{"id":1997,"title":"PROPOSAL FORM TITLE INSURANCE FOR DEVELOPERS","purpose":"proposal","insurer":{"slug":"icici-lombard-general-insurance","name":"ICICI LOMBARD General Insurance Company Limited"},"source_pdf":"https://www.icicilombard.com/docs/default-source/default-document-library/17-title-insurance-for-developers-commercial-final8c0007ff45fd68ff8a0df0055fa619dc.pdf","sha256":"1a928f5ba4b4669a15ba0fdf89ce1cd75409007c152919f636dec87785ac7eba","pages":3,"collected":"2026-10-20","instructions":{"about":"This form is a proposal for title insurance intended for developers. It is filled by the policyholder or their representative to provide necessary information for obtaining title insurance.","notes":["Answer all questions completely and accurately; use 'NA' if not applicable","Insurance is a contract of utmost good faith; disclose all material facts","Insurance is effective only after proposal acceptance and premium receipt","Attach additional sheets if more space is needed","Seek advice if unclear about policy terms","Statutory warning about prohibition of rebates under Insurance Act 1938"],"title":"PROPOSAL FORM TITLE INSURANCE FOR DEVELOPERS","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"CUSTOMER INFORMATION","fields":[{"help":"","type":"text","label":"Name of the policyholder","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City / Town / Village","options":[],"required":null,"pdf_field":""},{"help":"Enter the postal code","type":"number","label":"Pin Code","options":[],"required":null,"pdf_field":""},{"help":"","type":"email","label":"E-Mail Address","options":[],"required":null,"pdf_field":""},{"help":"Optional","type":"text","label":"Website","options":[],"required":false,"pdf_field":""},{"help":"","type":"phone","label":"Phone No.","options":[],"required":null,"pdf_field":""},{"help":"Optional","type":"text","label":"Fax Number","options":[],"required":false,"pdf_field":""},{"help":"Permanent Account Number details","type":"text","label":"PAN Card Details","options":[],"required":null,"pdf_field":""},{"help":"Name of representative if applicable","type":"text","label":"Represented by (if applicable)","options":[],"required":false,"pdf_field":""},{"help":"Select the type of intermediary","type":"choice","label":"Intermediary Type Agent / Broker / Direct","options":["Agent","Broker","Direct"],"required":null,"pdf_field":""},{"help":"Name of the intermediary","type":"text","label":"Intermediary Name","options":[],"required":false,"pdf_field":""},{"help":"Code of the intermediary","type":"text","label":"Intermediary Code","options":[],"required":false,"pdf_field":""},{"help":"Marketing Officer name","type":"text","label":"MO Name","options":[],"required":false,"pdf_field":""},{"help":"Marketing Officer employee ID","type":"text","label":"MO Employee ID","options":[],"required":false,"pdf_field":""},{"help":"Branch office name","type":"text","label":"Branch Name","options":[],"required":false,"pdf_field":""},{"help":"Provide details if answer above is Yes","type":"text","label":"If yes, please give details (Nature of relationship and position held by PEP):","options":[],"required":false,"pdf_field":""},{"help":"Select the type of proposer","type":"choice","label":"Type of Proposer:","options":["MSME/SME","Partnership Firm","Company","Govt.","Others","Individual"],"required":null,"pdf_field":""}],"filled_by":"policyholder or proposer"},{"title":"PROPERTY DETAILS","fields":[{"help":"","type":"text","label":"Property Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"City / Town / Village","options":[],"required":null,"pdf_field":""},{"help":"Enter the postal code","type":"number","label":"Pin Code","options":[],"required":null,"pdf_field":""},{"help":"Optional","type":"email","label":"E-Mail Address","options":[],"required":false,"pdf_field":""},{"help":"Value of the developed property","type":"amount","label":"Developed Value","options":[],"required":null,"pdf_field":""},{"help":"Details of planning permits","type":"text","label":"Planning Permit Details","options":[],"required":null,"pdf_field":""},{"help":"Details of law firm involved","type":"text","label":"Law Firm Details","options":[],"required":false,"pdf_field":""},{"help":"Attach a copy of the title report","type":"checkbox","label":"Copy of Report on Title to be attached","options":["Attached"],"required":true,"pdf_field":""},{"help":"Details of any lender involved","type":"text","label":"Lender Details","options":[],"required":false,"pdf_field":""},{"help":"List any known defects in the title","type":"text","label":"Details of known Defects in title","options":[],"required":false,"pdf_field":""},{"help":"Date when project started","type":"date","label":"Project start date","options":[],"required":null,"pdf_field":""},{"help":"Date when policy expires","type":"date","label":"Expiry date of policy","options":[],"required":null,"pdf_field":""},{"help":"Confirm no third party challenges exist","type":"yes-no","label":"Confirmation of no third party challenges or Contentious issues relating to title or planning","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Confirm no approaches made to third parties likely to challenge title","type":"yes-no","label":"Confirmation that no approaches made to any third parties which are likely to challenge the title to the property","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide any other relevant information","type":"text","label":"Any other relevant information","options":[],"required":false,"pdf_field":""},{"help":"Phone number for permission/building authority","type":"phone","label":"Permission/Building Phone No.","options":[],"required":false,"pdf_field":""},{"help":"Date when policy coverage starts","type":"date","label":"Commencement date of policy","options":[],"required":null,"pdf_field":""}],"filled_by":"policyholder or proposer"},{"title":"DECLARATION","fields":[{"help":"Location where form is signed","type":"text","label":"Place","options":[],"required":null,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date","options":[],"required":null,"pdf_field":""},{"help":"Designation of the signatory","type":"text","label":"Designation","options":[],"required":null,"pdf_field":""},{"help":"Signature and stamp of authorized signatory","type":"signature","label":"Authorized Signatory Signature & Stamp","options":[],"required":true,"pdf_field":""}],"filled_by":"policyholder or authorized signatory"}],"deadlines":["Inform ICICI Lombard immediately of any changes before policy issuance","Inform changes within 30 days"],"applies_to":"Title Insurance for Developers","attachments":["Copy of Report on Title to be attached"],"declarations":["Consent to verify identity/address proof through KYC sources","Premium paid from legally acquired sources and future premiums will be similarly paid","Answers and documents submitted are true, complete and accurate","Company may call for documents to establish source of funds","Details furnished are true and correct and changes will be informed within 30 days","False or misleading information may lead to liability"],"dropped_labels":2},"pdf_fields":null,"fillable_pdf":false,"send_to":[],"how_to_use":"Ask the user for each field in order, in plain words; never invent an answer. Labels are as printed. If fillable_pdf is true, pdf_fields gives the PDF's own field names so the file can be filled directly. The printed form decides if anything differs.","url":"https://indiainsurances.com/forms/icici-lombard-general-insurance/1997-proposal-form-title-insurance-for-developers"}