{"id":2587,"title":"PROPOSAL FORM ERECTION ALL RISKS/ MARINE-CUM ERECTION INSURANCE","purpose":"proposal","insurer":{"slug":"bajaj-general-insurance","name":"Bajaj General Insurance Limited"},"source_pdf":"https://www.bajajgeneralinsurance.com/download-documents/commercial-insurance/erection-all-risks-insurance/Erection-All-Risk-pf.pdf","sha256":"0428d197671d086b35b7c98bcdbe515c44163dcb43e89594d48ec0ee7b9021f5","pages":11,"collected":"2026-10-17","instructions":{"about":"This form is a proposal for Erection All Risks or Marine-cum Erection Insurance to be filled by the principal, contractor, or insured party proposing insurance coverage for erection projects.","notes":["All questions to be answered completely; if space is insufficient, enclose annexure.","Use original documents for claims processing as required.","Keep policy details updated via app, WhatsApp, call center, email, website, agent or branch.","Declaration and signatures must be completed by proposer and witness.","Disability certificate required if applicable."],"title":"PROPOSAL FORM ERECTION ALL RISKS/ MARINE-CUM ERECTION INSURANCE","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Principal and Contractor Details","fields":[{"help":"Enter the full name as per Aadhaar Card if applicable","type":"text","label":"Name of the principal","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Is your name mentioned above as per your Aadhaar Card?","options":["YES","No"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"If No, Please mention the Name as per Aadhaar Card","options":[],"required":null,"pdf_field":""},{"help":"Enter Aadhaar Card number","type":"text","label":"AadharCard No.","options":[],"required":null,"pdf_field":""},{"help":"Enter date of birth","type":"date","label":"Date of Birth","options":[],"required":null,"pdf_field":""},{"help":"Enter full postal address","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"Enter PAN number","type":"text","label":"PAN Number","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Gender","options":["Male","Female","Other"],"required":null,"pdf_field":""},{"help":"Enter telephone number","type":"phone","label":"Tel.No.","options":[],"required":null,"pdf_field":""},{"help":"Enter email address","type":"email","label":"Email","options":[],"required":null,"pdf_field":""},{"help":"Enter trade or business details","type":"text","label":"Trade or Business","options":[],"required":null,"pdf_field":""},{"help":"Enter name as per bank records","type":"text","label":"Bank Details Name as pr Bank","options":[],"required":null,"pdf_field":""},{"help":"Enter bank name","type":"text","label":"Name Of Bank","options":[],"required":null,"pdf_field":""},{"help":"Enter bank account number","type":"text","label":"Bank Account No.","options":[],"required":null,"pdf_field":""},{"help":"Enter IFSC code","type":"text","label":"IFSC Code","options":[],"required":null,"pdf_field":""},{"help":"Tick to accept","type":"checkbox","label":"* I accept to pay & receive claim amount (if any) in the above given Bank a/c","options":[],"required":null,"pdf_field":""},{"help":"Enter e-lA number if available","type":"text","label":"Electronic-Insurance Account: Please provide e-lA No. to deposite your insurance policy.","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Do you want to open e-lA account","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Are you an exisiting customer of BGIL?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide existing policy or PID number","type":"text","label":"If Yes. Please provide PID No /Policy No.","options":[],"required":null,"pdf_field":""},{"help":"Tick to confirm","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":[],"required":null,"pdf_field":""},{"help":"Enter contractor's full name","type":"text","label":"Name of the contractor","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Is your name mentioned above as per your Aadhaar Card?","options":["YES","No"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"If No, Please mention the Name as per Aadhaar Card","options":[],"required":null,"pdf_field":""},{"help":"Enter Aadhaar Card number","type":"text","label":"AadharCard No.","options":[],"required":null,"pdf_field":""},{"help":"Enter date of birth","type":"date","label":"Date of Birth","options":[],"required":null,"pdf_field":""},{"help":"Enter full postal address","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"Enter PAN number","type":"text","label":"PAN Number","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Gender","options":["Male","Female","Other"],"required":null,"pdf_field":""},{"help":"Enter telephone number","type":"phone","label":"Tel.No.","options":[],"required":null,"pdf_field":""},{"help":"Enter email address","type":"email","label":"Email","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Constitution Details","fields":[{"help":"Mark Yes or No","type":"yes-no","label":"Partnership Firm","options":[],"required":null,"pdf_field":""},{"help":"Mark Yes or No","type":"yes-no","label":"Limited Liability/Partnership Firm","options":[],"required":null,"pdf_field":""},{"help":"Mark Yes or No and provide DARPAN details if yes","type":"yes-no","label":"NGO/NPO - Provide DARPAN Portal Registration, if applicable","options":[],"required":null,"pdf_field":""},{"help":"Mark Yes or No","type":"yes-no","label":"Company","options":[],"required":null,"pdf_field":""},{"help":"Mark Yes or No","type":"yes-no","label":"Trust","options":[],"required":null,"pdf_field":""},{"help":"Mark Yes or No","type":"yes-no","label":"Society","options":[],"required":null,"pdf_field":""},{"help":"Mark Yes or No","type":"yes-no","label":"Section 8 Company","options":[],"required":null,"pdf_field":""},{"help":"Mark Yes or No","type":"yes-no","label":"Proprietorship Firm","options":[],"required":null,"pdf_field":""},{"help":"Specify other constitution if applicable","type":"text","label":"Others (Please specify)","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Additional Parties Details","fields":[{"help":"Enter full name","type":"text","label":"Name of the firm supervising erection","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Is your name mentioned above as per your Aadhaar Card?","options":["YES","No"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"If No, Please mention the Name as per Aadhaar Card","options":[],"required":null,"pdf_field":""},{"help":"Enter Aadhaar Card number","type":"text","label":"Aadhar Card No.","options":[],"required":null,"pdf_field":""},{"help":"Enter PAN number","type":"text","label":"PAN Number","options":[],"required":null,"pdf_field":""},{"help":"Enter date of birth","type":"date","label":"Date of Birth","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Gender","options":["Male","Female","Other"],"required":null,"pdf_field":""},{"help":"Enter full postal address","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"Enter full name","type":"text","label":"Name of the consulting engineer","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Is your name mentioned above as per your Aadhaar Card?","options":["YES","No"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"If No, Please mention the Name as per Aadhaar Card","options":[],"required":null,"pdf_field":""},{"help":"Enter Aadhaar Card number","type":"text","label":"Aadhar Card No.","options":[],"required":null,"pdf_field":""},{"help":"Enter PAN number","type":"text","label":"PAN Number","options":[],"required":null,"pdf_field":""},{"help":"Enter date of birth","type":"date","label":"Date of Birth","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Gender","options":["Male","Female","Other"],"required":null,"pdf_field":""},{"help":"Enter full postal address","type":"text","label":"Address","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Insured Interests","fields":[{"help":"Mark all applicable","type":"choice","label":"Whose interests are to be insured?","options":["Principal","Contractor","Sub-Contractor"],"required":null,"pdf_field":""},{"help":"Describe contract works","type":"text","label":"The contract works","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Plant & Machinery Details","fields":[{"help":"Provide detailed description","type":"text","label":"Full description of the plant & machinery to be erected including capacities","options":[],"required":null,"pdf_field":""},{"help":"Mark Yes or No","type":"yes-no","label":"Are any other plant / equipments being erected or already planned to be erected at the same site?","options":[],"required":null,"pdf_field":""},{"help":"Describe other plant/equipment","type":"text","label":"Particulars of such plant / equipments","options":[],"required":null,"pdf_field":""},{"help":"State contract value in Rupees","type":"amount","label":"Contract value","options":[],"required":null,"pdf_field":""},{"help":"Attach site map","type":"attachment","label":"Kindly enclose a map of the site marking the positions where such plant/equipment will be erected and the positions for the project now under proposal for insurance","options":[],"required":null,"pdf_field":""},{"help":"Mark Yes or No","type":"yes-no","label":"Are stores and equipments relating to this project stored at the same or adjoining place that is use for the project under this proposal","options":[],"required":null,"pdf_field":""},{"help":"Attach details as annexure","type":"text","label":"Describe in detail the fire fighting arrangements to be provided before commencement of storage at the project site","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Project and Contract Details","fields":[{"help":"Mark Yes or No","type":"yes-no","label":"Is this contract/sub-contract forming part of an overall erection project of value exceeding Rs. 5 crores","options":[],"required":null,"pdf_field":""},{"help":"Provide project name","type":"text","label":"If yes, give name of the project","options":[],"required":null,"pdf_field":""},{"help":"Mark Yes or No","type":"yes-no","label":"Is this an extension of an existing plant?","options":[],"required":null,"pdf_field":""},{"help":"Mark Yes or No","type":"yes-no","label":"If yes, will operation of existing plant continue during erection period?","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Installation and Erection Details","fields":[{"help":"Mark Yes or No","type":"yes-no","label":"Have the plans, designs and materials been already tested in any previous erection?","options":[],"required":null,"pdf_field":""},{"help":"Mark Yes or No","type":"yes-no","label":"Is the installation or part thereof built for the first time?","options":[],"required":null,"pdf_field":""},{"help":"Select applicable","type":"choice","label":"Are you the manufacturer, importer, buyer or contractor of the installation?","options":["Manufacturer","Importer","Buyer","Contractor"],"required":null,"pdf_field":""},{"help":"Select applicable","type":"choice","label":"Is the property brand new or is it second hand and used one?","options":["Brand New","Second Hand"],"required":null,"pdf_field":""},{"help":"Enter age in years","type":"number","label":"If second hand, state age","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Erection Personnel and Sub-contractors","fields":[{"help":"Mark Yes or No","type":"yes-no","label":"Will the erection be carried out by your own personnel?","options":[],"required":null,"pdf_field":""},{"help":"Provide details of other personnel","type":"text","label":"If not by whom?","options":[],"required":null,"pdf_field":""},{"help":"Describe past experience","type":"text","label":"Past experience of the erectors (kindly specify the type of contracts undertaken in the past)","options":[],"required":null,"pdf_field":""},{"help":"Mark Yes or No","type":"yes-no","label":"Will any sub-contractors be taking part in the work of erection?","options":[],"required":null,"pdf_field":""},{"help":"Explain insurance position of sub-contractors","type":"text","label":"If yes, what is their position as regards the insurance?","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Contract Site Details","fields":[{"help":"Provide full location details","type":"text","label":"Location of site where the plant is to be erected","options":[],"required":null,"pdf_field":""},{"help":"Provide nearest port/station and distance","type":"text","label":"Nearest port & / or railway station and distance from the site or erection","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Risk and Environmental Details","fields":[{"help":"Mark Yes or No","type":"yes-no","label":"Are any special risks of floods, fire or explosion involved?","options":[],"required":null,"pdf_field":""},{"help":"Describe special risks","type":"text","label":"If yes, give details","options":[],"required":null,"pdf_field":""},{"help":"Provide distance and name","type":"text","label":"Distance from nearest river or sea (the name and particulars to be given)","options":[],"required":null,"pdf_field":""},{"help":"Enter elevation in meters","type":"number","label":"Elevation of erection site above normal river or sea level","options":[],"required":null,"pdf_field":""},{"help":"Provide brief meteorological details","type":"text","label":"Meteorological conditions (in brief) (Kindly specify annual rainfall in mm normal wind speed etc.)","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Storage and Security Arrangements","fields":[{"help":"Describe storage arrangements","type":"text","label":"Brief description of the arrangements made for storage of equipments-whether in open or closed premises","options":[],"required":null,"pdf_field":""},{"help":"Mark Yes or No","type":"yes-no","label":"Will there be security on duty round the clock?","options":[],"required":null,"pdf_field":""},{"help":"Describe precautions","type":"text","label":"If not, what precautions will be taken against theft, malicious damage, etc?","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Insurance Period","fields":[{"help":"Enter date (dd/mm/yy)","type":"date","label":"Probable date of first shipment or despatch","options":[],"required":null,"pdf_field":""},{"help":"Enter date (dd/mm/yy)","type":"date","label":"Expected date of first arrival at site","options":[],"required":null,"pdf_field":""},{"help":"Enter date (dd/mm/yy)","type":"date","label":"Expected date of last arrival at site","options":[],"required":null,"pdf_field":""},{"help":"Enter date (dd/mm/yy)","type":"date","label":"Probable date of commencement of erection of plant & machinery","options":[],"required":null,"pdf_field":""},{"help":"Enter date (dd/mm/yy)","type":"date","label":"Probable date on which erection of plant and machinery is expected to be finally completed","options":[],"required":null,"pdf_field":""},{"help":"Enter duration in months","type":"number","label":"Duration of testing period","options":[],"required":null,"pdf_field":""},{"help":"Enter start and end dates (dd/mm/yy)","type":"date","label":"Period of insurance required including test","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Sum Insured Details","fields":[{"help":"Enter amount in Rs.","type":"amount","label":"On landed cost of imported machinery as at factory site (Exchange rate Rs._ to a$ ) - Invoice cost","options":[],"required":null,"pdf_field":""},{"help":"Enter amount in Rs.","type":"amount","label":"Freight, insurance, handling, clearing and transportation charges upto factory site","options":[],"required":null,"pdf_field":""},{"help":"Enter amount in Rs.","type":"amount","label":"Customs duty","options":[],"required":null,"pdf_field":""},{"help":"Enter amount in Rs.","type":"amount","label":"On machinery fabricated or manufactured in India - invoice cost including insurance, handling and clearing and transporting upto factory site","options":[],"required":null,"pdf_field":""},{"help":"Enter amount in Rs.","type":"amount","label":"Freight","options":[],"required":null,"pdf_field":""},{"help":"Enter amount in Rs.","type":"amount","label":"On cost of erection, including salaries of all foreign and Indian technicians and wages of all skilled and unskilled labour employed at factory site during erection","options":[],"required":null,"pdf_field":""},{"help":"Enter amount in Rs.","type":"amount","label":"On building in which the above plant and machinery is to be erected - Permanent civil engineering works","options":[],"required":null,"pdf_field":""},{"help":"Enter amount in Rs.","type":"amount","label":"Temporary work","options":[],"required":null,"pdf_field":""},{"help":"Enter amount in Rs.","type":"amount","label":"Completely erected value","options":[],"required":null,"pdf_field":""},{"help":"Enter amount in Rs.","type":"amount","label":"Clearance and removal of debris","options":[],"required":null,"pdf_field":""},{"help":"Attach list of construction plant and machinery","type":"attachment","label":"Construction plant and machinery to be used at the project site - details as per attached list","options":[],"required":null,"pdf_field":""},{"help":"Enter amount in Rs.","type":"amount","label":"On increased replacement value of indigenous plant and machinery","options":[],"required":null,"pdf_field":""},{"help":"Enter amount in Rs.","type":"amount","label":"Extra charges for express freight (excluding air freight) overtime, Sunday and holiday rates of wages viz expediting cost","options":[],"required":null,"pdf_field":""},{"help":"Enter amount in Rs.","type":"amount","label":"Air freight (other than above)","options":[],"required":null,"pdf_field":""},{"help":"Enter amount in Rs.","type":"amount","label":"Additional customs duty","options":[],"required":null,"pdf_field":""},{"help":"Enter total sum insured in Rs.","type":"amount","label":"Total sum insured","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Additional Cover","fields":[{"help":"Mark Yes or No","type":"yes-no","label":"Earthquake peril","options":[],"required":null,"pdf_field":""},{"help":"Mark Yes or No","type":"yes-no","label":"Additional Transit and /or storage cover","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Previous Insurance Details","fields":[{"help":"Mark Yes or No","type":"yes-no","label":"Have you approached any other insurance company for insurance cover in respect of this proposal?","options":[],"required":null,"pdf_field":""},{"help":"Provide name of insurance company","type":"text","label":"If yes, please state name of the insurance company","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Marine/Transit Cover Details","fields":[{"help":"Mark Yes or No","type":"yes-no","label":"Are there any fragile items like refractory materials, asbestos cement sheets, porcelain material, glass equipment, fire bricks, graphite electrodes etc.","options":[],"required":null,"pdf_field":""},{"help":"Provide value, description and packing mode","type":"text","label":"If yes, please give their value in Rs., description and mode of packing (whether packed in cases or loose)","options":[],"required":null,"pdf_field":""},{"help":"Mark Yes or No","type":"yes-no","label":"Do you want cement to be covered","options":[],"required":null,"pdf_field":""},{"help":"Provide value and packing mode","type":"text","label":"If yes, give its value in Rs. and mode of packing","options":[],"required":null,"pdf_field":""},{"help":"Provide voyage details","type":"text","label":"Please give particulars of voyage for imports","options":[],"required":null,"pdf_field":""},{"help":"Enter number of transhipments","type":"number","label":"How many transhipments will be there? (Specify numbers)","options":[],"required":null,"pdf_field":""},{"help":"Describe special hazards","type":"text","label":"Special hazards, if any, in transporting goods from nearest station/ port to erection site","options":[],"required":null,"pdf_field":""},{"help":"Mark Yes or No","type":"yes-no","label":"Do you require War & S.R.C.C. risk to be covered during overseas/inland transits","options":[],"required":null,"pdf_field":""},{"help":"Mark Yes or No","type":"yes-no","label":"Do you wish to opt for excess under marine/transit losses","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Payment Details","fields":[{"help":"Select mode of payment","type":"choice","label":"Mode of Payment","options":["Cheque","DD","Cash","Other"],"required":null,"pdf_field":""},{"help":"Select who gave the cheque","type":"choice","label":"Cheque - Given by","options":["Spouse","Father","Mother","Son/Daughter","Employer/ Employee","Financier"],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declarations and Consent","fields":[{"help":"Enter date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Enter place of signing","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"Sign here","type":"signature","label":"Proposer's Signature","options":[],"required":true,"pdf_field":""},{"help":"Politically Exposed Persons declaration","type":"choice","label":"Are you or any of the proposal applicants a PEP or a close relative of PEP?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Agent/intermediary to confirm explanation","type":"checkbox","label":"Declaration: The content of this form and its particulars have been explained by me in vernacular to the proposer who has understood and confirmed the same.","options":[],"required":true,"pdf_field":""},{"help":"Witness signature","type":"signature","label":"Signature of Witness","options":[],"required":null,"pdf_field":""},{"help":"Mark Yes or No","type":"yes-no","label":"Disability Declaration: Any Physical deformity or handicap","options":[],"required":null,"pdf_field":""},{"help":"Provide disability details and certificate","type":"text","label":"If Yes. Please provide details","options":[],"required":null,"pdf_field":""},{"help":"Sign here","type":"signature","label":"Signature of Authorised representative","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Agent/Intermediary Declaration","fields":[{"help":"Enter license number","type":"text","label":"IRDAI COR No./ License No.(Advisor/Corporate Agent/Broker/Relationship Officer)","options":[],"required":null,"pdf_field":""},{"help":"Agent to sign","type":"signature","label":"Signature of Agent","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":"Agent or IMD signature","type":"signature","label":"Agent / IMD (SP/DP/ BQP) signature and their code","options":[],"required":null,"pdf_field":""},{"help":"Enter name","type":"text","label":"SP/ BQP /DP/ PoS Name","options":[],"required":null,"pdf_field":""},{"help":"Enter CoR number","type":"text","label":"SP/ BQP /DP/ PoS CoR No.","options":[],"required":null,"pdf_field":""},{"help":"Sign here","type":"signature","label":"SP/ BQP /DP/ PoS Signature","options":[],"required":null,"pdf_field":""}],"filled_by":"agent"}],"deadlines":[],"applies_to":"Erection All Risks/ Marine-cum Erection Insurance policies","attachments":["Map of the site marking the positions where plant/equipment will be erected","Details of fire fighting arrangements as annexure","List of construction plant and machinery to be used at the project site"],"declarations":["The statements and particulars given are true and complete and form the basis of the contract.","Consent to share information within group entities.","No rebates or inducements are allowed as per Insurance Act 1938 Section 41.","Consent to verify identity/address proof through KYC portals.","Premium paid from legally acquired sources of income.","Consent to share personal information with group companies for products and services.","Policy contact and bank details must be kept updated for faster service.","Agent/intermediary declares explanation of form contents to proposer in vernacular.","Non-disclosure or untrue statements may lead to policy being void and forfeiture of premiums."],"dropped_labels":21},"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/2587-proposal-form-erection-all-risks-marine-cum-erection-insurance"}