Step-1 : Corporate Details

Name of the Company :
Contact Person :
Email Id :
Mobile :
Address :
Pincode :

Do You have an existing policy? No Yes

Does your company fall under any of the below mentioned category?
  • Diagnostic Centers
  • Hospitals
  • Nursing Homes
  • Medical Colleges
  • Doctor’s Association
  • Politicians
  • Lawyers / Associations of lawyers
  • Groups selling OPD Packages / Schemes
  • Trust Involved in Charity
  • Any Association of Patients of Same Diseases – e.g. Cancer Association, Thalassemia etc.
  • Media and Entertainment
  • Groups in the Business of Health, Which Offer Free Consultation / Tie - ups with Hospitals / Offering Discounted Treatment / Free Camps.
No   Yes