Toll free -
1800118485 / 011-33208485
(normal charges apply)
FONT SIZE
English
हिंदी
LOG IN
Customer
Agent
Dealer
Broker / Web Aggregrator
POSP
Development Officer / Business Associate
AO(D) / AM(D)
SURVEYOR / LAA
Advocate
Employee
Pensioner
TPA
Corporate Customer
RENEW ONLINE
Open Menu
Home
About Us
Profile
Our Corporate Vision and Objectives
Financials Performance
Management Structure
Senior Executives
Products
Motor Insurance Policy
Two Wheeler
Four Wheeler
Personal Accident Policy
Janata Personal Accident Policy
Shopkeeper Policy
Householder Policy
Nagarik Suraksha Policy
Health Insurance Policy
Health Products
Network Hospitals
Empaneled TPA
Hospital Empanelment
Online Products
Mediclaim Insurance Policy
Happy Family Floater Policy
Overseas Mediclaim Policy
Contact Us
Pradhan Mantri Fasal Bima Yojna
Other Products
Buy Online
Motor Insurance Policy
Personal Accident Policy
Janata Personal Accident Policy
Mediclaim Insurance Policy
Overseas Mediclaim Policy
Shopkeeper Policy
Householder Policy
Happy Family Floater Policy
Nagarik Suraksha Policy
Fire Insurance Policy
Super Health Top Up Policy
Marine Single Voyage Inland Policy
Oriental Happy Cash-Nischint Rahein
Public Liability-Act
Professional Indemnity Doctors
Professional Indemnity-Other than Doctors
Burglary Policy
Flight Coupon Policy
Arogya Sanjeevani Policy
Directors and Officers Liability Policy
Oriental Dengue Kavach
Open eIA
Renew
Locator
Office
Network Hospitals
Agents
TPA
Workshops Providing Cashless Facility
PAN India Surveyor List
Download
Download Proposal Form
Download Claim Form
Download Policy Terms & Conditions
E-Insurance Account ( eIA) Opening Form
Check Transaction Status / Retry policy Generation
FAQ
Contact Us
Login
User ID
Mobile
User ID [Case Sensitive]: *
User Id is required
Password:*
Password is required
Sign In
Forgot Password?
New user? Sign Up as
--Select--
Customer
Agent
Dealer
Broker
Surveyor/LAA
Advocate
Employee
Pensioner
TPA
Corporate Customer
POSP
ui-button
ui-button
ui-button
ui-button
ui-button
Nagarik Suraksha Policy
Date of birth *
Gender *
Select Gender
Female
Male
Transgender
Yearly income *
Disability *
No
Yes
Sum insured *
Select sum insured
Insured Period *
Please select Insured Period
1
2
3
4
Start date *
End date
Assignee name *
Assignee relationship *
Share percentage (%) *
Action
Select assignee relation
Spouse - Employed
Spouse - Unemployed
Dependent Child
Others
Father
Mother
Remove
ADD ASSIGNEE
Tip: At least one assignee is mandatory
Do you wish to insure your spouse?
Yes
No
Do you wish to insure your dependent children?
Yes
No
Do you wish to insure your father?
Yes
No
Do you wish to insure your mother?
Yes
No
Select your branch office
OICL Office State *
Select State
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHATTISGARH
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU AND KASHMIR
JHARKHAND
KARNATAKA
KERALA
LADAKH
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ODISHA
PONDICHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TELANGANA
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
City/Town *
Select City
Branch/Office *
Select branch
Premium details
Total Premium
Declaration
I/we hereby declare that the statement made by me/us in this proposal form is true to the best of my/our knowledge and belief and I/we hereby agree that this declaration shall form the basis of the contract between me/us and Oriental insurance company Ltd. I/we also hereby declare that if any additions or alterations are carried out after the submission of this proposal form then the same would be conveyed to the insurer immediately. I/we also understand that if any incorrect details are entered, the claim may not be awarded.
Agree
Disagree
Nagarik Surakha Policies - Terms and Conditions (Please read carefully)
Download premium calculation sheet
Email *
Tip: Soft copy of the policy document would be sent to this email address
I am a registered customer and want to pre-populate my personal details.
First name *
Middle name
Last name *
Mobile *
Telephone
Date of birth *
GST Number (if any)
Aadhar Number
Occupation *
Select occupation
BUSINESS
HOUSE WIFE
OTHERS
RETIRED
SERVICE
Address type *
Select address type
Residence Address
Office Address
Address for communication *
State *
Select State
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHATTISGARH
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU AND KASHMIR
JHARKHAND
KARNATAKA
KERALA
LADAKH
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ODISHA
PONDICHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TELANGANA
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
City *
Select City
Pin code *
Select Pincode
Declaration *
I/we hereby agree that Oriental insurance company Ltd. can store the personal information/contact details given by me /us in this Basic information form and register me on the portal.
Agree
Disagree
Primary Insured Details
Name of insured
Date of birth
Gender
Address for communication
State
City
Pin code
Mobile
Email
Occupation
Yearly income
Disability type
NA
Sum insured
Start date
25/01/2021
End date
24/01/2022
Assignee name
Assignee relationship
Share percentage (%)
Select your branch office
OICL Office State
City/Town
Branch/Office
Premium Without Service Tax
GST
Total Premium
Proposal number
Share proposal details
Email
Mobile
Type the characters you see in the picture below *
Send
Declaration
I/we hereby declare that the statement made by me/us in this proposal form is true to the best of my/our knowledge and belief and I/we hereby agree that this declaration shall form the basis of the contract between me/us and Oriental insurance company Ltd. I/we also hereby declare that if any additions or alterations are carried out after the submission of this proposal form then the same would be conveyed to the insurer immediately. I/we also understand that if any incorrect details are entered, the claim may not be awarded.
Agree
Disagree
PRINT
Please select a role to continue
Whether any agent is involved for this proposal?
Yes
No
* If 'NO' is selected, the policy will be issued under code of Development Officer without an Agent.
Continue
Yearly income
Your yearly income is too low to insure a Nagarik Suraksha Policy. Minimum yearly income should be 16667.
OK
CLOSE