{"id":2554,"title":"PROPOSAL FORM EDUCATION PACKAGE POLICY - SOOKSHMA UDYAM SURAKSHA","purpose":"proposal","insurer":{"slug":"bajaj-general-insurance","name":"Bajaj General Insurance Limited"},"source_pdf":"https://www.bajajgeneralinsurance.com/download-documents/commercial-insurance/commercial-pf/EDUCATION-PACKAGE-POLICY-Sookshma-Udyam-Suraksha-Proposal-form.pdf","sha256":"aaa310e6c614b45958e2e43bb0c5812d30cf95f99f4e7172f74410451875763e","pages":13,"collected":"2026-10-17","instructions":{"about":"This form is a proposal for an education package insurance policy to be filled by the educational institution (proposer). It collects details about the institution, nominees, bank details, cover options, insured property, and declarations.","notes":["Please answer all questions in BLOCK letters.","Liability of the company does not commence until the proposal is accepted and full premium is paid.","Use separate sheets wherever required.","Equipment older than 10 years cannot be insured under Electronic or Portable Equipment covers.","Nominee for self (primary insured) must be one of the specified relations.","It is mandatory to keep policy updated with contact and bank details for faster service.","Read the Prospectus/Key Features Document/Policy Wordings before filling the form.","Use original documents for claims processing as required.","The proposal form and declarations must be signed by the proposer and witnessed if applicable."],"title":"PROPOSAL FORM EDUCATION PACKAGE POLICY - SOOKSHMA UDYAM SURAKSHA","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Proposer Details","fields":[{"help":"Enter the full name of the educational institution","type":"text","label":"Name of the Proposer (Educational Institution):","options":[],"required":true,"pdf_field":""},{"help":"Enter full postal address","type":"text","label":"Address","options":[],"required":true,"pdf_field":""},{"help":"Office phone number","type":"phone","label":"Telephone1(Office):","options":[],"required":false,"pdf_field":""},{"help":"Office fax number","type":"phone","label":"Fax No. (Office):","options":[],"required":false,"pdf_field":""},{"help":"Official email address","type":"email","label":"E-mail:","options":[],"required":false,"pdf_field":""},{"help":"Specify type of institution","type":"text","label":"Type of Educational Institution: School/ College (please specify: ) / Any Other (please specify: )","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer (educational institution)"},{"title":"Nominee Details","fields":[{"help":"Name of nominee","type":"text","label":"Name","options":[],"required":true,"pdf_field":""},{"help":"Date of birth of nominee","type":"date","label":"DOB (dd/mm/yyyy)","options":[],"required":true,"pdf_field":""},{"help":"Age of nominee","type":"number","label":"Age","options":[],"required":true,"pdf_field":""},{"help":"Relation of nominee to proposer","type":"text","label":"Relation","options":[],"required":true,"pdf_field":""},{"help":"Select relation of nominee for self (primary insured)","type":"checkbox","label":"Nominee*","options":["Father","Mother","Son","Daughter","Spouse","Others"],"required":true,"pdf_field":""},{"help":"Name of appointee if nominee is minor","type":"text","label":"Appointee (If nominee is minor)","options":[],"required":false,"pdf_field":""},{"help":"Explain relation and reason if nominee is 'Others'","type":"text","label":"If Nominee is \"Others\" please specify the relation and reason for such nomination","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Bank Details","fields":[{"help":"Name as per bank records","type":"text","label":"Name as pr Bank","options":[],"required":true,"pdf_field":""},{"help":"Bank name","type":"text","label":"Name of Bank","options":[],"required":true,"pdf_field":""},{"help":"Bank account number","type":"text","label":"Bank Account No.","options":[],"required":true,"pdf_field":""},{"help":"Bank IFSC code","type":"text","label":"IFSC Code","options":[],"required":true,"pdf_field":""},{"help":"Consent to transact claim amount via this bank account","type":"checkbox","label":"* I accept to pay & receive claim amount (if any) in the above given Bank a/c","options":["accept"],"required":true,"pdf_field":""},{"help":"Alternate office phone","type":"phone","label":"Telephone2(Office):","options":[],"required":false,"pdf_field":""},{"help":"Mobile number of contact person","type":"phone","label":"Mobile Number of the Contact Person","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Electronic-Insurance Account","fields":[{"help":"Provide e-lA number if available","type":"text","label":"Please provide e-lA No. to deposit your insurance policy.:","options":[],"required":false,"pdf_field":""},{"help":"Select if you want to open e-lA account","type":"choice","label":"Do you want to open e-lA account:","options":["Yes","No"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Existing Customer","fields":[{"help":"Select yes if you have an existing policy","type":"choice","label":"Are you an existing customer of Bajaj General?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide PIO or Policy number if existing customer","type":"text","label":"If yes. Please provide PIO No: / Policy No.","options":[],"required":false,"pdf_field":""},{"help":"Confirm no change in KYC details","type":"checkbox","label":"I hereby confirm that; there is no change in my existing KYC details that are available from my previous/existing policy.","options":["confirm"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover Details","fields":[{"help":"Enter start and end date of policy","type":"date","label":"Proposed Policy Period: From: To:","options":[],"required":true,"pdf_field":""},{"help":"Select type of education continuity cover","type":"choice","label":"Type of Cover Required for Education Continuity Cover: Death only/ Death and Permanent Total Disability","options":["Death only","Death and Permanent Total Disability"],"required":false,"pdf_field":""},{"help":"Select type of group personal accident cover for students","type":"choice","label":"Type of Cover Required for Group Personal Accident Cover for Students: Death only/ Death and Permanent Total Disability/ Death, Permanent Total Disability and Permanent Partial Disability","options":["Death only","Death and Permanent Total Disability","Death, Permanent Total Disability and Permanent Partial Disability"],"required":false,"pdf_field":""},{"help":"Fill numbers and sums insured for students and parents","type":"table","label":"Details of Members to be Covered (Total number of students to be covered, Total number of earning parents of the students to be covered, Sum Insured per earning parent and Total Sum Insured (in Rs.) for Education Continuity Cover, Sum Insured per student and Total Sum Insured (in Rs.) for Group Personal Accident Cover for Students, Sum Insured per student and Total Sum Insured (in Rs.) for Accidental Hospitalization Cover for Students)","options":[],"required":true,"pdf_field":""},{"help":"Select yes or no","type":"choice","label":"Would you like to opt for Medical Expenses Reimbursement Extension for the above-mentioned students?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Select yes or no","type":"choice","label":"Would you like to opt for Hospital Confinement Allowance for the above-mentioned students?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Select if opting for Staff Secure cover","type":"choice","label":"Cover 2: Staff secure - Do you wish to opt for this cover?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Select type of cover for staff","type":"choice","label":"Type of Cover Required : Basic/ Wider / Comprehensive","options":["Basic","Wider","Comprehensive"],"required":false,"pdf_field":""},{"help":"Fill numbers, nature of work, and sums insured for staff","type":"table","label":"Details of Members to be Covered (Total number of students to be covered, Nature of work (Teaching/ Non-Teaching) of staff members, Sum Insured per staff member and Total Sum Insured (in Rs.) for Group Personal Accident Cover for Staff Members)","options":[],"required":true,"pdf_field":""},{"help":"Select yes or no","type":"choice","label":"Would you like to opt for Medical Expenses Reimbursement Extension for the above-mentioned students?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Select yes or no","type":"choice","label":"Would you like to opt for Hospital Confinement Allowance for the above-mentioned students?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Select if opting for Public Liability cover","type":"choice","label":"Cover 3(a): Public Liability Cover - Do you wish to opt for this cover?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Enter indemnity limit amount","type":"amount","label":"Please provide the limit of indemnity required for any one year: Rs.","options":[],"required":false,"pdf_field":""},{"help":"Select facilities available","type":"checkbox","label":"Please tick on the facility provided at the institute: Hostel, Mess / Canteen, Lift/Escalator/Elevator, Swimming Pool","options":["Hostel","Mess / Canteen","Lift/Escalator/Elevator","Swimming Pool"],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"choice","label":"Is the lift operated by an attendant:","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"choice","label":"Is an AMC in existence in respect of the lift/ escalator/ elevator:","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"choice","label":"Is the swimming pool manned by trainers and lifeguards on a 24x7 hours basis:","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"choice","label":"Have there been any instances of third-party bodily injury and/or property damage in the past?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Describe past incidents if any","type":"text","label":"If yes, please provide details:","options":[],"required":false,"pdf_field":""},{"help":"Select if opting for Workmen's Compensation cover","type":"choice","label":"Cover 3(b): Workmen's Compensation Act Cover - Do you wish to opt for this cover?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Fill employee details for workmen's compensation","type":"table","label":"Details of Members to be Covered (Number of employees to be covered, Nature of work, Monthly Salary (in Rs.) per employee)","options":[],"required":true,"pdf_field":""},{"help":"Select yes or no","type":"choice","label":"Are there any security measures to prevent accidents?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Describe security measures","type":"text","label":"If yes, please provide details:","options":[],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"choice","label":"Has there or have there been any instances of accidents in the premises in the past?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Describe past accidents","type":"text","label":"If yes, please provide details:","options":[],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"choice","label":"Would you like to opt for a cover on a first loss basis @ 30% of the total value at risk?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select if opting for Money Insurance cover","type":"choice","label":"Cover 4(c): Money Insurance Cover - Do you wish to opt for this cover?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Specify transit locations","type":"text","label":"Please specify the locations between which the transit of money is to be covered?","options":[],"required":false,"pdf_field":""},{"help":"Enter transit limit amount","type":"amount","label":"What is the any one transit limit?","options":[],"required":false,"pdf_field":""},{"help":"Enter number of transits per month","type":"number","label":"How many transits take place in a month?","options":[],"required":false,"pdf_field":""},{"help":"Enter estimated annual transit amount","type":"amount","label":"What is the estimated annual transit?","options":[],"required":false,"pdf_field":""},{"help":"Specify mode of transit","type":"text","label":"What is the mode of transit?","options":[],"required":false,"pdf_field":""},{"help":"Describe security measures for transit","type":"text","label":"Please specify security provided, if any?","options":[],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"choice","label":"Whether casual employees are used for carrying money?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"choice","label":"Is there a daily written record of the money in transit and is it updated every day?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"List electronic equipment details","type":"table","label":"Details of Electronic Equipments to be Covered (Description, S. No., Type and Capacity, Year of manufacture and Name of manufacturer, Sum to be Insured (in Rs.))","options":[],"required":false,"pdf_field":""},{"help":"List portable equipment details","type":"table","label":"Details of Electronic Equipments to be Covered (Description, S. No., Type and Capacity, Year of manufacture and Name of manufacturer, Sum to be Insured (in Rs.))","options":[],"required":false,"pdf_field":""},{"help":"Describe plate glass details","type":"text","label":"If yes, please provide a description, location and value of the plate glass that you wish to insure:","options":[],"required":false,"pdf_field":""},{"help":"Select if opting for Neon/Glow Sign cover","type":"choice","label":"Cover 4(g): Neon Sign/ Glow Sign Cover - Do you wish to opt for this cover?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Describe neon/glow sign details","type":"text","label":"If yes, please provide a description, location and value of the plate glass that you wish to insure:","options":[],"required":false,"pdf_field":""},{"help":"Select if opting for Fidelity Guarantee cover","type":"choice","label":"Cover 4(h): Fidelity Guarantee Cover - Do you wish to opt for this cover?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"List employees for fidelity guarantee","type":"table","label":"Details of Employees to be Covered (Name, Designation, Monthly Salary (in Rs.), Employee Sum Insured)","options":[],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"choice","label":"Is there a system to obtain references from previous employers?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Describe reference checking practice","type":"text","label":"If not, specify practice followed.","options":[],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"choice","label":"Has there been any occasion to question honesty or conduct of any person proposed for guarantee?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Describe issues if any","type":"text","label":"If yes, please provide details:","options":[],"required":false,"pdf_field":""},{"help":"Specify frequency","type":"text","label":"How often are the employees required to account for money?","options":[],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"choice","label":"Are books of accounts balanced every day?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Describe independent checking system","type":"text","label":"What independent system is there to check that all sums received by employees are accounted for?","options":[],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"choice","label":"Have there been any reported losses (whether insured or not) due to fraud or dishonesty employees, partners or directors during the last five years?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Describe losses if any","type":"text","label":"If yes, please give details:","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Previous Insurance Details","fields":[{"help":"Select yes or no","type":"choice","label":"Is your previous insurance policy with Bajaj General Insurance Limited?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide previous policy number and expiry date","type":"text","label":"If yes, kindly provide the previous Policy No and Policy Expiry Date","options":[],"required":false,"pdf_field":""},{"help":"Provide previous insurer details","type":"text","label":"If no, kindly provide name of the previous insurer (if any) and Previous Policy No. along with the Policy Expiry Date","options":[],"required":false,"pdf_field":""},{"help":"Fill claims history details","type":"table","label":"Please provide the claims history for past 3 yrs: No. of Claims made, Cause of Loss, Total Claimed Amount","options":[],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"choice","label":"Has any General Insurance Company, in respect of the risk to which this proposal relates, ever declined a proposal, refused renewal or terminated insurance?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide details if applicable","type":"text","label":"If yes in either case, please provide details","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Proposer and Policy Details Annexure","fields":[{"help":"Enter proposer name","type":"text","label":"Name of the Proposer","options":[],"required":true,"pdf_field":""},{"help":"Enter full address","type":"text","label":"Address","options":[],"required":true,"pdf_field":""},{"help":"Landline number","type":"phone","label":"Telephone (Landline)","options":[],"required":false,"pdf_field":""},{"help":"Email address","type":"email","label":"E-mail","options":[],"required":false,"pdf_field":""},{"help":"Enter policy start and end dates","type":"date","label":"Period of Insurance From To","options":[],"required":true,"pdf_field":""},{"help":"Describe business activity","type":"text","label":"Business of Proposer","options":[],"required":true,"pdf_field":""},{"help":"Provide details of all locations","type":"table","label":"Location of risk/business to be covered - full postal address with Pin Code, Occupancy, Age of Unit, Floor","options":[],"required":true,"pdf_field":""},{"help":"List goods stored","type":"text","label":"If used as warehouse / godown (not located in a manufacturing unit), please give the list of goods stored","options":[],"required":false,"pdf_field":""},{"help":"Describe products manufactured","type":"text","label":"If used as an Industrial Manufacturing unit give products manufactured at the location proposed","options":[],"required":false,"pdf_field":""},{"help":"Select factory status","type":"choice","label":"If used as an Industrial Manufacturing unit, please state whether the factory is working or silent","options":["Working","Silent"],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"choice","label":"Indicate whether AMC(Annual Maintenance contract) for the Fire Protection Appliances is in force","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Enter number of floors","type":"number","label":"Number of Floors","options":[],"required":true,"pdf_field":""},{"help":"Select building age range","type":"choice","label":"Age of the Building (Less than 5 years, 5-10 years, 10-20 years, Above 20 years)","options":["Less than 5 years","5-10 years","10-20 years","Above 20 years"],"required":true,"pdf_field":""},{"help":"Specify distance","type":"text","label":"Distance between the risk to be covered and nearest Fire Brigade","options":[],"required":false,"pdf_field":""},{"help":"Provide details if yes","type":"text","label":"Whether You have insured the same property with any other Insurance Company with the same type of coverage","options":[],"required":false,"pdf_field":""},{"help":"Provide details if yes","type":"text","label":"Whether Insurance was declined by any other Company","options":[],"required":false,"pdf_field":""},{"help":"Fill premium and claim details for past 3 years","type":"table","label":"Premium / Claim details for the past 36 months excluding the expiring policy period (Year, Premium, Claim)","options":[],"required":false,"pdf_field":""},{"help":"Provide sum insured values for each category","type":"table","label":"Sum Insured and Other details of Insured Property (Description of Block Building including plinth, Basement and additional structures, Plant & Machinery, Furniture & Fixtures, Fittings and other equipment, Raw Material, Stock in Process, Finished Stock, Other Contents, Total)","options":[],"required":true,"pdf_field":""},{"help":"Select if opting for floater cover","type":"choice","label":"Do You want to opt for Floater Cover? Yes/No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"List locations and sum insured","type":"table","label":"Floater Cover (for stocks at various locations) - Location (Postal Address with Pin Code), Sum Insured (in Rs.)","options":[],"required":false,"pdf_field":""},{"help":"Enter maximum value","type":"amount","label":"Maximum value at any one location","options":[],"required":false,"pdf_field":""},{"help":"Select yes or no","type":"choice","label":"Whether stocks stored in open","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select if opting for declaration policy","type":"choice","label":"Do You want to opt for Declaration Policy? Yes/No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Enter amount for declaration policy","type":"amount","label":"Stocks which fluctuate in value to be covered on (monthly) declaration basis - Amount","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declaration by Insured","fields":[{"help":"Name of proposer signing","type":"text","label":"Name","options":[],"required":true,"pdf_field":""},{"help":"Designation of proposer","type":"text","label":"Designation","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declarations - Physical Proposal Form","fields":[{"help":"Select yes or no","type":"choice","label":"Are you or any of the proposal applicants a PEP* or a close relative of PEP*?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Sign here","type":"signature","label":"Signature of Proposer","options":[],"required":true,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Place of signing","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"Name of witness if applicable","type":"text","label":"Name of Witness","options":[],"required":false,"pdf_field":""},{"help":"Witness signature if applicable","type":"signature","label":"Signature of Witness","options":[],"required":false,"pdf_field":""},{"help":"Declare any disability","type":"choice","label":"Disability Declaration - Any Physical deformity or handicap?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide disability details","type":"text","label":"If yes, please provide details (Disability Certificate issued by Medical Board)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Agent/Intermediary Declaration","fields":[{"help":"Date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Place of signing","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"Agent signature and code","type":"signature","label":"Agent / IMD (SP/DP/BQP) signature and their code","options":[],"required":true,"pdf_field":""},{"help":"Agent name","type":"text","label":"Agent/IMD Name","options":[],"required":true,"pdf_field":""},{"help":"Agent code","type":"text","label":"Agent/IMD Code","options":[],"required":true,"pdf_field":""},{"help":"SP/BQP/DP/PoS name","type":"text","label":"SP / BQP / DP / PoS Name","options":[],"required":false,"pdf_field":""},{"help":"SP/BQP/DP/PoS code","type":"text","label":"SP / BQP / DP / PoS CoR No.","options":[],"required":false,"pdf_field":""},{"help":"Signature of SP/BQP/DP/PoS","type":"signature","label":"SP / BQP / DP / PoS Signature","options":[],"required":false,"pdf_field":""}],"filled_by":"agent/intermediary"}],"deadlines":[],"applies_to":"Education Package Policy covering students, staff, liability, and property of educational institutions","attachments":["Annexure attached to this proposal for Fire and Allied Perils Cover","Separate sheets wherever required for Cover 4(b) Burglary and Robbery Cover","Separate sheet for details of employees for Fidelity Guarantee Cover"],"declarations":["The information provided in this proposal form is true, complete and accurate to the best of the proposer's knowledge.","The insurance contract is effective only upon acceptance by the company and receipt of premium.","The proposer agrees to inform the company of any material changes after submission of this proposal.","The proposer consents to KYC verification through CERSAI or NSDL portals.","The premium has been paid from legally acquired sources.","The proposer consents to sharing personal information with group companies.","The agent/intermediary confirms having explained the proposal form contents to the proposer in vernacular if required."],"dropped_labels":24},"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/2554-proposal-form-education-package-policy-sookshma-udyam-suraksha"}