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<div  style="padding-right: 0.25rem;"><span style="font-size: 0.8rem;">Nationality you have entered is not eligible for term plan. We recommend Max Life Saving Plans to you, that offer dual benefit of Savings & Life Insurance</span></div>

description

Review your Term Insurance summary

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<div style="font-size:12px;text-align:justify;line-height:1.7"><ul style="list-style:disc"><li>I voluntarily opt for Aadhaar e-KYC, and submit to the Insurance company my Aadhaar number, Virtual ID, e-Aadhaar, XML, Masked Aadhaar, Aadhaar details, demographic information, identity information, Aadhaar registered mobile number, face authentication details and/or biometric information (collectively, "Information").</li><li>I am informed by the Insurance Company, that:<ul style="list-style:circle;padding-left:18px;margin-bottom:8px"><li>submission of Aadhaar is not mandatory, and there are alternative options for KYC and establishing identity including by way of physical KYC with officially valid documents other than Aadhaar.</li><li>For e-KYC/authentication/offline verification, Insurance company will share Aadhaar number and/or biometrics with CIDR/UIDAI, and CIDR/UIDAI will share with Insurance company, authentication data, Aadhaar data, demographic details, registered mobile number, identity information, which shall be used for the informed purposes mentioned in 3 below.</li></ul></li><li>I authorise and give my consent to the Insurance (and its service providers), for following informed purposes:<ul style="list-style:circle;padding-left:16px;margin-bottom:8px"><li>KYC and periodic KYC process as per the <span style="color:red"> PML Act, 2002 </span> and rules thereunder and RBI guidelines, or for establishing my identity, carrying out my identification, offline verification or e-KYC or Yes/No authentication, demographic or other authentication/verification/identification as may be permitted as per applicable law, for all accounts, facilities, services and relationships of/through the Insurance, existing and future.</li><li>collecting, sharing, storing, preserving Information, maintaining records and using the Information and authentication/verification/identification records: (a) for the informed purposes above, (b) as well as for regulatory and legal reporting and filings and/or (c) where required under applicable law;</li><li>producing records and logs of the consent, Information or of authentication, identification, verification etc. for evidentiary purposes including before a court of law, any authority or in arbitration.</li></ul></li><li>I understand that the Aadhaar number and core biometrics will not be stored/ shared except as per law and for CIDR submission.</li><li>I will not hold the Insurance company or its officials responsible in the event this document is not found to be in order or in case of any incorrect information provided by me.</li><li>The above consent and purpose of collecting Information has been explained to me in my local language.</li></ul><p style="text-align:center"><b>For FAQs, please refer to following links</b></p><p><span style="text-decoration:underline"><a href="https://uidai.gov.in/277-faqs.html">https://uidai.gov.in/277-faqs.html</a></span><br/><span style="text-decoration:underline"><a href="https://uidai.gov.in/contact-support/have-any-question/277-faqs.html">https://uidai.gov.in/contact-support/have-any-question/277-faqs.html</a></span></p><p>Read terms & conditions in Hindi (<a href="/investment-plans/investment-calculator/assets/savingplan/pdf/ekyc_tnc_hindi.pdf" target="_blank"><span style="text-decoration:underline;color:#00f">here</span></a>), Punjabi (<a href="/investment-plans/investment-calculator/assets/savingplan/pdf/ekyc_tnc_punjabi.pdf" target="_blank"><span style="text-decoration:underline;color:#00f">here</span></a>), Urdu (<a href="/investment-plans/investment-calculator/assets/savingplan/pdf/ekyc_tnc_urdu.pdf" target="_blank"><span style="text-decoration:underline;color:#00f">here</span></a>), Tamil (<a href="/investment-plans/investment-calculator/assets/savingplan/pdf/ekyc_tnc_tamil.pdf" target="_blank"><span style="text-decoration:underline;color:#00f">here</span></a>), Telugu (<a href="/investment-plans/investment-calculator/assets/savingplan/pdf/ekyc_tnc_telugu.pdf" target="_blank"><span style="text-decoration:underline;color:#00f">here</span></a>), Marathi (<a href="/investment-plans/investment-calculator/assets/savingplan/pdf/ekyc_tnc_marathi.pdf" target="_blank"><span style="text-decoration:underline;color:#00f">here</span></a>) and Gujarati (<a href="/investment-plans/investment-calculator/assets/savingplan/pdf/ekyc_tnc_gujarati.pdf" target="_blank"><span style="text-decoration:underline;color:#00f">here</span></a>)</p></div>

Aadhaar - informed consent

Terms & Conditions

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Mandatory fields 

* Mandatory fields

ekycDetails

Please enter your Aadhaar number/Virtual ID to get OTP on your registered mobile number

Please enter your Aadhaar / VID Number

ekycAccordian

Quick & easy form filling! Just add your Aadhaar, and we’ll pre-fill the basic Details

<div class="residence-form-label">Communication Address (This is needed to send your policy pack, in case opted for hard copy)</div>
<style>
.residence-form-label{
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</style>

craAddress1

craAddress2

craLandmark

craPincode

cra-pincode

CustomSelect

dataStates

craState

cra-state

State*

dataCities

craCity

cra-city

City*

craPincodeNri

craStateNri

craStateNriSelect

cra-state-nri

craCityNri

craCityNriSelect

cra-city-select

dataCountries

craCountry

cra-country

Country*

isPermanentAddressSame

praAddress1

praAddress2

praLandmark

praPincode

pra-pincode

praState

pra-state

praCity

pra-city

praPincodeNri

praStateNri

praStateNriSelect

pra-state-nri

praCityNri

praCityNriSelect

pra-city-select

praCountry

pra-country

approvedAddress

EkycCkycApprovedAddress

<div class="residence-form-label"> Communication Address For Life Insured</div>
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}
</style>

lifeInsuredPincode

li-pincode

mli-residence-details-form

Aadhaar-based Address Verification

EKYC Verification

lifeInsuredFullName

lifeInsuredDob

OvalRadio

dataPanOptions

lifeInsuredPanOption

pan-option

I have

lifeInsuredPan

lifeInsuredForm60Declaration

RadioGroup

dataGender

lifeInsuredGender

gender

Gender*

dataMaritalStatuses

lifeInsuredMaritalStatus

marital-status

Marital Status*

lifeInsuredFatherName

dataNationalitys

lifeInsuredNationality

nationality

Nationality*

dataEducations

lifeInsuredEducation

Education*

lifeInsuredCountryOfBirth

country-of-birth

Country of Birth*

lifeInsuredPassportNumber

lifeInsuredCountryOfResidence

country-of-residence

Current Country of Residence*

lifeInsuredPassportIssuingCountry

Passport Issuing Country (Optional)

lifeInsuredForeignAddress

lifeInsuredEntryDateIndia

MultiSelect

lifeInsuredFrequentlyVisitedCountries

Country/Countries visited Frequently*

lifeInsuredResidentialStatus

residential-status

Residential status for tax purpose*

dataBooleanOptions

lifeInsuredIsFileTaxMoreThanOneCountry

Do you file tax in more than one country?*

dataPanFtinOptions

lifeInsuredIsPanFtin

Please select one*

lifeInsuredForeignPan

lifeInsuredFtin

ftin

dataVisaTypes

lifeInsuredVisaType

visa-type

Type of visa*

lifeInsuredVisaValidTill

lifeInsuredResidenceCountryTaxLaws

Country of Residence as per Tax Laws*

mli-form2-basic-details-form

Basic Information about life insured

Basic About You- Life Insured

* Mandatory fields 

fullName

panOption

I have*

maritalStatus

altPhoneNumber

alt-mobile-number

fatherName

form60Declaration

phoneNumber

mobile-no

email

education

countryOfBirth

passportNumber

countryOfResidence

passportIssuingCountry

foreignAddress

foreignPhoneNumber

entryDateIndia

frequentlyVisitedCountries

residentialStatus

isFileTaxMoreThanOneCountry

isPanFtin

foreignPan

taxFilingCountry

FTIN / FTIN Equivalent Issuing Country*

FtinNumber

ftinNumber

FTIN / FTIN Equivalent*

ⓘ I do hereby certify that above stated information is correct in all respects and may be used for all purposes, including reporting to statutory authorities & compliances, and understand that it is my responsibly to report the changes, if any, to Axis Max Life within 2 weeks of occurrence of share change

citizenship

Citizenship*

cityOfBirth

visaType

visaValidTill

residenceCountryTaxLaws

AmountInput

Your eligibility will be determined basis this annual income, which will be verified with supporting documents during processing. Please exclude unearned income sources such as rental income, dividends, gifts, inheritance, interest income from deposits/any other investments.

annualIncomeFYPP

Annual income*

<span>**What is PEP?**</span> Politically Exposed Persons(PEP) are individuals who are or have been intersted with prominent public functions, for example Heads/Ministers of Central/State government, Senior politicians, Senior government/Judicial/Military officers, Senior Executive of State Owned Corporations, important political party officials and immediate family members of persons (Spouse, Childern, Parents and Sibling, In-laws).

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