{"id":2605,"title":"Property Prime 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/Property-Prime-Policy-Proposal-form.pdf","sha256":"71a2233d353e9c5e27cc3aa36a65b7e38355b078f88047e53cfab721f9295a73","pages":20,"collected":"2026-10-17","instructions":{"about":"This form is used by prospective policyholders to apply for the Property Prime insurance policy from Bajaj General Insurance Limited. The proposer fills it to provide details about the property, coverage required, and other relevant information for underwriting.","notes":["Read the Prospectus/Key Features Document/Policy Wordings before filling the form.","The property is not covered until the proposal is accepted and premium paid.","Attach separate sheets if space is insufficient to provide information.","Buildings with walls or roofs made of wooden planks, thatched leaves, grass, bamboo, plastic cloth, asphalt cloth, canvas, tarpaulin, etc. are treated as Kutcha construction.","All sections are optional except where marked compulsory.","Use block letters and provide original documents where required."],"title":"Property Prime Policy Proposal Form","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Proposer Details and Property Information","fields":[{"help":"Enter your full legal name","type":"text","label":"Full Name of the Proposer","options":[],"required":true,"pdf_field":""},{"help":"List all parties with insurable interest","type":"text","label":"Policy to be issued in favour of (List of all the parties who have insurable interest)","options":[],"required":true,"pdf_field":""},{"help":"Provide full postal address for correspondence","type":"text","label":"Address for Communication","options":[],"required":true,"pdf_field":""},{"help":"List each location with its occupancy","type":"table","label":"Address of Premises/ Location Proposed for Insurance with ongoing occupancy in that location","options":[],"required":true,"pdf_field":""},{"help":"Describe the business or occupation at the insured location","type":"text","label":"Occupation/Business","options":[],"required":true,"pdf_field":""},{"help":"Select the constitution type of your business","type":"choice","label":"Constitution Details","options":["Partnership Firm","Limited Liability/Partnership Firm","NGO/NPO","Company","Trust","Society","Section 8 Company","Proprietorship Firm","Others (Please specify)"],"required":true,"pdf_field":""},{"help":"Provide DARPAN Portal Registration if applicable","type":"text","label":"DARPAN DETAILS","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Contact and Policy Period Details","fields":[{"help":"Provide telephone numbers including area code","type":"phone","label":"Tel. Nos.","options":[],"required":false,"pdf_field":""},{"help":"Provide a valid email address","type":"email","label":"E-mail ID :","options":[],"required":false,"pdf_field":""},{"help":"Enter start and end dates of insurance coverage","type":"date","label":"Period of Insurance From / To","options":[],"required":true,"pdf_field":""},{"help":"Provide PAN or TAN number if available","type":"text","label":"PAN/TAN No.","options":[],"required":false,"pdf_field":""},{"help":"Provide bank details for premium payment","type":"text","label":"Bank Details (in case of Premium equal to or more than Rs.1,00,000/-)","options":[],"required":false,"pdf_field":""},{"help":"List other active policies with Bajaj General Insurance","type":"text","label":"Details of other active policies of Bajaj General Insurance (if any)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Coverage Selection and Property Details","fields":[{"help":"Select the coverage options you want to include","type":"checkbox","label":"COVERAGE PROPOSED: Please tick the relevant Coverage Sections you require. All Sections are optional.","options":["Cover Plinths & Foundation along with buildings","Voluntary deductibles","Machinery Breakdown","Loss of Profits","Property All Risk Cover","Terrorism Cover","Mechanical and/or electrical breakdown"],"required":false,"pdf_field":""},{"help":"Enter the paid up capital amount","type":"amount","label":"Paid up capital of firm","options":[],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Whether the sum insured for proposed location/s is above Rs. 50 crore?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Describe products manufactured and attach block plan","type":"text","label":"State the details of products manufactured at the location proposed (detailed block plan showing various facilities to be enclosed)","options":[],"required":false,"pdf_field":""},{"help":"Tick all applicable fire protection devices installed","type":"checkbox","label":"Fire Extinguishing Appliances installed","options":["Portable Extinguishers","Trailer Pumps","Fire Engine","Hydrant System","Sprinkler System","Fixed Water Spray System"],"required":false,"pdf_field":""},{"help":"Select if AMC is in force for fire appliances","type":"yes-no","label":"Indicate whether annual maintenance contract for the appliances is in form","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Is basis proposed for insurance is an reinstatement value basis? (Building/Machinery/Furniture Fixtures & Fittings)","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Enter height in meters","type":"number","label":"Height of the building (Meters)","options":[],"required":false,"pdf_field":""},{"help":"Enter total floors in the building","type":"number","label":"Number of Floors","options":[],"required":false,"pdf_field":""},{"help":"Select the age category","type":"choice","label":"Age of Building / Plant & Machinery","options":["Up to 5 years","5-10 years","10-20 years","Above 20 years"],"required":false,"pdf_field":""},{"help":"Tick Yes or No for each item","type":"checkbox","label":"Other details – Unoccupied Buildings, Fire Break Doors and Shutters, Automatic Fire Alarms, Automatic Sprinkler Installation, Back-up of Data Records","options":["Unoccupied Buildings","Fire Break Doors and Shutters","Automatic Fire Alarms","Automatic Sprinkler Installation","Back-up of Data Records"],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Would you like to avail discounts for voluntary deductibles","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Enter deductible amount in rupees","type":"amount","label":"If answer is yes, indicate the choice of deductible amount (Rs.)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Machinery Breakdown Details","fields":[{"help":"Select Yes or No","type":"yes-no","label":"Do the items listed represent the whole of the plant?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Are you at present Insured?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Name the insurer","type":"text","label":"If so, with whom?","options":[],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Are you aware of any defects/damage existing in the machinery?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Describe defects or damage","type":"text","label":"If so give details thereof","options":[],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Has your machinery sustained any damage from breakdown or other cause during last 3 years?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Describe damage and repairs","type":"text","label":"If so give details of damage/s and Repairing","options":[],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Are regular periodical inspections of the machinery carried out?","options":["Yes","No"],"required":false,"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":"Select Yes or No","type":"yes-no","label":"On payment of additional premium do you wish to cover? If yes, provide limits of indemnity","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Enter limit amount","type":"amount","label":"Express Freight (excluding Air-freight, overtime and Holiday rates of wages) Rs.","options":[],"required":false,"pdf_field":""},{"help":"Enter limit amount","type":"amount","label":"Owners Surrounding Property Rs.","options":[],"required":false,"pdf_field":""},{"help":"Enter limit amount","type":"amount","label":"Third Party Liability Rs.","options":[],"required":false,"pdf_field":""},{"help":"Enter insurance period","type":"date","label":"Period of Insurance From / To","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Loss of Profits Details","fields":[{"help":"Describe the business trade","type":"text","label":"Full description of the trade","options":[],"required":false,"pdf_field":""},{"help":"Enter duration of business existence","type":"text","label":"How long has (ve) the business (es) been established?","options":[],"required":false,"pdf_field":""},{"help":"List all business premises addresses","type":"text","label":"Addresses of all premises from which the business do trade","options":[],"required":false,"pdf_field":""},{"help":"Name the auditor","type":"text","label":"By whom are your accounts audited?","options":[],"required":false,"pdf_field":""},{"help":"Provide financial year end date","type":"date","label":"When does your financial year end?","options":[],"required":false,"pdf_field":""},{"help":"List insurers for contents","type":"text","label":"Names of the insurer covering the contents of your premises","options":[],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Have you any other consequential loss insurance in force?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Have you ever suffered a loss by any perils against which you wish to insure?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Has any insurer refused to insure you or imposed increased terms for any peril against which you wish to insure?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide details of losses or refusals","type":"text","label":"If you answer Yes to questions b, c, d please submit details","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Business and Location Details","fields":[{"help":"List goods stored in warehouse/godown","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 and attach block plan","type":"text","label":"If used as an Industrial Manufacturing unit give products manufactured at the location proposed (detailed block plan showing various facilities to be enclosed wherever applicable)","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 for each category","type":"yes-no","label":"Indicate whether AMC (Annual Maintenance contract) is in force for Fire Safety Equipment and Other Equipment and Machinery","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Enter number of floors","type":"number","label":"Number of Floors","options":[],"required":false,"pdf_field":""},{"help":"Select age category","type":"choice","label":"Age of the Building","options":["Less than 5 years","5-10 years","10-20 years","Above 20 years"],"required":false,"pdf_field":""},{"help":"Provide distance details","type":"text","label":"Distance between the risk to be covered and nearest Fire Brigade","options":[],"required":false,"pdf_field":""},{"help":"Select Yes or No and specify amount if Yes","type":"yes-no","label":"Do you want to opt for excess under this section? If Yes, How much","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Do you want to opt for Terrorism Cover","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select 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","options":["Yes","No"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Limits and Coverage Details","fields":[{"help":"Fill in applicable limits for each coverage section and sub-section","type":"table","label":"Limits Table (non-applicable options must be deleted) - Section, Sub-Section, Description, Limit of Liability Particulars","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Time and Distance Limits","fields":[{"help":"Provide applicable time and distance limits for coverage","type":"table","label":"Time and Distance Limits Table - Section, Sub-Section, Description, Time Limits Particulars","options":[],"required":false,"pdf_field":""},{"help":"Provide time specifications for occurrence notifications","type":"table","label":"Time Specifications Table - Section, Sub-Section, Description, Time Limits Particulars","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"}],"deadlines":[],"applies_to":"Property Prime Policy proposal for insuring property and related risks","attachments":["Detailed block plan showing various facilities to be enclosed (where applicable)","Separate annexure for multiple add-ons with detailed information","List of specific insured premises for limits where applicable"],"declarations":["The proposal form contents are the basis of the insurance policy and must be answered fully and accurately.","Failure to provide complete and accurate information may result in claim rejection or policy avoidance.","The liability of the company commences only after acceptance of the proposal and payment of premium."],"dropped_labels":14},"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/2605-property-prime-policy-proposal-form"}