New Proposal Online Premium Payment
Proposal Number
Customer Name
Email ID
Date of Birth
(MM/DD/YYYY)
Contact Number
Total Payable Amount
I hereby declare that I am the bonafide Customer of Aviva Life Insurance Company India Limited (hereinafter referred to as Aviva) and the premium for this policy is being paid from my legally declared and assessed sources of income only. I am fully aware that AVIVA does not accept premium payment through a third party credit card/debit card/internet banking account. I agree and understand that Aviva has the right to peruse my financial profile and also reserves the right to cancel this premium payment transaction or even the insurance contract with due intimation to the Customer, in case I am found violating provisions of any law relating to prevention of money laundering, or if there has been a contravention or evasion of any Act, Rules, Regulations, Notification or Directions issued by any Regulatory Authority in India.


Convenience fee will be charged in case premium payment is being made using a Credit Card(VISA/MASTER/AMEX/DINERS/RUPAY etc.).
Premium amount
Convenience fee
upto Rs. 5000
Rs. 25 +GST
Rs. 5001 to Rs. 10000
Rs. 55 +GST
Rs. 10001 to Rs. 25000
Rs. 100 +GST
Rs. 25001 to Rs. Rs. 50000
Rs. 250 + GST
Rs. 50001 to Rs. 100000
Rs. 500 +GST
Above Rs. 100000
Rs.1200 +GST

In case there is an error message/transaction failure page, inspite of debit of premium amount from your bank account, please wait for 2-3 working days before re-attempting payment. It will be either credited to your policy or reversed back to the source of payment after receiving confirmation from your bank. Once money is received at our end, an acknowledgement of receipt of premium shall be sent to your registered email id and registered mobile no within 24 hours.

 
Notes:
  • All details are mandatory.
  • International credit/debit cards(issued by banks outside India) are not accepted for payments.

A Joint Venture between Dabur Invest Corp and Aviva International Holding Limited

 

Registered Office: 2nd Floor, Prakashdeep Building, 7 Tolstoy Marg, New Delhi, 110030, Delhi, India

Corporate Office: Aviva Tower, Sector Road, Opposite Golf Course, DLF Phase-V, Sector-43, Gurgaon- 122003 Haryana, India

Toll Free Helpline: 1800 103 7766; Email: customerservices@avivaindia.com


The name of the Aviva Product/Plan does not in any way indicate the quality of the insurance contract, its future prospects or returns. For more details on risk factors, terms and conditions please read sales brochure carefully before concluding a sale. Tax benefits are as per the prevailing Income Tax Laws including the Income Tax Act, 1961 and are subject to change from time to time.

BEWARE OF SUSPICIOUS PHONE CALLS AND FICTITIOUS/FRAUDULENT OFFERS. IRDAI clarifies to the public that IRDAI or its officials do not involve in activities like sale of any kind of insurance or financial products nor invest premiums. IRDAI does not announce any bonus. Public receiving such phone calls are requested to lodge a police complaint along with the details of the phone call, number.

Aviva Life Insurance Company India Limited (Aviva India) has not authorised the creation of, nor has anything to do with the avivaindia[.]net domain. Aviva India is also not associated with any of the persons responsible for the creation of the avivaindia[.]net domain, who may be impersonating as representatives of Aviva India and misusing the Aviva logos and trademarks. These acts by persons associated with avivaindia[.]net are patently illegal and fradulent in nature and Aviva India reserves the right to initiate appropriate legal action against them and others involved in this regard. Any person dealing with avivaindia[.]net or any of its employees and staff are solely doing so at their own risk as to costs and consequences and Aviva India disclaims any liability in this regard.

Aviva Trade logo displayed above belongs to Aviva Brands Limited and is used by Aviva Life Insurance Company India Limited under License.