↘️ FILL ALL COLUMN WITH PROPER ANSWER,PLEASE DO NOT LEAVE BLANK FIELD, IF NOT REQUIRED ANY FIELD JUST LEAVE IT ↙️
      👬🏽IF REQUIRED COVER FOR FAMILY MEMEBRS,PLEASE FILL, ONLY REQUIRED COLUMNS, IF NOT, JUST LEAVE IT, AS IT IS FORM👩🏻‍🤝‍👨🏼
      📑PLEASE FILL YOUR OLD HEALTH POLICY DETAILS IN THE BELOW COLUMN. IF NOT AVAILABLE, JUST LEAVE IT, AS IT IS FORM🧾
      🚭ANY PERSON WHO IS PROPOSED FOR INSURANCE CONSUME BELOW ITEMS. PLS FILL, IF NOT JUST LEAVE IT, AS IT IS FORM.🚭
      AlcoholTobaccoIllegal Drugs AlcoholTobaccoIllegal Drugs AlcoholTobaccoIllegal Drugs AlcoholTobaccoIllegal Drugs AlcoholTobaccoIllegal Drugs AlcoholTobaccoIllegal Drugs
      IF THE ABOVE COLUMN 'YES' ANY ONE OF THE FIELD ,THEN GIVE QUANTITY CONSUMED PER WEEK DETAILS IN THE RESPECTIVE FIELD AND PLEASE MENTION THE CONSUMED PERSON NAME. IF THE ABOVE ALL COLUMN 'NO' JUST LEAVE IT, AS IT IS FORM
      Alcohol Tobacco Illegal Drugs
      AILMENT OR ACCIDENT , GIVE DETAILS WITH PERSON NAME,OR JUST LEAVE IT Health Issue
      PLEASE UPLOAD PROPOSER PAN & SIGN AND HIS PHOTO ALONG WITH MEMBERS PHOTOS ALSO ALLMEMBERS AADHAR COPY
      BEFORE SUBMIT THE FORM, NOTE 👉🏻 ✳️ 👈🏻 MARKED FIELD INPUT AND UPLOAD ARE MUST BE DONE... 👉🏻👉🏻.