The Trained Nurses' Association of India
Registration for
TNAI's Accidental Death Insurance Scheme
Please read the instructions before applying the TNAI's Personal Accidental Death Insurance Scheme
Click
TNAI Member No.
DOB
Not Matched, please contact TNAI on 01140195409/ 8587825404 (Only WhatsApp).
Title
Title
DR.
MR.
MRS.
MS.
SR.
Name
Mobile No.
Email
Click to update the new Email And Mobile No. (Optional)
Mobile No.
Email
Permanent Address
State
Select State
ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATTISGARH
DADRA AND NAGAR HAVELI
DAMAN AND DIU
DEFENCE
DELHI
FAZILKA
FOREIGN
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU & KASHMIR
JAMMU & LADAKH
JHARKHAND
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ODISHA
ODISHA
ORISSA/ODISHA
OTHER
PONDICHERRY/PUDUCHERRY
PUDUCHERRY
PUNJAB
RAJASTHAN
RANIPET
SIKKIM
TAMIL NADU
TELANGANA
TRIPURA
USHA ANM SCHOOL
UTTAR PRADESH
UTTARAKHAND/UTTARANCHAL
WEST BENGAL
District
Select City
Pincode
Click to update the address (Optional)
Current Address
State
Select State
ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATTISGARH
DADRA AND NAGAR HAVELI
DAMAN AND DIU
DEFENCE
DELHI
FAZILKA
FOREIGN
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU & KASHMIR
JAMMU & LADAKH
JHARKHAND
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ODISHA
ODISHA
ORISSA/ODISHA
OTHER
PONDICHERRY/PUDUCHERRY
PUDUCHERRY
PUNJAB
RAJASTHAN
RANIPET
SIKKIM
TAMIL NADU
TELANGANA
TRIPURA
USHA ANM SCHOOL
UTTAR PRADESH
UTTARAKHAND/UTTARANCHAL
WEST BENGAL
District
Select City
Pincode
Address Proof
Choose file
Only allow .jpg, .jpeg, .png. & .pdf File size max 1 MB
Nomination Details
Title
Title
DR.
MR.
MRS.
MS.
SR.
Nominee Name
DOB
Relationship with Insurer
I have read, understood and accept the terms and conditions of the Personal Accident Death Insurance Scheme by TNAI
