Benefit Illustration Input
Product Name : DHFL Pramerica Future Idols Gold+  

Policy Particulars
  Name of Life Assured : Gender* :
  Email : Mobile Number :
  Date of Birth*
 
Age :
  Proposal Number : Are you resident of J & K?* :

Base Policy Information
  Input Type* : Sum Assured* :
  Payment Mode :
  Policy Term : Premium Payment Term :
  Extra Mortality Rate - Base Policy : Extra Mortality Rate - (% Value) :
  Duration of Loading :  
  Occupational Flat Extra : Occupational Flat Extra - (Value) :
  Duration of Loading :  
  NSAP Flat Extra : NSAP Flat Extra - (Value) :
  Duration of Loading :  
  Other Flat Extra : Other Flat Extra - (Value) :
  Duration of Loading :