{"id":2091,"title":"Proposal Form for Aviva Nayi Grameen Suraksha","purpose":"proposal","insurer":{"slug":"aviva-life-insurance","name":"Aviva Life Insurance Company India Limited"},"source_pdf":"https://www.avivaindia.com/sites/default/files/NGS%20Marathi.pdf","sha256":"ef0ae507e41793624920564fa72816e2187f3629c3bdd175e91bb8b5f6c31341","pages":5,"collected":"2026-10-17","instructions":{"about":"This form is used by individuals (proposers) to apply for the Aviva Nayi Grameen Suraksha life insurance policy by providing personal, health, and policy details.","notes":["Fill all details in capital letters and with black ink.","Proof of age is mandatory.","Initial payment must accompany the proposal and can be paid by cash, crossed cheque, or demand draft payable to Aviva Life Insurance Account Proposal Number.","Receipt of proposal and payment does not create obligation until underwriting and policy issuance.","Refunds for cash deposits will be made by cheque or other approved methods.","Misrepresentation or incomplete information can lead to immediate cancellation of the contract.","In case of signature in vernacular or thumb impression, declaration must be made by a person of standing unconnected with Aviva Life Insurance.","Section 41 and 45 of Insurance Act 1938 are applicable regarding rebates and policy contestability.","The Customer Information Report section is for office use and adviser completion only."],"title":"Proposal Form for Aviva Nayi Grameen Suraksha","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Proposal Deposit Details","fields":[{"help":"Enter cheque or demand draft number","type":"text","label":"Cheque/ge मांक","options":[],"required":null,"pdf_field":""},{"help":"Enter the amount paid","type":"amount","label":"Amount रक्कम","options":[],"required":null,"pdf_field":""},{"help":"If you are an existing customer, enter your customer ID","type":"text","label":"Customer ID (for existing customer) ग्राहक क्रमांक","options":[],"required":false,"pdf_field":""},{"help":"Enter voucher number if applicable","type":"text","label":"Voucher Number व्होव्वर क्रमांक","options":[],"required":false,"pdf_field":""},{"help":"Enter the date of payment","type":"date","label":"Date शदनांक","options":[],"required":null,"pdf_field":""},{"help":"Enter the bank or drawee details","type":"text","label":"Drawn on काढलेल्या","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer or adviser"},{"title":"Life to be Insured Details","fields":[{"help":"Select appropriate title","type":"choice","label":"Mr/Mrs/Miss/Ms श्री / सौ / श्रीमती","options":["Mr","Mrs","Miss","Ms"],"required":true,"pdf_field":""},{"help":"Enter first and middle names in capital letters","type":"text","label":"Forenames दिलेले नाव","options":[],"required":true,"pdf_field":""},{"help":"Enter father's or husband's name","type":"text","label":"Father's/Husband's Name पित्याचेध्य तीचे नाव","options":[],"required":true,"pdf_field":""},{"help":"Enter current mailing address","type":"text","label":"Mailing Address वर्तमान पत्ता","options":[],"required":true,"pdf_field":""},{"help":"Enter village name for mailing address","type":"text","label":"Village गव","options":[],"required":true,"pdf_field":""},{"help":"Enter post office for mailing address","type":"text","label":"P.O. पोस्ट ऑफिस","options":[],"required":true,"pdf_field":""},{"help":"Enter mandal, taluka or town for mailing address","type":"text","label":"Mandal/Taluka/Town तालुका ध्मंडळः नगर","options":[],"required":true,"pdf_field":""},{"help":"Enter district for mailing address","type":"text","label":"District जिल्हा","options":[],"required":true,"pdf_field":""},{"help":"Enter state for mailing address","type":"text","label":"State राज्य","options":[],"required":true,"pdf_field":""},{"help":"Enter postal code for mailing address","type":"number","label":"Pincode पिन कोड","options":[],"required":true,"pdf_field":""},{"help":"Enter permanent address","type":"text","label":"Permanent Address कायमस्वरूपी पत्ता","options":[],"required":true,"pdf_field":""},{"help":"Enter village name for permanent address","type":"text","label":"Village गव","options":[],"required":true,"pdf_field":""},{"help":"Enter post office for permanent address","type":"text","label":"P.O. पोस्ट ऑफिस","options":[],"required":true,"pdf_field":""},{"help":"Enter mandal, taluka or town for permanent address","type":"text","label":"Mandal/Taluka/Town तालुका ध्मंडळः नगर","options":[],"required":true,"pdf_field":""},{"help":"Enter district for permanent address","type":"text","label":"District जिल्हा","options":[],"required":true,"pdf_field":""},{"help":"Enter state for permanent address","type":"text","label":"State राज्य","options":[],"required":true,"pdf_field":""},{"help":"Enter postal code for permanent address","type":"number","label":"Pincode पिन कोड","options":[],"required":true,"pdf_field":""},{"help":"Provide proof of address document","type":"text","label":"Proof of Address पत्त्याचा पुरावा","options":[],"required":true,"pdf_field":""},{"help":"Select gender","type":"choice","label":"Gender लिंग","options":["Male पुरुष","Female ची"],"required":true,"pdf_field":""},{"help":"Enter annual income in rupees","type":"amount","label":"Life Insured's Annual Income Rs. अॅश्युअर्ड केलेल्या जीवनाचे वार्षिक उत्पन्न रू.","options":[],"required":true,"pdf_field":""},{"help":"Enter occupation","type":"text","label":"Occupation व्यवसाय","options":[],"required":true,"pdf_field":""},{"help":"Enter date of birth in dd/mm/yyyy format","type":"date","label":"Date of Birth जन्मतारीख dd तारीख mm महिना yyyy वर्ष","options":[],"required":true,"pdf_field":""},{"help":"Select type of age proof document","type":"choice","label":"Age Proof वयाचा दाखला","options":["School Certificate","Voter ID/Ration Card"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Policy Details","fields":[{"help":"Enter sum assured in rupees","type":"amount","label":"Sum Assured(Rs. In figures) इंश्यअरड़ रक्कम (रु. आकड्यांमध्ये)","options":[],"required":true,"pdf_field":""},{"help":"Enter premium amount in rupees","type":"amount","label":"Premium (Rs. in figures)","options":[],"required":true,"pdf_field":""},{"help":"Select mode of payment","type":"choice","label":"Preferred Moda of Payment भरणा प्राधान्य प्रकार","options":["Cash","Cheque चेक","Others इतर"],"required":true,"pdf_field":""},{"help":"Select policy term","type":"choice","label":"Policy Term (PT) पॉलिसीची मुदत (पीटी)","options":["5 Years वर्षे","10 Years वर्ष"],"required":true,"pdf_field":""},{"help":"Indicate if you have an Aadhar number","type":"yes-no","label":"Do you have Aadhar Number तुमच्याकडे आधार क्रमांक आहे का","options":["Yes हो","No नाही"],"required":true,"pdf_field":""},{"help":"Enter Aadhar number if applicable","type":"text","label":"If yes please provide Aadhar Number : जर होय, तर कृपया आधार क्रमांक प्रदान करा.","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Nomination Details","fields":[{"help":"Enter nominee's full name","type":"text","label":"Name of the Nominee (Under section 39 of the Insurance Act 1938) नामनिर्देशित व्यक्तीचे नाव (बिमा कायदा 1938 चे कलम 39 च्या अंतर्गत)","options":[],"required":true,"pdf_field":""},{"help":"Enter relationship of nominee to insured","type":"text","label":"Relationship to the Life to be Insured संरक्षित केल्या जाणा-या जीवनाशी असलेले नाते","options":[],"required":true,"pdf_field":""},{"help":"Enter nominee's date of birth if minor","type":"date","label":"Date of Birth जन्मतारीख dd तारीख /mm महना /yyyy वर्ष","options":[],"required":false,"pdf_field":""},{"help":"Enter nominee's address","type":"text","label":"Address पत्ता","options":[],"required":true,"pdf_field":""},{"help":"Fill appointee details if nominee is minor","type":"section","label":"If Nominee is a Minor, please give appointee details below. जर वारसदार नाबालिक असेल, तर कृपया नियुक्त केलेल्या व्यक्तीचा तपशील द्या","options":[],"required":false,"pdf_field":""},{"help":"Enter name of appointee","type":"text","label":"Name of the Appointee नियुक्त व्यक्तीचे नाव","options":[],"required":false,"pdf_field":""},{"help":"Enter appointee's date of birth","type":"date","label":"Date of Birth जन्मतारीख dd तारीख /mm महना /YYYY वर्ष","options":[],"required":false,"pdf_field":""},{"help":"Enter appointee's address","type":"text","label":"Address पत्ता","options":[],"required":false,"pdf_field":""},{"help":"Appointee must sign here","type":"signature","label":"Signature of the Appointee नामनिर्देशित व्यक्तीची स्वाक्षरी","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Marital Status","fields":[{"help":"Select marital status","type":"choice","label":"Marital Status वैवाहिक स्थिति","options":["Widow(er) विधवा/विधुर","Divorced घटस्फोटीत","Single अविवाहित","Married विवाहित","Others इतर"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declaration of Good Health","fields":[{"help":"Indicate if you are in good health","type":"yes-no","label":"A. Are you in good health? तुमचे स्वास्थ्य चांगले आहे का?","options":["Yes हो","No नाही"],"required":true,"pdf_field":""},{"help":"Indicate if you have had any listed medical conditions","type":"yes-no","label":"B. Have you ever had a heart condition, a stroke, hypertension, paralysis, cancer, diabetes, kidney disease, liver disease, mental illness, HIV infection or AIDS, high cholesterol, blood disorder, respiratory disorder, and nervous disorder? तुम्हाला यापूर्वी हृदयाचे आजार, आघात, उच्च रक्तदाब,अर्धांगवायू, कर्करोग, मधुमेह, किडनीचे कार्य बंद होणे, यकृताचे कार्य बंद होणे, मानसिक आजार, एचआयव्ही किंवा एड्स उच्च कोलेस्ट्रॉल, रक्ताची अव्यवस्था, श्वसनाची अव्यवस्था व मज्जातंतुची अव्यवस्था झाले आहे का","options":["Yes हो","No नाही"],"required":true,"pdf_field":""},{"help":"Indicate if you are taking medication or had serious illness in last 5 years","type":"yes-no","label":"C. Are you currently taking any medication or drugs, other than for minor conditions, (eg. colds and flu), either prescribed or not prescribed by a doctor, or have you suffered from any illness, disorder, disability or Injury during the past 5 years which has required any form of medical or specialised examination (Including chest X-rays, gynaecological Investigations, pap smear, or blood tests), consultation, hospitalisation or surgery or physician has not been consulted or treatment received for the same? सध्या आपण अन्य कोणत्याही किरकोळ कारणांशिवाय कोणतेही औषध घेत आहात का (उदा. सर्दी व ताप), किंवा डॉक्टरांनी लिहून दिलेले किंवा न लिहून दिलेले किंवा गेल्या पाच वर्षात तुम्ही आजारीपण, अव्यवस्था (डिसऑर्डर) किंवा इजा यापैकी कोणत्याही आजाराने त्रस्त होतात का ज्यामध्ये कोणत्याही स्वरूपाचे वैद्यकीय किंवा विशेष तपासणी करणे (त्यात छातीचा एक्स-रे, स्त्रीरोगविषयीच्या तपासण्या किंवा स्तनाग्र तपासणी (पॅप स्मीअर) किंवा स्काच्या चाचण्या), सल्ला किंवा त्याच प्रकारचा कोणता उपचार घेणे आवश्यक होते","options":["Yes हो","No नाही"],"required":true,"pdf_field":""},{"help":"Indicate if you had illness causing absence or restrictions in last 2 years","type":"yes-no","label":"D. Any Illness that has caused you to be absent from work for a continuous period of 7 days or more In the last 2 years or has your health placed any restrictions on your normal daily activities? गेल्या दोन वर्षात कोणतेही आजारपण कि ज्यामुळे तुम्हाला सतत दिवस किंवा त्याहीपेक्षा जास्त दिवस अनुपस्थित रहावे लागले किंवा तुमच्या तब्येतीमुळे तुमच्या सामान्य दैनंदिन कामात कोणताही निर्बंध घातला गेला का?","options":["Yes हो","No नाही"],"required":true,"pdf_field":""},{"help":"Indicate if currently pregnant, if applicable","type":"yes-no","label":"E. Are you currently pregnant? (If applicable) तुम्ही गरोदर आहोत का? (लागू असलेले)","options":["Yes हो","No नाही"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Vernacular Declaration","fields":[{"help":"Sign or provide thumb impression","type":"signature","label":"Signature/Thumb impression of Life to be Insured विम्या कर्त्याची स्वाक्षरी :अंगठ्याचा ठसा","options":[],"required":true,"pdf_field":""}],"filled_by":"life to be insured/proposer"},{"title":"Declaration by the person filling in the form","fields":[{"help":"Enter declarant's name and address","type":"text","label":"Declarant's Name and Address घोषणा करणावाचे नाव व पत्ता","options":[],"required":true,"pdf_field":""},{"help":"Enter postal code","type":"number","label":"Pincode पिन कोड","options":[],"required":true,"pdf_field":""},{"help":"Declarant must sign here","type":"signature","label":"Signature of declarant घोषणा करणाऱ्याची स्वाक्षरी","options":[],"required":true,"pdf_field":""},{"help":"Adviser must sign here","type":"signature","label":"Signature of Adviser सल्लागारची स्वाक्षरी","options":[],"required":true,"pdf_field":""}],"filled_by":"person filling the form"},{"title":"Customer Information Report (For office use only)","fields":[{"help":"Adviser to confirm personal meeting","type":"yes-no","label":"Did you personally meet the life to be insured? संरक्षित केल्या जाणा-या जीवनाला तुम्ही वैयक्तिकरित्या भेटला आहात का?","options":["YES हो","NO नाही"],"required":true,"pdf_field":""},{"help":"Adviser to specify proof of identity seen","type":"choice","label":"What proof of identity have you seen of the Life Insured? संरक्षित केल्या जाणा-या जीवनाच्या ओळखीचे (आयडेन्टीटी) कोणता पुरावा तुम्ही पाहिला आहे?","options":["Driving License वाहन परवाना","Voter ID Card मतदार ओळखपत्र","Others please specify इतर निर्देशीत करा"],"required":true,"pdf_field":""},{"help":"Adviser to confirm satisfaction with proposer responses","type":"yes-no","label":"Are you satisfied with the responses given by the proposer on proposal form including the DGH section? प्रस्ताव फॉर्मवर ज्यात डीजीएच विभाग ही सामिल आहे प्रस्तावकाने दिलेल्या प्रतिसादावर तुम्ही संतुष्ट आहात का ?","options":["YES हो","NO नाही"],"required":true,"pdf_field":""},{"help":"Adviser to specify income proofs checked","type":"choice","label":"Proof of Income: Are you satisfied with the income declaration made by the Life Insured on your behalf? If yes, what proofs of income have you checked? संरक्षित जीवनातफें जाहीर केलेल्या उत्पन्नाच्या घोषणेवर तुम्ही संतुष्ट आहात का ? जर होय, तर तुम्ही उत्पन्नाचे कोणते दाखले तपासले आहेत ?","options":["Income Tax Return आयकर परतावा","Form 16 फॉर्म 1","Property/Land Holding Detail मालमत्ता ज्जमीन मालकीचा तपशील","Others please specify इतर निर्देशित करा"],"required":true,"pdf_field":""},{"help":"Provide details if yes","type":"text","label":"If Yes, please give details णे असल्यास कृपया माहिती घा","options":[],"required":false,"pdf_field":""},{"help":"Adviser to confirm nominee dependency","type":"yes-no","label":"Is the nominee dependent of the proposer? If No, please give details उमेदवार (नॉमिनी) प्रस्तावकावर अवलंबून आहे का ? नाही असल्यास, कृपया माहिती द्या","options":["YES हो","NO नाही"],"required":true,"pdf_field":""},{"help":"Provide insurable interest details if nominee not dependent","type":"text","label":"Give details of the insurable interest that exist between the proposer and the nominee. विमा उतरवण्या योग्य इंटरेसचे तपशील द्या जे प्रस्तावक व नॉमिनीमध्ये अस्तित्वात आहेत.","options":[],"required":false,"pdf_field":""},{"help":"Enter adviser's name","type":"text","label":"Adviser Name सल्लागाराचे नाव","options":[],"required":true,"pdf_field":""},{"help":"Enter adviser code","type":"text","label":"Adviser Code सल्लागाराचा क्रमांक","options":[],"required":true,"pdf_field":""},{"help":"Enter date of report","type":"date","label":"Date तारीख","options":[],"required":true,"pdf_field":""},{"help":"Adviser must sign here","type":"signature","label":"Signature of Adviser सल्लागारची स्वाक्षरी","options":[],"required":true,"pdf_field":""}],"filled_by":"adviser"}],"deadlines":[],"applies_to":"Aviva Nayi Grameen Suraksha life insurance policy proposals","attachments":["Proof of age document","Proof of address document","Income proof documents as applicable"],"declarations":["The proposer confirms understanding of the proposal form and submits it voluntarily.","Statements and material facts form the basis of the contract and untrue statements may lead to policy cancellation.","Any changes in statements or material facts before policy issuance must be informed to the company in writing.","Payments made through advisers are only valid when received and realized by the company within stipulated time.","Consent is given for the company to collect and share personal and medical information for underwriting and promotional purposes.","If the proposal is not filled by the proposer, the person filling it declares that the contents were fully explained and understood.","The vernacular declaration confirms the proposer has understood the application contents.","The declarant confirms having explained the proposal form contents truthfully to the proposer.","The adviser confirms having met the life insured and verified identity and income proofs, and declares satisfaction with the proposal."],"dropped_labels":4},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"customer-care","channel":"email","value":"customerservices@avivaindia.com","label":"General Enquiries- Customer Email","level":null,"hours":null,"applies_to":"all","source_url":"https://www.avivaindia.com/grievance-mechanism","quote":"stomer\nCall (All Days & Toll Free)\n1800-103-7766\n,\n0124-2709046\nCall (Toll Free) - For Kerala users\n1800-103-8000\nEmail\ncustomerservices@avivaindia.com\nSenior Citizen\nseniorcitizen@avivaindia.com\nGeneral Enquiries- Partner\nCall (All Days & Toll Free)\n1800-180-2111\nEmail","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"email","value":"weconnect@avivaindia.com","label":"General Enquiries- Partner Email","level":null,"hours":null,"applies_to":"all","source_url":"https://www.avivaindia.com/grievance-mechanism","quote":"Senior Citizen\nseniorcitizen@avivaindia.com\nGeneral Enquiries- Partner\nCall (All Days & Toll Free)\n1800-180-2111\nEmail\nweconnect@avivaindia.com\nContact Grievance Officer\nEmail\ncomplaints@avivaindia.com\nCall (Mon-Fri, 9am-6pm)\n+91 9999346907\nCustomer\nGroup\nAdvisor","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"1800-103-7766","label":"General Enquiries- Customer Toll Free","level":null,"hours":"All Days","applies_to":"all","source_url":"https://www.avivaindia.com/grievance-mechanism","quote":"Jeevan Bima Plan\nGuaranteed Savings Plan\nULIP Plans\nPAY PREMIUM\nGeneral Enquiries- Customer\nCall (All Days & Toll Free)\n1800-103-7766\n,\n0124-2709046\nCall (Toll Free) - For Kerala users\n1800-103-8000\nEmail\ncustomerservices@avivaindia.com\nSenior Citizen\ns","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"0124-2709046","label":"General Enquiries- Customer","level":null,"hours":"All Days","applies_to":"all","source_url":"https://www.avivaindia.com/grievance-mechanism","quote":"Guaranteed Savings Plan\nULIP Plans\nPAY PREMIUM\nGeneral Enquiries- Customer\nCall (All Days & Toll Free)\n1800-103-7766\n,\n0124-2709046\nCall (Toll Free) - For Kerala users\n1800-103-8000\nEmail\ncustomerservices@avivaindia.com\nSenior Citizen\nseniorcitizen@av","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"1800-103-8000","label":"Call (Toll Free) - For Kerala users","level":null,"hours":null,"applies_to":"all","source_url":"https://www.avivaindia.com/grievance-mechanism","quote":"eneral Enquiries- Customer\nCall (All Days & Toll Free)\n1800-103-7766\n,\n0124-2709046\nCall (Toll Free) - For Kerala users\n1800-103-8000\nEmail\ncustomerservices@avivaindia.com\nSenior Citizen\nseniorcitizen@avivaindia.com\nGeneral Enquiries- Partner\nCall (All","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"1800-180-2111","label":"General Enquiries- Partner Toll Free","level":null,"hours":null,"applies_to":"all","source_url":"https://www.avivaindia.com/grievance-mechanism","quote":"vices@avivaindia.com\nSenior Citizen\nseniorcitizen@avivaindia.com\nGeneral Enquiries- Partner\nCall (All Days & Toll Free)\n1800-180-2111\nEmail\nweconnect@avivaindia.com\nContact Grievance Officer\nEmail\ncomplaints@avivaindia.com\nCall (Mon-Fri, 9am-6pm)\n+91 99","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"0124-2709000/46","label":"Corporate Office Phone","level":null,"hours":null,"applies_to":"all","source_url":"https://www.avivaindia.com/grievance-mechanism","quote":"Office\n401-A, 4th Floor,\nBlock A, DLF Cyber Park,\nSector-20, NH-8, Gurugram,\nHaryana-122 016, India.\nTelephone Number:\n0124-2709000/46\nEmail:\ncustomerservices@avivaindia.com\nToll Free Helpline:\n18001037766\n,\n0124-2709046\nGive a Missed Call:\n+91-767757677","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"+91-7677576775","label":"Give a Missed Call","level":null,"hours":null,"applies_to":"all","source_url":"https://www.avivaindia.com/grievance-mechanism","quote":"24-2709000/46\nEmail:\ncustomerservices@avivaindia.com\nToll Free Helpline:\n18001037766\n,\n0124-2709046\nGive a Missed Call:\n+91-7677576775\nSMS\n\"Aviva\"to 5676737\nInsurance is the subject matter of the solicitation.\nIRDAI Reg No.\n122\n|\nCIN\n              :\nU660","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"sms","value":"\"Aviva\"to 5676737","label":"SMS Service","level":null,"hours":null,"applies_to":"all","source_url":"https://www.avivaindia.com/grievance-mechanism","quote":":\ncustomerservices@avivaindia.com\nToll Free Helpline:\n18001037766\n,\n0124-2709046\nGive a Missed Call:\n+91-7677576775\nSMS\n\"Aviva\"to 5676737\nInsurance is the subject matter of the solicitation.\nIRDAI Reg No.\n122\n|\nCIN\n              :\nU66010DL2000PLC107880\nAviv","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"complaints@avivaindia.com","label":"Contact Grievance Officer Email","level":1,"hours":null,"applies_to":"all","source_url":"https://www.avivaindia.com/grievance-mechanism","quote":"iries- Partner\nCall (All Days & Toll Free)\n1800-180-2111\nEmail\nweconnect@avivaindia.com\nContact Grievance Officer\nEmail\ncomplaints@avivaindia.com\nCall (Mon-Fri, 9am-6pm)\n+91 9999346907\nCustomer\nGroup\nAdvisor\nsearch\nTERM","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"+91 9999346907","label":"Contact Grievance Officer Phone","level":1,"hours":"Mon-Fri, 9am-6pm","applies_to":"all","source_url":"https://www.avivaindia.com/grievance-mechanism","quote":"0-2111\nEmail\nweconnect@avivaindia.com\nContact Grievance Officer\nEmail\ncomplaints@avivaindia.com\nCall (Mon-Fri, 9am-6pm)\n+91 9999346907\nCustomer\nGroup\nAdvisor\nsearch\nTERM\n                                                            INSURANCE\nAviva Smart Re","fetched_at":"2026-10-20"},{"purpose":"gro","channel":"address","value":"401-A, 4th Floor, Block A, DLF Cyber Park, Sector- 20, NH- 8, Gurugram, Haryana - 122016","label":"Complaint Redressal Officer (CRO) Address","level":2,"hours":null,"applies_to":"all","source_url":"https://www.avivaindia.com/grievance-mechanism","quote":"examine your issues and provide you impartial resolution. The CRO can be reached at :\nComplaint Redressal Officer(CRO).\n401-A, 4th Floor, Block A, DLF Cyber Park, Sector- 20, NH- 8, Gurugram, Haryana - 122016\nEmail :\ncro@avivaindia.com\nLevel 3\n: Insurance Ombudsman Scheme.\nThe insurance Ombudsman is empowered to receive and co","fetched_at":"2026-10-20"},{"purpose":"gro","channel":"email","value":"cro@avivaindia.com","label":"Complaint Redressal Officer (CRO) Email","level":2,"hours":null,"applies_to":"all","source_url":"https://www.avivaindia.com/grievance-mechanism","quote":"edressal Officer(CRO).\n401-A, 4th Floor, Block A, DLF Cyber Park, Sector- 20, NH- 8, Gurugram, Haryana - 122016\nEmail :\ncro@avivaindia.com\nLevel 3\n: Insurance Ombudsman Scheme.\nThe insurance Ombudsman is empowered to receive and consider complaints from any","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/aviva-life-insurance/2091-proposal-form-for-aviva-nayi-grameen-suraksha"}