{"id":2530,"title":"EVENT 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-pw/Event-Insurance-Policy-Wordings-Proposal-Form-Retail.pdf","sha256":"f1634d7585cc981d77a1d863a43969ab6985c386c361f6fe06e7e8408e8150ab","pages":6,"collected":"2026-10-17","instructions":{"about":"This form is used by a proposer to apply for event insurance coverage by providing details about the event, coverage requirements, and other relevant information.","notes":["Answer all questions fully and accurately.","Attach separate sheets if space is insufficient.","Certified explanation is required if the proposal form is not filled by the proposer.","Use legally acquired sources of income for premium payments.","Section 41 of Insurance Act prohibits rebates as inducements for insurance."],"title":"EVENT INSURANCE PROPOSAL FORM","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"General Information","fields":[{"help":"","type":"text","label":"Name of the Proposer:","options":[],"required":true,"pdf_field":""},{"help":"Full postal address","type":"text","label":"Address:","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"State:","options":[],"required":true,"pdf_field":""},{"help":"","type":"number","label":"Pin Code:","options":[],"required":true,"pdf_field":""},{"help":"","type":"phone","label":"Telephone No.:","options":[],"required":false,"pdf_field":""},{"help":"","type":"phone","label":"Mobile No.:","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Name of the event:","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Type of event:","options":[],"required":true,"pdf_field":""},{"help":"Full venue address","type":"text","label":"Location address of the event:","options":[],"required":true,"pdf_field":""},{"help":"","type":"number","label":"Number of people expected to attend the event:","options":[],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Do you require cover for an event, or part of an event, outside India? Yes/ No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"If event outside India","type":"text","label":"Name of Countries where the event will be held:","options":[],"required":false,"pdf_field":""},{"help":"If event outside India","type":"text","label":"Venue Adress:","options":[],"required":false,"pdf_field":""},{"help":"If event outside India","type":"text","label":"Dates of Event(s):","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Are you aware of any circumstances, which could give rise to a claim? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Details of circumstances","type":"text","label":"If ‘Yes’ please give details:","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover Details - Event Cancellation (Mandatory Cover)","fields":[{"help":"Details of outdoor or canvas locations","type":"text","label":"If ‘Yes’, to either a) or b), please provide details, including exact location:","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Will adverse weather conditions prevent the fulfillment of the event? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Type of adverse weather","type":"text","label":"If ‘Yes’, please provide details of the type of weather:","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"In the event of damage to the venue, are alternative venues available? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Details of alternative venues","type":"text","label":"If ‘Yes’, please provide details:","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Have all arrangements been made in order to carry out this event? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Have you had any previous experience in staging this kind of event? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Details of previous events","type":"text","label":"If ‘Yes’, please provide some details of previous events:","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Does the above sum represent the full value at risk? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover Details - Set Protection","fields":[{"help":"","type":"yes-no","label":"Is the cover required? Yes/ No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"List all items to be insured with value and ownership details; attach separate sheet if needed","type":"table","label":"If ‘Yes’, please provide the following information: Property Description, Value (in Rs.), Ownership Details (for each item)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover Details - Public Liability","fields":[{"help":"","type":"yes-no","label":"Is the cover required? Yes/ No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"","type":"amount","label":"Please state the limit of indemnity required (in Rs.):","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Have you assumed any liability by agreement, which would not have attached in the absence of such agreement? Yes/ No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Details of assumed liability","type":"text","label":"If ‘Yes’, please provide details:","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Are pyrotechnics, lasers or explosives to be used during the event? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Responsible person/entity","type":"text","label":"Who will be responsible for this part of the event?","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Do they have their own Public Liability Insurance?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Please provide the following security details: Will security personnel be present? Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Responsible party for security personnel","type":"text","label":"If ‘Yes’, who is responsible for their actions?","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Do they carry their own Public Liability Insurance? Yes / No","options":["Yes","No"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover Details - Personal Accident","fields":[{"help":"","type":"yes-no","label":"Is the cover required? Yes/ No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Attach separate sheets if required","type":"table","label":"Please give the following details for all persons to be insured under this cover: Name of the Person, Date of Birth, Profession, Relationship with the Proposer, Any existing disability/infirmity, Assignee, Relationship of the Assignee with the Person to be Insured, Total Monthly Income (in Rs.), Sum to be Insured (in Rs.), Any other policy? If yes, give the following details: Name of the Company, Policy No., Sum Insured","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover Details - Money Insurance","fields":[{"help":"","type":"yes-no","label":"Is the cover required? Yes/ No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"","type":"amount","label":"What is the maximum estimated amount (in Rs.) that will be carried in any one (1) transit?","options":[],"required":false,"pdf_field":""},{"help":"Describe security measures","type":"text","label":"What security precautions will be taken?","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Extensions","fields":[{"help":"","type":"yes-no","label":"Named Artist Cover: Is the cover required? Yes/ No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Details of named artists","type":"text","label":"If ‘Yes’, please provide the following details of all the persons who are involved in the event and required to be covered under the Policy: Name, Age, Occupation, Travel Arrangements","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"RSMD Cover: Is the cover required? Yes/ No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Adverse Weather and Unseasonal Rain Cover: Is the cover required? Yes/ No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Terrorism Damage Inclusion Warranty Cover: Is the cover required? Yes/ No","options":["Yes","No"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Other Insurance Details","fields":[{"help":"","type":"yes-no","label":"Do you have any other current or pending insurance policy covering any of the insured perils? Yes/ No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"","type":"text","label":"If ‘Yes’, please provide the following details: Name of the Insurance Company:","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Policy Type:","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"Sum Insured:","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Policy Period:","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Over the preceding five (5) years, have you had any claim under a similar insurance policy declined and/or refused in whole or in part? Yes/No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Details of declined/refused claims","type":"text","label":"If ‘Yes’, please provide details:","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Over the preceding five (5) years, have you had any similar insurance policy cancelled and/or accepted on special term or conditions or rates? Yes/No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Details of cancellations or special terms","type":"text","label":"If ‘Yes’, please provide details:","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declarations","fields":[{"help":"","type":"date","label":"Date:","options":[],"required":true,"pdf_field":""},{"help":"","type":"signature","label":"Signature of the Proposer","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Place:","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Name and Designation (in case of corporate)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Additional Declarations and Consents","fields":[{"help":"PEP means Politically Exposed Person","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":"Details of PEP status","type":"text","label":"If yes, please share the details","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"I/we hereby give my/our consent to the Company to verify and obtain my/our identity/address proof through CERSAI records or National Securities Depository Limited Portal for the purpose of undertaking KYC verification. Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"I/we hereby declare and confirm that the premium has been paid out of legally acquired sources of income and the subsequent premiums if any, will continue to be paid out of legally declared and assessed source of income. Yes / No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"I/We hereby give voluntary consent to Bajaj General/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":"Event insurance policies covering event cancellation, set protection, public liability, personal accident, money insurance, and extensions","attachments":["Separate sheet if there is insufficient space to provide relevant information","Separate sheet for all items to be insured under Set Protection with value and ownership details","Separate sheets for persons insured under Personal Accident cover if required"],"declarations":["The information provided in this proposal form is complete, true and accurate to the best of the proposer’s knowledge.","The proposal form and declaration form the basis of the insurance contract and any false or misleading information may void the policy.","The proposer agrees to inform the company of any material changes after submission of this proposal.","The insurance contract is effective only upon company acceptance and receipt of premium.","The proposer undertakes to exercise all ordinary and reasonable precautions for safety of the property as if uninsured."],"dropped_labels":9},"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/2530-event-insurance-proposal-form"}