Us * Investments * News * Careers * Be an Advisor 1800-425-69-69 * Facebook * Twitter * Linkedin * You Tube Generate Illustration * Select Product * Savings Plans * PNB MetLife Bachat Yojana * PNB MetLife Super Saver Plan * PNB MetLife Guaranteed Income Plan * PNB MetLife Century Plan * PNB MetLife Guaranteed Future Plan * Child Plans * PNB MetLife Guaranteed Savings Plan * Protection Plans * PNB MetLife Aajeevan Suraksha * PNB MetLife Family Income Protector Plus * PNB MetLife Income Protection Plan * PNB MetLife Saral Jeevan Bima * PNB MetLife Mera Jeevan Suraksha Plan * PNB MetLife Mera Term Plan * PNB MetLife Mera Term Plan Plus * Wealth Plans * PNB MetLife Smart Platinum Plus * PNB MetLife Smart Platinum * PNB MetLife Mera Wealth Plan * Retirement Plans * PNB Metlife Immediate Annuity Plan * PNB MetLife Retirement Savings Plan * PNB MetLife Saral Pension * Health Plans * Mera Mediclaim Plan * Group Products * PNB MetLife Complete Loan Protection Plan - Centrum * POS * PNB MetLife POS Suraksha * PNB MetLife Guaranteed Future Plan - POS * 1 * 2 * 3 * 1 * 2 * 3 PRODUCT NAME BASIC INFORMATION LIFE ASSURED DETAILS Salutation * Name of Life Assured * Gender * Select Male Female Select Date Of Birth * Age * PROPOSER DETAILS Same as Above Yes No Salutation Name of Proposer Gender --Select-- Male Female --Select-- Date Of Birth Age OTHER DETAILS Email Mobile State City KFD* Language English English *Key Feature Document Pin Code Proposer's State Sales Person's State Does Proposer have GSTIN ? --Select-- Yes No --Select-- GSTIN Number Agent Id Mobile No Email Id PRODUCT INFORMATION PT PPT Mode Modal Premium Modal Premium Annual Premium Monthly Income Sum Assured SAMF -------------------------------------------------------------------------------- Fund Strategy FUND CHOICE Fund Name Fund Allocation % SFIN Codes Fund Name 1 Fund Name 2 Total 0% Total must be 100% Please Select Transfer Liquid Fund EMR Flat Extra WITHDRAWAL From Age To Age Amount Validation Error. Please check the inputs. Add Remove CHILD INFORMATION Children % Sum Assured Total : 0% Add MEDICAL UNDERWRITING Primary Underwriting Select Tele UW Medical UW Select Spouse Underwriting Select Tele UW Medical UW Select RIDERS Back Partial Withdrawal Calculate SUMMARY Name Annual Premium Installment Premium Goods And Services Tax Inst. Premium with GST No Record Found Generate BI Basic Information Name : Gender : Male Date of Birth : Proposer Details Same As Above Name : Gender : Male Date of Birth : Product Information PT : PPT : Modal Premium : Annual Premium : Monthly Income : Sum Assured : GENERATE BI Download PDF BE OUR ADVISORS 1. 2. 3. I take pride in my association with PNB MetLife for their consistent support at various levels, this builds enthusiasm in my team and me to work more passionately. I have qualified 15 times for MDRT with PNB MetLife. The continued support and motivation here will help you grow at a personal level. From training in sales innovations to in-depth knowledge of products and customer life cycle, with PNB MetLife you will build a long-lasting career. Read More LIFE INSURANCE PLANS * Mera Term Plan * Term Insurance Plans * Term Insurance Plans In Hindi * Family Protection Plans * Long Term Savings Plans * Long Term Savings Plans In Hindi * Child Education Plans * Retirement Plans * Withdrawn Plans * Plan Your Financial Goals * Download Forms * Glossary * Articles ABOUT US OUR DISTRIBUTORS * Punjab National Bank (PNB) * The Jammu & Kashmir Bank Ltd. * Karnataka Bank * American Express Banking Corp * Dakshin Bihar Gramin Bank * Sarva UP Gramin Bank * Punjab Gramin Bank * Sarva Haryana Gramin Bank * Himachal Gramin Bank * Bank Of Bahrain & Kuwait B.S.C. * Shinhan Bank * ESAF Small Finance Bank SUBSCRIBE Stay update with the latest news, campaigns and launches. Enter a valid Email ID By submitting your details, you agree to PNB MetLife's Privacy Policy and authorize PNB MetLife and/or its authorized service providers to verify the above information and/or contact you to assist you with the policy purchase and/or servicing. The approval / authorization provided by you herein will supersede all earlier authorizations / approvals / disapprovals / registrations made by you in this regard. * * Facebook * Twitter * Linkedin * You Tube PNB MetLife India Insurance Company Limited | Registered Office: Unit No. 701, 702 & 703, 7th Floor, West Wing, Raheja Towers, 26/27 M G Road, Bangalore - 560001, Karnataka or write to us at: 1st Floor, Techniplex -1, Techniplex Complex, Off Veer Savarkar Flyover, Goregaon (West), Mumbai - 400062. Phone: +91-22-41790000, Fax: +91-22-41790203 | CI No.: U66010KA2001PLC028883 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. www.pnbmetlife.com Email: indiaservice@pnbmetlife.co.in IRDAI Regn No.: 117 Sitemap | Public Disclosure | Privacy Policy | Disclaimer | IRDAI | Ombudsman | Life Insurance Council | Consumer Edu. | DNC | Grievance Cell | Anti Fraud Policy | Policyholder Edu. For more details on risk factors, policy exclusions, terms and conditions, please read the sales brochure carefully before concluding a sale. The marks “PNB†and “MetLife†are the registered trademarks of Punjab National Bank and Metropolitan Life Insurance Company, respectively. PNB MetLife India Insurance Company Limited is a licensed user of these marks. Annuity Products Product Age PT PPT Premium Option Label Label Partial Withdrawal Rate in % Year Withdraw 4% Withdraw 8% From Year To Year Percentage % Select Select Select Select 5% 10% 15% 20% 5% Select Select Select Select 5% 10% 15% 20% 5% Select Select Select Select 5% 10% 15% 20% 5% Select Select Select Select 5% 10% 15% 20% 5% Select Select Select Select 5% 10% 15% 20% 5% Submit × % TO TRANSFER FROM 0% Total must be 100% September 2021SuMoTuWeThFrSa293031123456789101112131415161718192021222324252627282930123456789Today 2021JanFebMarAprMayJunJulAugSepOctNovDecToday 2020-2029201920202021202220232024202520262027202820292030Today September 2003SuMoTuWeThFrSa311234567891011121314151617181920212223242526272829301234567891011Today 2003JanFebMarAprMayJunJulAugSepOctNovDecToday 2000-2009199920002001200220032004200520062007200820092010Today