{"id":2136,"title":"MY HOME INSURANCE ALL RISK POLICY: PROPOSAL FORM","purpose":"proposal","insurer":{"slug":"bajaj-general-insurance","name":"Bajaj General Insurance Limited"},"source_pdf":"https://www.bajajgeneralinsurance.com/download-documents/home-insurance/my-home-insurance-policy/My-Home-Insurance-All-Risk-Policy-pf.pdf","sha256":"dd04d701d169c3ba0073102de6fd1fd89870b28ba6ae5ba6233f9351d81615aa","pages":8,"collected":"2026-10-17","instructions":{"about":"This form is a proposal for purchasing the My Home Insurance All Risk Policy from Bajaj General Insurance. It is filled by the proposer who wishes to insure their residential property and contents.","notes":["Answer all questions in BLOCK letters.","Liability of the company starts only after proposal acceptance and premium payment.","Provide all information fully and accurately including any additional relevant information.","Use original documents for attachments where required.","Contents exclude Jewellery, Valuables, Works of Art, Paintings, Curios, Bonds, Cheques, Documents, Cash, Currency Notes and Coins, Credit/Debit Cards, Domestic Appliances, Electrical and Electronic Equipment older than 10 years, and Portable Equipment older than 5 years.","Standalone cover for Jewellery & Valuables and/or Curios, Paintings & Works of Art cannot be opted unless Contents are insured.","Sum Insured for Contents must be at least 10% of the Building sum insured subject to minimum ₹5 lakhs.","If insuring Contents only, minimum sum insured is ₹5 lakhs.","Use the prospectus to calculate sum insured for Building and Contents."],"title":"MY HOME INSURANCE ALL RISK POLICY: PROPOSAL FORM","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Proposer Details","fields":[{"help":"Enter your full name in block letters","type":"text","label":"Proposer's Full Name","options":[],"required":true,"pdf_field":""},{"help":"Select Yes or No; if Yes, provide policy number","type":"choice","label":"Are you an existing Bajaj General Customer: Yes / No. If yes, please mention the Policy No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Gender","options":["Male","Female","Other"],"required":true,"pdf_field":""},{"help":"Enter date in DD/MM/YYYY format","type":"date","label":"Date of Birth","options":[],"required":true,"pdf_field":""},{"help":"Enter your UID number","type":"text","label":"UID/Unique ID","options":[],"required":false,"pdf_field":""},{"help":"Enter employee code if applicable","type":"text","label":"Bajaj Employee Code, if Proposer is General/Life Employee","options":[],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"Marital Status","options":["Married","Single","Divorced","Widowed"],"required":false,"pdf_field":""},{"help":"Provide full address and details","type":"text","label":"Details of the Residential Property to be Insured","options":[],"required":true,"pdf_field":""},{"help":"Address where all communications will be sent","type":"text","label":"Correspondence Address","options":[],"required":true,"pdf_field":""},{"help":"Enter telephone number","type":"phone","label":"Telephone No.","options":[],"required":false,"pdf_field":""},{"help":"Enter mobile number","type":"phone","label":"Mobile Number","options":[],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Educational Qualification","options":["Matriculate","Under Graduate","Graduate","Post Graduate","Professionally Qualified"],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"Family Monthly Income","options":["Up to ₹20,000","₹20,001 to ₹50,000","₹50,001 to ₹1 lakh","Above ₹1 lakh"],"required":false,"pdf_field":""},{"help":"If Email, provide email address","type":"choice","label":"In case of any Offer you would prefer to be contacted by","options":["Phone","Email"],"required":false,"pdf_field":""},{"help":"Select one or specify","type":"choice","label":"Walls made of","options":["Bricks","Cement","RCC","Stone","Mud","Clay","Wood","Any other item (Please Specify)"],"required":true,"pdf_field":""},{"help":"Select one or specify","type":"choice","label":"Roof made of","options":["Tiles","Concrete","RCC","Asbestos","Corrugated","Cement","Wood","Thatched","Any other item (Please Specify)"],"required":true,"pdf_field":""},{"help":"Provide bank name if applicable","type":"text","label":"Hypothecation Details (if applicable): Name of Financial Institution/Bank","options":[],"required":false,"pdf_field":""},{"help":"Provide branch details if applicable","type":"text","label":"Name of Branch and Branch address","options":[],"required":false,"pdf_field":""},{"help":"Provide loan account number if applicable","type":"text","label":"Loan Account Number","options":[],"required":false,"pdf_field":""},{"help":"Select one plan","type":"choice","label":"Plan (Please select any one Plan from the below Six Plans)","options":["PLATINUM PLAN I","DIAMOND PLAN I","PLATINUM PLAN II","DIAMOND PLAN II","GOLD PLAN I","GOLD PLAN II"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Constitution Details","fields":[{"help":"Provide DARPAN portal registration if applicable","type":"text","label":"DARPAN DETAILS","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Sum Insured and Excess Options","fields":[{"help":"If Yes, mention escalation percentage (max 25%)","type":"yes-no","label":"Do you want to opt for Escalation Provision (Applicable for building structure)?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Enter escalation percentage up to 25%","type":"number","label":"Escalation %","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Jewellery and Valuable Coverage Details","fields":[{"help":"Describe each jewellery or valuable item","type":"text","label":"Description of the Item","options":[],"required":false,"pdf_field":""},{"help":"Enter weight in grams","type":"number","label":"Weight (in gm)","options":[],"required":false,"pdf_field":""},{"help":"Select one excess option","type":"choice","label":"Excess Options for \"Jewellery and Valuable\" (Please Select Any One Option)","options":["0","5,000","10,000","15,000","20,000","25,000","30,000","35,000","40,000","45,000","50,000"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Works of Art, Painting and Curios Coverage Details","fields":[{"help":"Describe each item","type":"text","label":"Description of the Item","options":[],"required":false,"pdf_field":""},{"help":"Provide valuation details","type":"text","label":"Valuation","options":[],"required":false,"pdf_field":""},{"help":"Indicate if valuation report is attached","type":"yes-no","label":"Valuation Report Attached (Yes / No)","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide artist details if applicable","type":"text","label":"Details of Artist","options":[],"required":false,"pdf_field":""},{"help":"Enter sum insured amount","type":"amount","label":"Sum Insured","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declarations and Consents","fields":[{"help":"If Yes, provide details","type":"yes-no","label":"Are you or any of the proposal applicants a PEP or close relative of PEP?","options":["Yes","No"],"required":true,"pdf_field":""}],"filled_by":"proposer"}],"deadlines":[],"applies_to":"Home Insurance All Risk Policy","attachments":["Valuation Report for Works of Art, Painting and Curios (if applicable)","Invoice Copy for Works of Art, Painting and Curios (if applicable)","Annexure with individual values of contents if total value is less than ₹5 lakhs"],"declarations":["Consent to share personal information with group companies or others.","Agreement to the company's Privacy Policy terms and conditions.","Declaration if proposer or applicants are Politically Exposed Persons (PEP) or relatives.","Consent to verify identity/address proof through CERSAI or NSDL for KYC verification.","Declaration that premium is paid from legally acquired sources."],"dropped_labels":30},"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/2136-my-home-insurance-all-risk-policy-proposal-form"}