Policy proposal

At Intis General Insurance, we are committed to providing reliable, customized insurance solutions that meet your unique needs. Contact us to learn more about our products and services.

Select City:

Your Full Name:

Father’s/Husband’s Full Name:

Indentity No:

Date of Birth:

Residential Address:

Contact No:

Fax:

Email:

Your Occupation:

Monthly Income:

Chose Plan:

Chose Terms:

Do you have any physical impairment? If yes, please state its nature:

Do you now or ever had heart disease, diabetes, high blood pressure, TB, jaundice or liver, stomach, renal disease, cancer, asthma, epilepsy, nervous or psychological disorders? If so specify with dates:

Are you in good health? If not, describe the nature of ailment:

Say Hello

Socials