{"id":2060,"title":"ACKO BHARAT GRIHA RAKSHA Proposal Form","purpose":"proposal","insurer":{"slug":"acko-life-insurance","name":"Acko Life Insurance Limited"},"source_pdf":"https://acko-cms.ackoassets.com/bharat_griha_raksha_acko_proposal_form_9dc9060eb8.pdf","sha256":"253ff5c84dc3b76af8d83504bad63376cb4473e212f461128584b1d471848898","pages":5,"collected":"2026-10-17","instructions":{"about":"This form is used by a person proposing to insure their home building and/or home contents against fire and allied perils. The proposer fills this form to provide details about themselves, the property, and the coverage required.","notes":["Read the Prospectus/Key Features Document/Policy Wordings before filling the form.","The property is not covered until the proposal is accepted and premium paid.","For long term policies, the period shall not exceed 10 years.","Buildings with walls or roofs made of wooden planks, thatched leaves, grass, bamboo, plastic cloth, asphalt, canvas, tarpaulin etc. are treated as Kutcha Construction; others as Pucca Construction.","General Contents cover is automatically provided equal to 20% of the Sum Insured for Home Building subject to a maximum of ₹10 Lakh if both Home Building and Home Contents are opted.","Use original valuation certificates if required.","Strike out non-applicable options where indicated."],"title":"ACKO BHARAT GRIHA RAKSHA Proposal Form","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Details about Proposer and Policy Period","fields":[{"help":"","type":"text","label":"Name of the Proposer:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Address of the Proposer:","options":[],"required":null,"pdf_field":""},{"help":"","type":"email","label":"Email","options":[],"required":null,"pdf_field":""},{"help":"List all parties with insurable interest including financial institutions","type":"text","label":"Policy to be issued in favor of (List of all the parties who have insurable interest including the financial institutions)","options":[],"required":null,"pdf_field":""},{"help":"Start date of policy period","type":"date","label":"Period of Insurance From","options":[],"required":null,"pdf_field":""},{"help":"Maximum period shall not exceed 10 years","type":"number","label":"No. of Years in case of long term policy:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Nominee Name:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Relationship with the Insured:","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Covers Opted","fields":[{"help":"","type":"choice","label":"Is there any policy in place for the same property? Yes/No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide details of existing policy if any","type":"text","label":"If Yes, please provide the details","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Location of Home Building","fields":[{"help":"Include full postal address","type":"text","label":"Location of Home Building - full postal address with Pin Code","options":[],"required":null,"pdf_field":""},{"help":"Pin code of the location","type":"number","label":"Pin Code:","options":[],"required":null,"pdf_field":""},{"help":"Specify if multi-storey or standalone","type":"text","label":"Is it a multi-storey building or is it a standalone house?","options":[],"required":null,"pdf_field":""},{"help":"Floor number if applicable","type":"number","label":"In case of multi-storey building, please provide the floor number of Your house","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Is there a basement to Your house?","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Details of Home Building","fields":[{"help":"Sum insured for additional structures on the same site","type":"amount","label":"b. SI for additional structures (in ₹)","options":[],"required":null,"pdf_field":""},{"help":"List additional structures and their sum insured amounts","type":"table","label":"Additional Structure Sum Insured (in ₹)","options":[],"required":null,"pdf_field":""},{"help":"Area in square metres","type":"number","label":"Carpet area of structure of Home in square metres","options":[],"required":null,"pdf_field":""},{"help":"Prevailing rate of cost of construction","type":"amount","label":"Rate of Cost of Construction per square metre at the policy Commencement Date","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Age of Home Building","options":["Less than 5 years","5-10 years","10-20 years","Above 20 years"],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Details of Home Contents","fields":[{"help":"Provide sum insured for each item category representing cost of replacement","type":"table","label":"If You want to opt out of in-build cover for General Contents as mentioned in (iv) above and want to have higher Sum Insured Or If You have opted for Home Contents Only cover, please provide item wise Sum Insured for General Contents.","options":[],"required":null,"pdf_field":""},{"help":"List sum insured for furniture, electrical/electronic items, and others","type":"table","label":"Item wise Sum Insured for General Contents (in ₹): Items Furniture, Fixtures and Fittings (Home Furnishings) Electrical/Electronic Others","options":[],"required":null,"pdf_field":""},{"help":"Sum insured for contents in basement if any","type":"amount","label":"In case of Basement, if there are contents in it, please provide the Sum Insured","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"In-Built Covers (Loss of Rent & Rent for Alternative Accommodation)","fields":[{"help":"Tick if loss of rent cover is required","type":"checkbox","label":"Cover for (Please Tick) Loss of Rent","options":["Loss of Rent"],"required":null,"pdf_field":""},{"help":"Sum insured for loss of rent","type":"amount","label":"Loss of Rent I. Sum Insured:","options":[],"required":null,"pdf_field":""},{"help":"Tick if rent for alternative accommodation cover is required","type":"checkbox","label":"Rent for Alternative Accommodation","options":["Rent for Alternative Accommodation"],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Optional Covers","fields":[{"help":"","type":"choice","label":"Do You require ‘Personal Accident Cover’ for Yourself and Your spouse? Yes/No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide spouse's name and age if personal accident cover is required","type":"text","label":"If Yes, Name & age of Your spouse:","options":[],"required":null,"pdf_field":""},{"help":"Your age if personal accident cover is required","type":"number","label":"Your age:","options":[],"required":null,"pdf_field":""},{"help":"Valuable contents include jewellery, silverware, paintings, antiques, etc.","type":"choice","label":"Do You require ‘Cover for Valuable Contents on Agreed Value Basis (under Home Contents cover)’: Yes/No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Attach list of valuable items and their sum insured","type":"attachment","label":"If Yes, please attach list of items and Sum Insured:","options":[],"required":null,"pdf_field":""},{"help":"Valuation certificate required unless sum insured is up to ₹5 Lakh and individual item value does not exceed ₹1 Lakh","type":"choice","label":"Valuation certificate attached? (Yes/No)","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Additional/Add-on Covers","fields":[{"help":"List add-on covers and their sum insured amounts","type":"table","label":"Sl. No. Name of Add-on cover Sum insured","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Premium Details","fields":[{"help":"Specify mode of payment","type":"text","label":"Mode of Payment","options":[],"required":null,"pdf_field":""},{"help":"Provide payment details","type":"text","label":"Payment Details","options":[],"required":null,"pdf_field":""},{"help":"Premium amount","type":"amount","label":"Amount (in ₹)","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Claims Details","fields":[{"help":"Date when loss occurred","type":"date","label":"Date of Loss","options":[],"required":null,"pdf_field":""},{"help":"Describe cause of loss","type":"text","label":"Cause of Loss","options":[],"required":null,"pdf_field":""},{"help":"Amount claimed","type":"amount","label":"Claimed Amount","options":[],"required":null,"pdf_field":""},{"help":"Amount settled or note if claim is outstanding","type":"amount","label":"Settled Amount/ please specify if claim is outstanding","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declaration by Insured","fields":[{"help":"Date of signing","type":"date","label":"Date:","options":[],"required":true,"pdf_field":""},{"help":"Place of signing","type":"text","label":"Place:","options":[],"required":true,"pdf_field":""},{"help":"Sign here","type":"signature","label":"Signature of the Proposer:","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"}],"deadlines":[],"applies_to":"Home Building and/or Home Contents insurance under Acko Bharat Griha Raksha policy","attachments":["Valuation certificate (if opting for Cover for Valuable Contents on Agreed Value Basis and sum insured exceeds ₹5 Lakh or individual item value exceeds ₹1 Lakh)","List of valuable items and their sum insured (if applicable)"],"declarations":["The statements made in this Proposal Form are true to the best of the proposer's knowledge and belief.","This declaration shall form the basis of the contract between the proposer and Acko General Insurance Limited.","Any additions or alterations in the risk after submission of this proposal form must be conveyed to the Company immediately.","No person shall offer or accept any rebate of commission or premium except as allowed by published prospectuses or tables of the insurer.","Non-compliance with the rebate provisions may lead to a penalty up to ten lakh rupees."],"dropped_labels":9},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"customer-care","channel":"phone","value":"1800-210-1992","label":"Customer Care Number","level":null,"hours":"Monday to Sunday: 9:00 AM – 8:00 PM","applies_to":"life","source_url":"https://www.acko.com/life/contact-us/","quote":"t us\nSupport\nRenewals\nNew to ACKO?\nRenew life insurance\nExisting ACKO Customer\nLogin and renew policy\nClaims\nCall us at\n1800-210-1992\nEmail us at\n[email protected]\nLogin\nACKO Life Home\n/\nLife Insurance\n/\nAcko Life Insurance Customer Care | Customer Care","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"+91 8069067215","label":"Customer Care Phone Number for PERSONS WITH DISABILITIES (PwD)","level":null,"hours":"Monday to Sunday: 9:00 AM – 8:00 PM","applies_to":"life","source_url":"https://www.acko.com/life/contact-us/","quote":"y to Sunday: 9:00 AM – 8:00 PM\nACKO Life Insurance Customer Care Phone Number for PERSONS WITH DISABILITIES (PwD)\nCall: +91 8069067215\nMonday to Sunday: 9:00 AM – 8:00 PM\nProducts\nLife insurance\nTerm insurance\n1 crore term insurance\nCompany\nAbout us\nCare","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"1800-210-1992","label":"Grievance desk phone number","level":1,"hours":null,"applies_to":"life","source_url":"https://www.acko.com/life/customer-service/grievance-redressal/","quote":"t us\nSupport\nRenewals\nNew to ACKO?\nRenew life insurance\nExisting ACKO Customer\nLogin and renew policy\nClaims\nCall us at\n1800-210-1992\nEmail us at\n[email protected]\nLogin\nACKO Life Home\n/\nACKO Life Insurance Customer Service\n/\nACKO Life Insurance Grievan","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Ms. Komal Arawat (Grievance Redressal Officer) Acko Life Insurance Limited, 36/5 Hustlehub One East, Somasandrapalya, 27th Main Road, Sector 2, HSR Layout, Bangalore – 560102","label":"Grievance Redressal Officer postal address","level":2,"hours":null,"applies_to":"life","source_url":"https://www.acko.com/life/customer-service/grievance-redressal/","quote":null,"fetched_at":"2026-10-20"}],"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/acko-life-insurance/2060-acko-bharat-griha-raksha-proposal-form"}