{"id":2578,"title":"Flexi Business Advantage Policy Proposal Form","purpose":"proposal","insurer":{"slug":"bajaj-general-insurance","name":"Bajaj General Insurance Limited"},"source_pdf":"https://www.bajajgeneralinsurance.com/download-documents/commercial-insurance/Flexi-Business-Advantage-Proposal-Form-Individual.pdf","sha256":"d3a81eff86486a916bdbb8b01ceae5479839479d1d5410f738e64ee91e44e642","pages":20,"collected":"2026-10-17","instructions":{"about":"This form is used by individuals or businesses proposing to purchase the Flexi Business Advantage insurance policy from Bajaj General Insurance Limited. The proposer fills it to provide detailed information about their business, property, and coverage requirements.","notes":["Read the Prospectus/Key Features Document/Policy Wordings before filling the form.","The property proposed for insurance is not covered until the proposal is accepted and premium paid.","Use separate sheets if space is insufficient.","Buildings with wooden planks, thatched leaves, grass, bamboo, plastic cloth, asphalt cloth, canvas, tarpaulin etc. are treated as Kutcha construction.","Portable Equipment only up to the age of 5 years shall be covered.","All persons employed must be included under Employee’s Compensation.","Sum insured must be calculated on present day new replacement value including packing, freight, erection costs, customs duty etc."],"title":"Flexi Business Advantage Policy Proposal Form","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Proposer Details","fields":[{"help":"","type":"text","label":"Full Name of the Proposer","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Policy to be issued in favour of (List of all the parties who have insurable interest)","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Address for Communication","options":[],"required":null,"pdf_field":""},{"help":"Provide location(s) and occupancy details","type":"table","label":"Address of Premises/ Location Proposed for Insurance with ongoing occupancy in that location","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Occupation/Business","options":[],"required":null,"pdf_field":""},{"help":"Provide telephone numbers","type":"phone","label":"Tel. Nos.","options":[],"required":null,"pdf_field":""},{"help":"Provide email address","type":"email","label":"E-mail ID","options":[],"required":null,"pdf_field":""},{"help":"Enter start and end dates of insurance period","type":"date","label":"Period of Insurance From / To","options":[],"required":null,"pdf_field":""},{"help":"Provide PAN or TAN number","type":"text","label":"PAN/TAN No.","options":[],"required":null,"pdf_field":""},{"help":"Provide bank details if premium is Rs.1,00,000 or more","type":"text","label":"Bank Details (in case of Premium equal to or more than Rs.1,00,000/-)","options":[],"required":null,"pdf_field":""},{"help":"List other active policies if any","type":"text","label":"Details of other active policies of Bajaj General Insurance (if any)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Coverage Proposed","fields":[{"help":"Tick if you require this coverage","type":"checkbox","label":"SECTION 1: INDUSTRIAL ALL RISK (APPLICABLE ONLY TO INDUSTRIAL RISKS)","options":["Select if applicable"],"required":false,"pdf_field":""},{"help":"Enter paid up capital amount","type":"amount","label":"Paid up capital of firm","options":[],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Whether the sum insured for proposed location/s is above Rs. 100 crore? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Would you like to cover Plinths & Foundation along with your buildings? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Tick all add-on covers required and specify amounts where applicable","type":"checkbox","label":"Add - On Covers Required","options":["Architects, Surveyors, & Consulting Engineers Fees (in excess of 3% of the claim amount)","Debris removal","Deterioration of stocks in cold storage premises due to failure of electrical supply at terminal ends of electric service feeder due to an insured peril","Deterioration of stocks in cold storage premises due to change in temperature arising out of loss or damage to cold storage machinery in the insured's premises due to operation of insured peril","Omission to Insure additions, alterations or extensions","Spoilage material cover","Leakage and contamination cover","Temporary removal of stocks","Loss of rent","Additional expenses of rent for an alternate accommodation","Start-up expenses"],"required":false,"pdf_field":""},{"help":"Provide detailed description and enclose block plan","type":"text","label":"State the details of products manufactured at the location proposed","options":[],"required":null,"pdf_field":""},{"help":"Provide details for each add-on cover","type":"table","label":"Add-On-Cover Clause / peril code, Risk Code, Rate Code, Rate, Amount to be insured/percentage wherever applicable","options":[],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Would you like to avail discounts for voluntary deductibles? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Machinery Breakdown","fields":[{"help":"Tick Yes or No","type":"yes-no","label":"Do the items listed represent the whole of the plant? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Are you at present Insured? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide insurer name if insured","type":"text","label":"If so, with whom?","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Are you aware of any defects/damage existing in the machinery? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide details of defects or damage","type":"text","label":"If so give details thereof","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Has your machinery sustained any damage from breakdown or other cause during last 3 years? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide details of damage and repairs","type":"text","label":"If so give details of damage/s and Repairing","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Are regular periodical inspections of the machinery carried out? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide details of inspection agency and frequency","type":"text","label":"If so, by whom and what intervals?","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"On payment of additional premium do you wish to cover? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Enter insurance period dates","type":"date","label":"Period of Insurance From / To","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Loss of Profits","fields":[{"help":"Describe the trade/business","type":"text","label":"Full description of the trade","options":[],"required":null,"pdf_field":""},{"help":"Provide duration of business existence","type":"text","label":"How long has (ve) the business (es) been established?","options":[],"required":null,"pdf_field":""},{"help":"List all business premises addresses","type":"text","label":"Addresses of all premises from which the business do trade","options":[],"required":null,"pdf_field":""},{"help":"Provide auditor details","type":"text","label":"By whom are your accounts audited?","options":[],"required":null,"pdf_field":""},{"help":"Provide financial year end date","type":"date","label":"When does your financial year end?","options":[],"required":null,"pdf_field":""},{"help":"Specify standing charges included","type":"text","label":"Standing Charges included (Interest on Debentures, Mortgages, Loans, Rent, Rates and Taxes, Salaries and wages, PF, Maintenance, Depreciation, Power & Fuel, Other)","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Business and Location of Business","fields":[{"help":"Provide address, pin code, occupancy, age of unit, and additional details","type":"table","label":"Location of risk/business to be covered - full postal address with Pin Code","options":[],"required":null,"pdf_field":""},{"help":"Specify percentage waiver","type":"number","label":"Please mention % of waiver for Underinsurance to be opted","options":[],"required":false,"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":"Provide product details and enclose block plan","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":"Tick Yes or No","type":"yes-no","label":"Indicate whether AMC (Annual Maintenance contract) is in force: Yes / No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide distance","type":"text","label":"Distance between the risk to be covered and nearest Fire Brigade","options":[],"required":false,"pdf_field":""},{"help":"Specify excess amount","type":"amount","label":"If Yes, How much","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Do you want to opt for Terrorism Cover? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Do you want to cover Mechanical and/or electrical breakdown and/or derangement, overloading or strain; overrunning excessive pressure, short circuiting and/or self heating? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Material Damage - Named Perils Cover","fields":[{"help":"Select groups and specify sub limits","type":"table","label":"Choose from the listed Group of Insured Events (Group 1 to Group 5) Yes / No and Sub Limit %","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Burglary and Robbery Cover","fields":[{"help":"Tick Yes or No and specify percentage if Yes","type":"choice","label":"Would you like to opt for a cover on a first loss basis? Yes / No (If Yes, specify 25% or 40%)","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Would you like to opt for a Theft extension cover? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Neon Sign Cover","fields":[{"help":"Provide details for each neon sign","type":"table","label":"Description, Year of Production, Name of Manufacturer, Sum to be Insured (Rs.) [Reinstatement Value]","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Plate Glass Cover","fields":[{"help":"Tick Yes or No and provide reason and description if Yes","type":"yes-no","label":"Is there any Plate Glass in the Insured Premises that is not included in the above Sum Insured? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Tick Yes or No and describe position and size if Yes","type":"yes-no","label":"Is there at present any broken or damaged Plate Glass? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Fidelity Guarantee","fields":[{"help":"Select basis of cover","type":"choice","label":"Please confirm if Fidelity Guarantee Cover is required on Named Basis or Unnamed Basis","options":["Named Basis","Unnamed Basis"],"required":null,"pdf_field":""},{"help":"Tick Yes or No for each","type":"yes-no","label":"Please confirm details available for Employees/ specified persons: Police Verification, Other background checks","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide average tenure in years","type":"number","label":"Average Tenure of Employees/ Specified Persons associated (In Years)","options":[],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Please confirm if Cover is required on Floater Basis: Yes / No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Is there a system to obtain references from previous Employers? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Tick Yes or No and provide details if Yes","type":"yes-no","label":"Has there been any occasion to question honesty or conduct of any person proposed for guarantee? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide frequency","type":"text","label":"How often are the employees required to account for money?","options":[],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Are books of accounts balanced every day? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide audit system details and frequency","type":"text","label":"What independent system including Audits is there to check that all sums received by employees are accounted for and how often are Audits done?","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Portable Equipments","fields":[{"help":"Provide details for each portable equipment","type":"table","label":"Description of the Equipment, Sr. No., Type and Capacity, Year of Manufacture, Name of Manufacturer, AMC (Yes/No), Territorial Limits (India/Worldwide), Sum Insured (Rs.)","options":[],"required":null,"pdf_field":""},{"help":"Provide loss details","type":"text","label":"Provide loss details in respect of Portable Equipment’s incurred during the last 3 years","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Do you want coverage on worldwide basis? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Employee’s Compensation","fields":[{"help":"Describe work details","type":"text","label":"Particulars of work to be covered in Detail","options":[],"required":null,"pdf_field":""},{"help":"Provide number and duration of shifts","type":"text","label":"Number of work shifts and duration of each shift","options":[],"required":null,"pdf_field":""},{"help":"Provide details for own employees","type":"table","label":"Own Employee Details (Description of Employees, Declared Number of Employees, Total Declared wages during the period of insurance, Place/Places of Employment)","options":[],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Do you comply with all statutory obligations, manufacturer's recommendations and other safety regulations in conduct of the Business? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Do you maintain an accurate record of the Employees and Wages in respect of the Business in compliance with all statutory requirements? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Tick all that apply","type":"checkbox","label":"Fire prevention and safety measures available (Fire Extinguisher, Hydrant system, Smoke detection systems, 24x7 Watch and Ward, Common Watchman)","options":["Fire Extinguisher","Hydrant system","Smoke detection systems","24 x7 Watch and Ward","Common Watchman"],"required":null,"pdf_field":""},{"help":"Select frequency","type":"choice","label":"Do you carry out frequent training sessions on Safety for your Employees? (Monthly, Quarterly, Half Yearly, Yearly, More than Yearly)","options":["Monthly","Quarterly","Half Yearly","Yearly","More than Yearly"],"required":null,"pdf_field":""},{"help":"Select if applicable and provide details","type":"choice","label":"Has any proposal for an insurance in respect of your liability to your employees or renewal thereof ever been declined or withdrawn? (Declined / Withdrawn)","options":["Declined","Withdrawn","None"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Electronic Equipment Insurance Cover","fields":[{"help":"Provide details for each electronic equipment","type":"table","label":"Description of the Equipment, Sr. No., Type and Capacity, Year of Manufacture, Name of Manufacturer, AMC (Yes/No), Sum Insured (Rs.)","options":[],"required":null,"pdf_field":""},{"help":"Provide breakdown and repair cost details","type":"text","label":"Details of breakdown and Repair cost incurred during the last 3 years","options":[],"required":false,"pdf_field":""},{"help":"Provide reinstatement value if applicable","type":"amount","label":"Reinstatement value of Data Media Rs.","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No and specify limit if Yes","type":"yes-no","label":"Do you require cover for reproduction of Data lost following indemnifiable damage to data media? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Do you wish to opt for the Terrorism Cover? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Money Insurance","fields":[{"help":"Provide transit locations","type":"text","label":"Specify the locations between which the transit of money to be covered","options":[],"required":null,"pdf_field":""},{"help":"Provide transit limit","type":"amount","label":"What is the Any One Transit Limit?","options":[],"required":null,"pdf_field":""},{"help":"Provide number of transits","type":"number","label":"How many transits take place in a month?","options":[],"required":null,"pdf_field":""},{"help":"Provide estimated annual transit amount","type":"amount","label":"What is the estimated Annual Transit?","options":[],"required":null,"pdf_field":""},{"help":"Specify mode of transit","type":"text","label":"What is the mode of transit?","options":[],"required":null,"pdf_field":""},{"help":"Provide security details","type":"text","label":"Please specify security provided, if any","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Whether casual employees are used for carrying money? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Is there a daily written record of the money in transit and is it updated every day? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Machinery Breakdown (Section 13)","fields":[{"help":"Provide details for each machinery","type":"table","label":"Description of the Equipment, Sr. No, Type and Capacity, Year of Manufacture, Name of Manufacturer, AMC (Yes/No), Sum Insured (Rs.)","options":[],"required":null,"pdf_field":""},{"help":"Provide breakdown and repair cost details","type":"text","label":"Details of breakdown and repair cost incurred during the last 3 years","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Consequential Loss (Fire) Insurance","fields":[{"help":"Tick Yes or No","type":"yes-no","label":"Are the premises insured under a Fire Material Damage policy? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide profit details","type":"text","label":"What is the annual gross profit estimated for the period (Net Profit, Standing Charges, Total Gross Profit)","options":[],"required":null,"pdf_field":""},{"help":"Provide sum insured","type":"amount","label":"Sum insured proposed for Loss of Profit Insurance","options":[],"required":null,"pdf_field":""},{"help":"Provide indemnity period in months","type":"number","label":"Indemnity period opted","options":[],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Do you require coverage for Supplier’s Premises? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Tick Yes or No and provide details if Yes","type":"yes-no","label":"Do you wish to extend coverage to your property stored at other Locations? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Tick Yes or No and specify which extensions required","type":"yes-no","label":"Do you wish to extend the policy to cover loss due to accidental failure of Public Electricity/Gas/Water supply? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide duration and insurer details","type":"text","label":"How long you have been availing Loss of Profit policy? Provide insurer details","options":[],"required":false,"pdf_field":""},{"help":"Provide premium and claim details","type":"text","label":"Please give the premium and claim experience for the last 4 years under Loss of Profit cover","options":[],"required":false,"pdf_field":""},{"help":"Provide details","type":"text","label":"Have you approached any other insurer for this cover? Has any insurer declined/quoted with higher premium?","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Machinery Loss of Profit","fields":[{"help":"Tick Yes or No for each and complete relevant schedules","type":"yes-no","label":"Do you wish to cover the risk of loss of profits arising from: Machinery breakdown, Boiler/pressure vessel explosion, Accident failure of public electric supply? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Select whole or part","type":"choice","label":"Do the lists of Machinery/ Boilers/ Pressure Vessel in the Schedules represent the whole or part of the machinery?","options":["Whole","Part"],"required":null,"pdf_field":""},{"help":"Tick Yes or No and provide details if Yes","type":"yes-no","label":"Are you aware of any circumstances which render the risk more hazardous? Yes / No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide inspection details and maintenance schedule","type":"text","label":"Are all or any of the Machinery/Boilers/Pressure Vessels subject to periodical inspection? If so, state by whom and at what intervals","options":[],"required":false,"pdf_field":""},{"help":"Provide process and utility details","type":"text","label":"Description of the manufacturing process and utility supplies required for production","options":[],"required":false,"pdf_field":""},{"help":"Attach diagrams","type":"attachment","label":"Attach separate line diagrams for utility supplies such as power, steam, air and water showing interconnected machinery","options":[],"required":false,"pdf_field":""},{"help":"Provide details on load carrying and alternate means","type":"text","label":"In the event of stoppage of any of the machines proposed: Can machines which remain in operation carry the load? Are there alternate means of maintaining production?","options":[],"required":false,"pdf_field":""},{"help":"Provide repair facility details","type":"text","label":"What repair facilities are there in your premises and local facilities?","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Are any of the machines described in the schedule de-rated? Yes / No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide estimated interruption period","type":"text","label":"Estimate period of interruption affecting resumption of normal production due to spoilage of materials following breakdown or failure of utility supplies","options":[],"required":false,"pdf_field":""},{"help":"Provide duration","type":"text","label":"Since how long you have been in this line of business?","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No and provide details if Yes","type":"yes-no","label":"Have you ever suffered loss of profit following machinery breakdown and/or boiler explosion? Yes / No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide sum insured","type":"amount","label":"State sum insured on gross profit under the loss of profits policy","options":[],"required":false,"pdf_field":""},{"help":"Specify wage cover details","type":"text","label":"On wages (alternative forms of cover available)","options":[],"required":false,"pdf_field":""},{"help":"Provide insurance proposal details","type":"text","label":"Are you insured or have you made a proposal in respect of Loss of Profits following Machinery Breakdown and/or Boiler Explosion and/or Failure of Public Electric Supply? Provide insurer name and details of any declined or special terms","options":[],"required":false,"pdf_field":""},{"help":"Provide loss details","type":"text","label":"Have you ever suffered Loss of Profits following Machinery Breakdown and/or boiler Explosion and/or Failure of Public Electricity supply? Provide details","options":[],"required":false,"pdf_field":""},{"help":"Provide insurance details","type":"text","label":"Are you insured against Loss of Profit following Fire and Explosion? Provide Sum Insured, Company and Policy No.","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"}],"deadlines":[],"applies_to":"Flexi Business Advantage Policy","attachments":["Separate sheet for additional information if insufficient space","Detailed block plan showing various facilities for products manufactured","Separate sheet for each Risk Location and its occupancy where required","Process flow diagram showing connected machinery","Separate line diagrams for utility supplies such as power, steam, air and water"],"declarations":["The proposer must answer fully and accurately all questions and provide all relevant information for underwriting.","Liability of the Company does not commence until the Proposal has been accepted and premium paid."],"dropped_labels":61},"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/2578-flexi-business-advantage-policy-proposal-form"}