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The Trained Nurses' Association of India
Estd : 1908
Please read the instructions before applying the TNAI's Personal Accidental Death Insurance Scheme
Not Matched, please contact TNAI on 01140195409/ 8588885409 (Only WhatsApp).
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Title
Title
DR.
MR.
MRS.
MS.
SR.
Name
Mobile No.
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ANDAMAN & NICOBAR
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATTISGARH
DEFENCE
DELHI
FOREIGN
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU & LADAKH
JHARKHAND
KARNATAKA
KASHMIR
KERALA
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ODISHA
PUDUCHERRY (UT)
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TELANGANA
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
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Pincode
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Current Address
State
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ANDAMAN & NICOBAR
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATTISGARH
DEFENCE
DELHI
FOREIGN
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU & LADAKH
JHARKHAND
KARNATAKA
KASHMIR
KERALA
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ODISHA
PUDUCHERRY (UT)
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TELANGANA
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
District
Select City
Pincode
Address Proof
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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
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