I want the Oriental Royal Mediclaim Proposal form of Punjab National Bank so can you please provide me?

Oriental Royal Mediclaim Policy will be available to any Account Holders / Employees of Punjab National Bank (PNB).

PNB Oriental Royal Mediclaim Proposal form







Form to be filled in block letters.

Please submit two stamp size photographs of each insured person alongwith two Copies of proposal form.

Name and age of the insured must be written on the Back of the photo

Name of the insured person and relationship with the proposer. ( age group 3 Completed months to 79 years completed years) – family shall mean the insured Person, spouse and two dependent children

Any person making default in complying with provision of this section shall be punishable with fine which may extend of Rs. 500/-.

Contact-

Oriental Insurance Company Ltd.
Oriental House, A-25/27,Asaf Ali Road,
New Delhi - 110002.