Skip to main content
Back to Top
Industry
Brokerage
About us
Career
Contact us
Grievances
Search form
Risk Management
Personal Risks
Income at Risks
Term Assurance
Children Plans
Property at Risk
Householder’s Cover
Motor Insurance
Jewellery Insurance
Pet (Dog) Insurance
Portable electronic equipment
Health at Risks
Family Health Cover
Women Specific Health Insurance
Critical Illness Cover
Health cover for Senior Citizens
Liability Risks
Public Liability Cover
Employee (workmen) Compensation
Wedding Insurance
Risk of Living Longer
Enterprise Risks
Risk Audit & Mapping
Enterprise Risk Management Program
Business Continuity Management
Risk Placements
iQuotes™
Insurance Carriers
Compensation Disclosure
Claim Advocacy
Action Plan
Settlement Advisory
Home
/
Navgathi | Navalt | X Ships
Navgathi | Navalt | X Ships
Data collection Form for
Human Resource Management & Employee Welfare Programs.
1
Start
2
Submission Preview
3
Complete
Outfit
*
- Select -
Navgathi
Navalt
X Ships
Employee ID
*
Employee Name
*
Gender
*
male
Female
Designation
*
Date of Birth
*
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
Year
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Mobile Number
*
+91
(to contact in emergencies)
Marital Status
*
Select
Single
Married
Widow
Widower
Name of the Spouse
*
Gender
*
male
Female
Date of Birth
*
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
Year
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
No. of Children to be added to Scheme
*
- Select -
0
1
2
3
4
Add 1st Child to the Scheme
Name of 1st Child
*
Gender
*
male
Female
Date of Birth
*
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
Year
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Add 2nd Child to the Scheme
Name of 2nd Child
*
Gender
*
male
Female
Date of Birth
*
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
Year
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
Add 3rd Child to the Scheme
Name of 3rd Child
*
Gender
*
male
Female
Date of Birth
*
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
Year
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Add 4th Child to the Scheme
Name of 4th Child
*
Gender
*
male
Female
Date of Birth
*
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
Year
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Add Parents to the Scheme
Father/(in law)
Mother/(in law)
Leave blank in case any or both parents are expired and hence not to be added to the scheme.
Name of father/(in law)
*
Date of Birth
*
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
Year
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Name of mother/(in law)
*
Date of Birth
*
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
Year
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Leave this field blank
Reach Us
Registered Office.
BimaGenie™ Insurance Broking Pvt. Ltd.
No.5, 1st Street, TANSI Nagar, Velachery,
Chennai, Tamilnadu 600042. India.
Corporate Office.
BimaGenie™ Insurance Broking Pvt. Ltd.
35/1870A(1), South Janatha Road,
Palarivattom, Kochi, Kerala 682025. India.
Tel: +91 484 4117741-42-43
Fax: +91 484 4117739.
Branch Office.
BimaGenie™ Insurance Broking Pvt. Ltd.
No.5, Commercial Area, Thejuswani,
Technopark, Trivandrum, Kerala 695581. India.