{"id":2486,"title":"COMMERCIAL CRIME INSURANCE PROPOSAL FORM","purpose":"proposal","insurer":{"slug":"bajaj-general-insurance","name":"Bajaj General Insurance Limited"},"source_pdf":"https://www.bajajgeneralinsurance.com/download-documents/commercial-insurance/commercial-general/Commercial-Crime-pf.pdf","sha256":"c4d98ccc9ba350cae73f9f00be0804d4d71e20f534fa90fb39b4298ae0ec55b7","pages":9,"collected":"2026-10-17","instructions":{"about":"This form is used by applicants seeking a commercial crime insurance policy from Bajaj General Insurance. The applicant fills it to provide details about their business, financials, controls, and claims history.","notes":["All questions must be answered to enable a quotation.","If insufficient space, use additional sheets and indicate question number.","Attach latest audited consolidated accounts and organisational structure chart.","Use original and accurate information; errors or omissions may void the policy.","Policyholder must keep contact and bank details updated for faster service.","The form includes a legal notice about rebates under Section 41 of Insurance Act, 1938."],"title":"COMMERCIAL CRIME INSURANCE PROPOSAL FORM","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Applicant Details","fields":[{"help":"","type":"text","label":"Applicant Name","options":[],"required":true,"pdf_field":"Applicant Name"},{"help":"","type":"text","label":"Principal Address","options":[],"required":true,"pdf_field":"Principal Address"},{"help":"Provide duration in years or relevant format","type":"text","label":"How long has the Applicant continually carried on business?","options":[],"required":true,"pdf_field":"Applicant contiully carrird on business"},{"help":"","type":"text","label":"Business activities of the Applicant and its subsidiary undertakings","options":[],"required":true,"pdf_field":"Applicant and its subsidiry undertakings"},{"help":"","type":"yes-no","label":"During the past five years has the name of the Applicant been changed? Yes / No","options":["Yes","No"],"required":true,"pdf_field":"Applicant been chaged"},{"help":"Provide details of name changes if applicable","type":"text","label":"If the answer is ‘Yes’, please give details:","options":[],"required":false,"pdf_field":""}],"filled_by":"applicant"},{"title":"Locations","fields":[{"help":"","type":"number","label":"Total Domestic locations:","options":[],"required":true,"pdf_field":"Total domestics locations"},{"help":"","type":"number","label":"Total Overseas locations:","options":[],"required":true,"pdf_field":"Total Oversese locations"},{"help":"","type":"number","label":"Total Domestic and Overseas locations:","options":[],"required":true,"pdf_field":"Total Domestic and Oversese loctions"},{"help":"","type":"yes-no","label":"Do you want all locations included for coverage? 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Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"List any exceptions to background checks","type":"text","label":"If “Yes” are there any exceptions?","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Are all staff required to take two weeks uninterrupted holiday each year? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Are wages/salaries independently checked against personnel records? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""}],"filled_by":"applicant"},{"title":"Financial Information","fields":[{"help":"Provide amount in INR","type":"amount","label":"Latest year end group turnover:","options":[],"required":true,"pdf_field":"letest year end group turnover"},{"help":"Provide amount in INR","type":"amount","label":"Latest year end group operating profit:","options":[],"required":true,"pdf_field":"letest year end group operating profit"},{"help":"Provide amount in INR","type":"amount","label":"Latest year end group total assets:","options":[],"required":true,"pdf_field":"letest year end group total assets"}],"filled_by":"applicant"},{"title":"Audits","fields":[{"help":"","type":"text","label":"Name of External Auditors:","options":[],"required":true,"pdf_field":"Externally 1"},{"help":"","type":"yes-no","label":"Have you changed External Auditors in the last three years? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Do they audit all operations at least annually? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Are there any outstanding recommendations following the most recent audit? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details of outstanding audit recommendations","type":"text","label":"If “Yes”, please provide details:","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Is there an Internal Audit department? Yes / No","options":["Yes","No"],"required":true,"pdf_field":"Internally 1"},{"help":"","type":"number","label":"How many individuals within the Internal Audit department:","options":[],"required":false,"pdf_field":"Internally 2"},{"help":"","type":"yes-no","label":"Do you have an established Internal Audit cycle? Yes / No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"If No, provide details","type":"yes-no","label":"Are all locations subject to Internal Audit on a regular basis? Yes / No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Does Internal Audit extend to all IT activities and services as well as to Treasury function? Yes / No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Does Internal Audit include regular and random surprise checks on stocks of raw materials, work in progress and finished goods? Yes / No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Does Internal Audit receive and investigate exception reports post-audit? Yes / No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Do you have a whistle-blower policy? 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Yes / No","options":["Yes","No"],"required":true,"pdf_field":""}],"filled_by":"applicant"},{"title":"Funds Transfer","fields":[{"help":"Provide number of instructions","type":"number","label":"What is the annual volume of funds transfer instructions given to financial institutions: Internally:","options":[],"required":true,"pdf_field":"Internally 1"},{"help":"Provide number of instructions","type":"number","label":"What is the annual volume of funds transfer instructions given to financial institutions: Externally:","options":[],"required":true,"pdf_field":"Externally 1"},{"help":"Provide amount in INR","type":"amount","label":"What is the average value of funds transfer payment: Internally:","options":[],"required":true,"pdf_field":"Internally 2"},{"help":"Provide amount in INR","type":"amount","label":"What is the average value of funds transfer payment: Externally:","options":[],"required":true,"pdf_field":"Externally 2"},{"help":"Describe procedure","type":"text","label":"What procedure is used to issue and authorise such instructions?","options":[],"required":true,"pdf_field":"text1006"},{"help":"","type":"yes-no","label":"Are these all on a pre-formatted basis? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Are the banks required to authenticate any instructions before payment? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Are all instructions confirmed in writing within 24 hours? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""}],"filled_by":"applicant"},{"title":"Suppliers","fields":[{"help":"","type":"yes-no","label":"Are all new suppliers vetted? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Do you carry out due diligence checks on all your suppliers? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Do you apply the principle of dual control when appointing new suppliers? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Are full records kept on file of the decision reached when appointing a new supplier, and the individuals involved in the decision process? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""}],"filled_by":"applicant"},{"title":"Physical Security, Valuables, Money and Inventory","fields":[{"help":"Provide amount in INR","type":"amount","label":"What is the maximum value of money, negotiable securities, precious metals and/or jewellery on the premises: During business hours:","options":[],"required":true,"pdf_field":"During business hours"},{"help":"Provide amount in INR","type":"amount","label":"What is the maximum value of money, negotiable securities, precious metals and/or jewellery on the premises: Outside business hours:","options":[],"required":true,"pdf_field":"Outside business hours"},{"help":"Provide amount in INR","type":"amount","label":"What is the maximum value of stock held at any one location:","options":[],"required":true,"pdf_field":"Stock held at any one location"},{"help":"","type":"yes-no","label":"Is a complete inventory with physical check of stock and equipment carried out? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Is there controlled access to all locations? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Describe physical security measures","type":"text","label":"What physical protection methods are used to safeguard property? (ie. alarms, security cages, closed circuit tv, etc)","options":[],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Is transfer of money and negotiable securities usually made by armored vehicles? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Describe transit procedures if not armored vehicles","type":"text","label":"If “No”, please provide details of transit procedures:","options":[],"required":false,"pdf_field":""}],"filled_by":"applicant"},{"title":"Computer Controls","fields":[{"help":"","type":"yes-no","label":"Is responsibility for Information Technology within the group centralised? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Are unique passwords used to provide varying levels of access to the computer system, depending on the authorisation of the user? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Is your computer system firewall protected? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Do you transact business over the internet? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Are all transactions encrypted? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""}],"filled_by":"applicant"},{"title":"Outsourcing","fields":[{"help":"Describe outsourced operations","type":"text","label":"If “Yes”, please provide details:","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Do you provide any outsourced services to other companies or organizations? 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