Download of the e-Insurance Account (eIA) application

Fill in the form with correct details and attach the KYC documents including a Date of Birth proof and a copy of cancelled cheque (list mentioned below). Submit the eIA application to the approved person (AP).

The AP will verify the eIA application form with the documents and process the application. Once the application is processed an e Insurance Account (eIA) will be generated for the applicant. The eIA can be accessed by login id and password, the same will be communicated by NIR.

The eIA holder can login to his/her account to check the status of the policy / ies.

Checklist of details for creation of your eIA.

Important - Please ensure to enter only correct details.

• Account opening form (Click here to download the form)
• Recent passport size photograph
• Cancelled Cheque
• KYC documents (Any One)
  • Identity
    • PAN card
    • UID
  • Address (Any One)
    • Regd. Lease and License Agreement/ Agreement for sale
    • Aadhar Letter
    • Ration Card
    • Driving License
    • Passport
    • Voter ID Card
    • Bank Passbook (not more than 6 months old)
    • Electricity Bill (not more than 6 months old)
    • Residence telephone Bill (not more than 6 months old)
    • Self-declaration by High Court and Supreme Court judges, giving the new address in respect of their own accounts
    • Identity card/document with address, issued by Central/State Government and its Departments
    • Identity card/document with address, Statutory/Regulatory Authorities
    • Identity card/document with address, Public Sector Undertakings
    • Identity card/document with address, Scheduled Commercial Banks
    • Identity card/document with address, Public Financial Institutions
    • Identity card/document with address, Colleges affiliated to universities
    • Identity card/document with address, Professional Bodies such as ICAI, ICWAI, Bar Council etc. to their Members
• Date of birth Document (Any One)
  • PAN Card
  • Domicile Certificate
  • Ration Card
  • Driving License
  • Passport
  • Voter ID Card
  • Municipal birth Certificate
  • Notarized Birth Certificate
  • Baptism Certificate
  • Marriage Certificate issued by Church
  • Identity card/document with address, issued by Central/State Government and its Departments
  • Gram Panchayat certificate
  • Identity card/document with address, Public Sector Undertakings
  • Defense ID including Ex-serviceman card issued to Defense personnel/ certificate of DOB issued by commanding officer with his seal & signature on the same
  • Identity card/document with address, Colleges affiliated to universities
  • Central Govt. Health scheme certificate for their employees/ family members/ dependants
  • Govt. service registers extract/certificates issued by Govt. to its employees
  • Employer's PF statement
  • ESIS Card ( Employees State Insurance Scheme )
  • Employer's certificate from Govt, Semi Govt., MNC, Public Ltd, Reputed Private Ltd. Organizations only. The certificate must be on the letterhead, duly signed & stamped by the authorized signatory
  • Certified School/ College Extract including School/ College leaving certificate/ Degree certificates / mark sheet or hall ticket or admit card issued by Educational Board (10 & 12th std) reflecting DOB of eIA applicant
  • Policy Document of other private insurers
  • LIC Policy
  • Islander cards for Residents of Andaman & Nicobar Island
  • Pilgrim pass issued for Haj Pilgrimage