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Start Your Insurance Application
Life, health, general, business and guaranteed income plans — one application, and we match you to the right insurer.
This application form is being finalised.
In the meantime, call us on +91 88067 78771 or email invest@wealthfarmingadvisory.com and we will start your application directly.
For life insurance
Documents
- PAN card
- Aadhaar card
- A cancelled cheque
- Full-size photograph
- Last 3 months’ salary slips, or 2 years’ ITR if self-employed
Details
- Name, mobile number, an alternate number and email address
- Date of birth, place of birth, gender and marital status
- Height and weight
- Education, employer, designation and total work experience
- Annual income
- The premium you want to pay, and how often — monthly, yearly and so on
- Nominee’s name, date of birth and relationship to you
- Mother’s name
For health insurance / mediclaim
Documents
- Aadhaar card for each applicant
- PAN card for each applicant
- Your previous policy document, if you are switching insurer
- Bank account details — account number and IFSC
Details
- Whether this is a new policy or a switch from another insurer
- For each person to be covered: date of birth, height and weight
- Name, mobile number, an alternate number and email address
- Father’s name and mother’s name
- Address, PAN number and Aadhaar number
- Qualification, occupation and company name
- Annual income
- Marital status, and how many children
- Any insurance cover you already hold
- Nominee’s name and date of birth
- Bank account number and IFSC, for premium debit and any claim payment
A health declaration
You will be asked, for each person to be covered, whether they have ever had any of the following. Have dates and any reports to hand — guessing is what causes trouble later.
- Diabetes, blood pressure, cholesterol or thyroid
- Heart and circulatory conditions, including any surgery or procedure
- Breathing and lung conditions, including asthma and tuberculosis
- Liver and digestive conditions
- Any growth, lump or blood disorder
- Kidney and bladder conditions
- Neurological and mental health conditions
- Joint, bone and muscular conditions
- Any past hospitalisation, treatment or investigation
- Any scan, ECG, blood test or surgery advised in the last five years
- Any condition present from birth
- Any genetic testing you have had
- Tobacco, alcohol and recreational drug use
Answer this honestly, even where it raises the premium. Non-disclosure is the single most common reason a health claim is refused — and it is refused years later, at the moment the family needs it. If you are unsure whether something counts, declare it and let the insurer decide. Never let anyone fill this section in for you.
For motor, travel or business cover the requirements are different and usually much shorter — call us and we will tell you exactly what to bring.
Where this goes. Everything you enter is submitted on our forms platform and passed to the insurer, lender or fund house you are applying to. It is not stored on this website, and it is not shared with anyone else. Read the privacy policy.