National Insurance Company Limited

BHARAT GRIHA RAKSHA POLICY

Protect your home today for a secure future

Referral

Are you guided by one of our ambassadors? *

Yes

Full name (Proposer) *

Mobile number *

Date of birth

PAN number (Proposer)

Aadhaar & PAN (optional, max 5 MB each)

Both Aadhaar front & back are in a single image — upload once

Aadhaar — Front

Aadhaar — Back

PAN Card

JPG, PNG, WEBP or PDF • Up to 5 MB each • Stored privately

Square feet (carpet area) *

Age of building (in years) *

Address of the home to be insured *

Door number (if available)

Ward number (if available)

Survey number (if available)

Choose the correct option *

Multi-storey building (Apartment)Stand alone (House / Villa)

By submitting, you authorise Manoj Kumar Associates to contact you regarding policy processing.