Insurance Proposal Form

Fill all form field to go to next step

  • Personal Detail
  • Vehicle Detail
  • Payment Detail
  • Finish

Please enter CC

Note: If your payment date is after above date, policy will be effective from payment date.

Accept the Terms of Service. I hereby declare that the details furnished above are true and correct

Total Premium: NPR: 0

Debit Note: TPI2024-20250075

Please pay the premium using any payment system to finalize your policy.
Pay using:

I confirm the payment of premium and accept to cancellation of policy if payment is not realized.


Thank you for purchasing insurance policy.
You can view your policy details by clicking below. We'll contact you soon to deliver your original policy.
View Detail

Renew Your Insurance
Share your details. We'll contact you

Image Make a claim