New Proposal Online Premium Payment
Proposal Number
Customer Name
Email ID
Date of Birth
(MM/DD/YYYY)
Contact Number
Total Payable Amount
I am fully aware that Aviva does not accept premium payments through a third party credit card / debit card / internet banking account. I hereby confirm that this premium payment is being done through my credit card / debit card / internet banking account. In case the payment is made by a third party, the company reserves the right to reject my proposal / cancel my policy.
 
Notes:
  • All details are mandatory.
  • International credit/debit cards(issued by banks outside India) are not accepted for payments.
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 Trade logo displayed above belongs to Aviva Brands Limited and is used by Aviva Life Insurance Company India Limited under License.