Welcome, {{MemberDetails[0].Name}}. Please use below sections to view your membership, payment, policy details and documents. You can indulge in a transaction for renewing your policy or making any balance payments.
We are happy to introduce our new online payment system. You can now easily renew your membership or pay balance dues. That not only avails you discount but also promptly renews your membership to handle urgent situations. If you are an existing member of AICL, please enter your Registered Mobile Number / Membership Card Number below to access your membership details.
Welcome, {{MemberDetails[0].Name}}. Please use below sections to view your membership, payment, policy details and documents. You can indulge in a transaction for renewing your policy or making any balance payments.
Personal Details | |||
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ID | {{MemberDetails[0].MEM_ID}} | Name | {{MemberDetails[0].Name}} |
Mobile | {{MemberDetails[0].Mobile}} | {{MemberDetails[0].Email}} | |
Birth Date | {{MemberDetails[0].DOB}} | Anniv. Date | {{MemberDetails[0].DOA}} |
Service Type | {{MemberDetails[0].Service_Type}} | Branch | {{MemberDetails[0].Branch}} |
{{MemberDetails[0].Clinic_Address_1}} {{MemberDetails[0].Clinic_Address_2}} {{MemberDetails[0].Clinic_Address_3}}
State: {{MemberDetails[0].Clinic_State}}
City: {{MemberDetails[0].Clinic_City}}
Pin Code: {{MemberDetails[0].Clinic_PIN}}
{{MemberDetails[0].Residence_Address_1}} {{MemberDetails[0].Residence_Address_2}} {{MemberDetails[0].Residence_Address_3}}
State: {{MemberDetails[0].Residence_city}}
City: {{MemberDetails[0].Residence_State}}
Pin Code: {{MemberDetails[0].Residence_PIN}}
Policy Details | |||
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Policy No. | From | To | Cover |
{{data.Policy_No}} | {{data.Policy_From}} | {{data.Policy_To}} | {{data.Cover}} {{data.Unit}} |
Payment Details | |||
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Membership From | Membership To | Membership Years | Amount |
{{data2.Membership_From}} | {{data2.Membership_To}} | {{data2.Membership_Years}} | {{data2.Amount}} |
Payment Date | Payment Mode | Amount | Cheq. No. | Cheq. Date | Bank |
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{{data1.PayDate}} | {{data1.PayMode}} | {{data1.Amount}} | {{data1.CheqNo}} | {{data1.ChqDate}} | {{data1.Bank}} |
Documents | |||
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Document Type | Document | Size | |
{{data4.doc_type}} | {{data4.doc_filename}} | {{data4.doc_filesize}} |
Current Coverage | |
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Cover | {{CurrentCoverage.Cover}} {{CurrentCoverage.Unit}} |
Period | {{CurrentCoverage.Period}} Year(s) |
Renewal From | {{CurrentCoverage.RenewalFrom}} |
Renewal To | {{CurrentCoverage.RenewalTo}} |
Renewal Amount | ₹{{CurrentCoverage.RenewalAmount}} |
Increase Coverage | ||
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Cover |
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Period |
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New Renewal Amt. | ₹{{renewal_amount_new}} | |
Balance | ||||
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Membership From | Membership To | Receivable Amount | Amount Received | Amount Balance |
{{data6.Membership_From}} | {{data6.Membership_To}} | {{data6.Amount}} | {{data6.Paid}} | {{data6.Amount - data6.Paid}} |
Cheque Bounce | ||||
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Cheque No. | Cheque Amt. | Cheque Date | Bank | |
{{data7.Cheque_No}} | {{data7.Cheque_Amount}} | {{data7.Cheque_Date}} | {{data7.Bank}} |