SGS - Plans and Payments Forms SGS Premium Form 1First NameLast NameWhatsApp No.EmailOccupation- Select -StudentEntrepreneurBusinessEmployeeOthersGender- Select -MaleFemalePrefer not to saySelect the Option Below Date of Birth AgeEnter Your Occupation HereSelect Your DOBEnter Your AgeAddress Line 1Address Line 2City (or) DisctrictSelect State- Select -ANAPARASBRCHCTDNDDDLGAGJHRHPJKJHKAKLLDMPMHMNMLMZNLORPYPBRJSKTNTSTRUPUTWBPin CodeCountry IndiaNominee NameNominee DOBNominee Relationship- Select -MotherFatherWife/HusbandSonDaughterNominee Mobile NumberSelect policy holder age range below Between 18-45 Years Between 45-60 YearsSelect plan for the age group between 18-45 years Membership ₹2499/Year Membership ₹3499/Year Membership ₹4999/Year Membership ₹6999/Year Test Payment 1Select plans for the age group between 45-60 years Membership ₹3499/Year Membership ₹4999/Year Membership ₹6999/Year Membership ₹8999/YearOnce you make the payment please wait until you see the confirmation MessageSubmit Form
