{"id":2120,"title":"Group Business Travelers Insurance Policy (Proposal Form)","purpose":"proposal","insurer":{"slug":"bajaj-general-insurance","name":"Bajaj General Insurance Limited"},"source_pdf":"https://www.bajajgeneralinsurance.com/download-documents/travel-insurance/group-business-traveler-insurance-policy/Group-Business-Travelers-Insurance-Policy-pf.pdf","sha256":"70e301bb8e0b27647269b4175d84ded2875ec5dd0fb85f0b6e7b0336cb2357cd","pages":5,"collected":"2026-10-17","instructions":{"about":"This form is a proposal for a Group Business Travelers Insurance Policy to be filled by the proposer/insured who is seeking insurance coverage for a group of business travelers.","notes":["Please answer all questions in BLOCK letters.","Attach a separate sheet if space is insufficient.","Policy liability starts only after acceptance and full premium payment.","Use original and complete details for Annexure I.","Keep policy contact and bank details updated for faster service.","Refer to Insurance Act 1938 Section 41 regarding prohibition of rebates."],"title":"Group Business Travelers Insurance Policy (Proposal Form)","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Proposer Details","fields":[{"help":"Enter full name in BLOCK letters","type":"text","label":"1. Name of the Proposer/Insured","options":[],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"2. Gender: Male / Female / Others","options":["Male","Female","Others"],"required":true,"pdf_field":""},{"help":"DD/MM/YYYY format","type":"date","label":"3. Date of Birth:","options":[],"required":true,"pdf_field":""},{"help":"Full postal address","type":"text","label":"4. Address","options":[],"required":true,"pdf_field":""},{"help":"Include country and area code if applicable","type":"phone","label":"5. Phone No:","options":[],"required":true,"pdf_field":""},{"help":"Valid email address","type":"email","label":"6. Email:","options":[],"required":true,"pdf_field":""},{"help":"Briefly describe the business","type":"text","label":"7. Description of the Proposer/Insured’s Business","options":[],"required":true,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"8. Do you have any existing policy of same type with other insurance company? YES / NO","options":["YES","NO"],"required":true,"pdf_field":""},{"help":"Provide details if you answered Yes above","type":"text","label":"If Yes, Please provide policy details","options":[],"required":false,"pdf_field":""},{"help":"Name and details of the group or institution","type":"text","label":"9. Please mention detail of the Group/ Association/ Institution/ Corporate Body whose members are being covered under the Policy?","options":[],"required":true,"pdf_field":""},{"help":"Enter start and end dates of policy period","type":"date","label":"10. Policy Period : From Date: / / To Date: / /","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Constitution Details","fields":[{"help":"Select Yes or No","type":"yes-no","label":"Partnership Firm","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Limited Liability/Partnership Firm","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Select Yes or No and provide registration if Yes","type":"yes-no","label":"NGO/NPO - Provide DARPAN Portal Registration, if applicable","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Company","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Trust","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Society","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Section 8 Company","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Proprietorship Firm","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Specify if other constitution","type":"text","label":"Others (Please specify)","options":[],"required":false,"pdf_field":""},{"help":"Provide details if applicable","type":"text","label":"Constitution Details","options":[],"required":false,"pdf_field":""},{"help":"Provide DARPAN registration details if applicable","type":"text","label":"DARPAN DETAILS","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Travel and Coverage Details","fields":[{"help":"Enter total man-days","type":"number","label":"11. Please mention the approximate number of man-days to be utilized during one year? [1 Man-day= 1 Person X 1 Day]","options":[],"required":true,"pdf_field":""},{"help":"Enter total employees","type":"number","label":"12. Total number of employees expected to be covered under the policy","options":[],"required":true,"pdf_field":""},{"help":"Enter average travel days","type":"number","label":"13. Average number of Travel days for each employee","options":[],"required":true,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"14. If pre-policy check up to be conducted of employee travelling (Yes/No)","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"List all countries","type":"text","label":"15. List of Countries expected to be travelled","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover Details","fields":[{"help":"Columns: Sr. No., Base Covers, Sum Insured, Deductible/Co Payment Opted, Please tick ()","type":"table","label":"16. Base Covers","options":[],"required":true,"pdf_field":""},{"help":"Columns: Optional Cover No., Please tick () optional cover want to opt, Optional Covers, Sum Insured, Deductible / Co Payment/ Waiting Period","type":"table","label":"17. Optional Covers","options":[],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"18. Have you provided complete details of members in Annexure I? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Payment Details and Declaration","fields":[{"help":"Provide payment information","type":"text","label":"19. Payment Details","options":[],"required":true,"pdf_field":""},{"help":"Enter policy start and end dates","type":"date","label":"Proposed Policy Period: From / / TO / /","options":[],"required":true,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date: / /","options":[],"required":true,"pdf_field":""},{"help":"Sign here","type":"signature","label":"Signature of the Proposer:","options":[],"required":true,"pdf_field":""},{"help":"Location of signing","type":"text","label":"Place:","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declarations - Physical Proposal Form","fields":[{"help":"Politically Exposed Persons status","type":"yes-no","label":"Are you or any of the proposal applicants a PEP* or a close relative of PEP*? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details if Yes above","type":"text","label":"If yes, please share the details","options":[],"required":false,"pdf_field":""},{"help":"Consent for KYC verification","type":"yes-no","label":"I/we hereby give my/our consent to the Company to verify and obtain my/our identity/address proof through Central KYC Registry or Goods and Service Tax Portal or Ministry Of Corporate Affairs Portal or National Securities Depository Limited portal for the purpose of undertaking KYC. Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Agreement to maintain beneficiary details","type":"yes-no","label":"I/we hereby agree and ensure to maintain details of all the beneficiaries covered under the policy and shall share the same with the Company as and when required. Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Consent for KYC verification","type":"yes-no","label":"I/we hereby give my/our consent to the Company to verify and obtain my/our identity/address proof through Central KYC Registry for the purpose of undertaking KYC Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Consent to share personal information","type":"yes-no","label":"I/We hereby give voluntary consent to BGIL/Company to share my/our personal information and data provided in this proposal form with its group companies or any other person in connection with the Insurance Policy or otherwise, including for providing products and services of group companies that may be of interest to me/us, to be used in accordance with their respective privacy policies and subject to appropriate measures being in place to safeguard my/our personal information. Yes / No","options":["Yes","No"],"required":true,"pdf_field":""}],"filled_by":"proposer"}],"deadlines":[],"applies_to":"Group Business Travelers Insurance Policy","attachments":["Annexure I with complete details of members"],"declarations":["The statements and particulars given are true and complete to the best of the proposer’s knowledge and the proposer is authorized to propose on behalf of all persons to be insured.","The policy will come into force only after full payment of the premium chargeable.","The proposer will notify in writing any change in occupation or health after submission of the proposal but before risk acceptance.","The proposer consents to the company seeking medical information from doctors, hospitals, past or present employers, and insurers for underwriting and claim settlement.","The proposer authorizes the company to share proposal and medical information with governmental and regulatory authorities.","The proposer consents to KYC verification through specified government portals.","The proposer agrees to maintain and share beneficiary details as required.","The proposer consents to sharing personal information with group companies for insurance-related purposes."],"dropped_labels":0},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"customer-care","channel":"email","value":"careforyou@bajajgeneral.com","label":"Customer Service Email","level":null,"hours":null,"applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/forms/form-online-grievance.html","quote":"in a new tab\nBajaj General Insurance Limited\nTollfree: For sales :\n1800-209-0144\nFor service :\n1800-209-5858\nEmail id:\ncareforyou@bajajgeneral.com\nFor senior citizens:\nseniorcitizen@bajajgeneral.com\nFor senior citizens:\n1800-209-5858\nFax no:\n020-30512246\nRegistered","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"1800-209-5858","label":"Service Toll Free Number","level":null,"hours":null,"applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/forms/form-online-grievance.html","quote":"Careers\nBecome\n                                An Agent\nAwards\nUpdate KYC\nMY ABHA\nBuy Policy:\n1800-209-0144\n| Service:\n1800-209-5858\nService Chat:\n+91 75074 25858\nInsure\nHealth Insurance\nIndividual Health Insurance\nFamily Health Insurance\nInternational","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"1800-209-0144","label":"Sales Toll Free Number","level":null,"hours":null,"applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/forms/form-online-grievance.html","quote":"nsurance\nSupport\nAbout Us\nCareers\nBecome\n                                An Agent\nAwards\nUpdate KYC\nMY ABHA\nBuy Policy:\n1800-209-0144\n| Service:\n1800-209-5858\nService Chat:\n+91 75074 25858\nInsure\nHealth Insurance\nIndividual Health Insurance\nFamily Healt","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"1800-209-5858","label":"Customer Service Toll Free Number","level":1,"hours":null,"applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/about-us/customer-service.html","quote":"ted servicing team to help you meet your service needs.\nCustomer Service - We're Here to Help\nDial our Toll Free Number\n1800-209-5858\nEmail us on\ncareforyou@bajajgeneral.com\nToll free No. Intermediary\n1800-209-7073\nBOING BOT\nConnect with us on BOING Cha","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"ggro@bajajgeneral.com","label":"Grievance Redressal Officer Email Mr. Jerome Vincent","level":2,"hours":null,"applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/about-us/customer-service.html","quote":"fied with the response given to you by our team, you may write to our Grievance Redressal Officer Mr. Jerome Vincent at\nggro@bajajgeneral.com\nLevel 3\nHead Customer Service\nif you are still not satisfied with the solutions provided, or have some feedback for us,","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"1800-209-7073","label":"Toll free No. Intermediary","level":null,"hours":null,"applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/about-us/customer-service.html","quote":"Here to Help\nDial our Toll Free Number\n1800-209-5858\nEmail us on\ncareforyou@bajajgeneral.com\nToll free No. Intermediary\n1800-209-7073\nBOING BOT\nConnect with us on BOING Chatbot\nConnect with us on WhatsApp +91 7507425858\nFor Support\nBajaj General App\nPle","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"whatsapp","value":"+91 7507425858","label":"BOING WhatsApp Chatbot","level":null,"hours":"24x7","applies_to":"all","source_url":"https://www.bajajgeneralinsurance.com/about-us/customer-service.html","quote":"ral.com\nToll free No. Intermediary\n1800-209-7073\nBOING BOT\nConnect with us on BOING Chatbot\nConnect with us on WhatsApp +91 7507425858\nFor Support\nBajaj General App\nPlease scan and download\nMissed Call Facility\nMissed Call - 80809 45060 Short code - SMS","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/bajaj-general-insurance/2120-group-business-travelers-insurance-policy-proposal-form"}