{"id":2748,"title":"GC BHARAT GRIHA RAKSHA PROPOSAL FORM","purpose":"proposal","insurer":{"slug":"generali-central-insurance","name":"Generali Central Insurance Company Limited"},"source_pdf":"https://www.generalicentralinsurance.com/downloads/home-insurance/gc-bharat-griha-raksha/proposal-forms/gc-bharat-griha-raksha-proposal-form.pdf","sha256":"0c090e844ecadf4717e30e9d1a60bec142ee715f9dc0d38105255d2aaaa63a87","pages":11,"collected":"2026-10-17","instructions":{"about":"This form is used by individuals or entities proposing to insure their home building and/or home contents against fire and allied perils. The proposer fills this form to provide details about the property, coverage required, and other relevant information for the insurance policy.","notes":["Read the Prospectus/Key Features Document/Policy Wordings before filling the form.","Property is not covered until proposal is accepted and premium paid.","For long term policy, period shall not exceed 10 years.","Home Building includes additional structures on the same site used as part of the home.","Home Contents include General Contents and Valuable Contents; General Contents equal to 20% of Home Building sum insured up to ₹10 Lakh are automatically covered if both covers are opted.","Building construction types: Kutcha or Pucca; select appropriately.","Use original documents and provide accurate details.","If premium paid is more than Rs 10,000, fill authorization form for NEFT payments.","The insurer reserves the right to reject proposal or terminate contract if customer is on blacklist.","Physical copy of policy document is optional; digital copy will be sent by default.","Section 41 of Insurance Act prohibits rebates; non-compliance is punishable with fine up to ten lakh rupees."],"title":"GC BHARAT GRIHA RAKSHA PROPOSAL FORM","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Proposer and Policy Period Details","fields":[{"help":"","type":"text","label":"Name of Proposer","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Present Address of Proposer","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Permanent Address of Proposer","options":[],"required":null,"pdf_field":""},{"help":"Enter mobile phone number","type":"phone","label":"Phone No. a. Mobile","options":[],"required":null,"pdf_field":""},{"help":"Enter valid email address","type":"email","label":"Email","options":[],"required":false,"pdf_field":""},{"help":"Central KYC Registry number if available","type":"text","label":"CKYC Number (if available)","options":[],"required":false,"pdf_field":""},{"help":"Tick all applicable categories","type":"checkbox","label":"I am (please tick all that are applicable)","options":["High Net Worth Individual/s","Non-Residential Indian/s","Politically Exposed Person","Non-Governmental Organisation","Non-Profit Organisation"],"required":false,"pdf_field":""},{"help":"Provide registration number if applicable","type":"text","label":"If you are an NGO/NPO, please provide Niti Ayog – Darpan Portal Registration Number","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"If you are Differently Abled, please tick on the checkbox to provide confirmation","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"If differently abled, specify type","type":"text","label":"Type of Impairment","options":[],"required":false,"pdf_field":""},{"help":"If differently abled, specify percentage","type":"number","label":"Percentage of Impairment","options":[],"required":false,"pdf_field":""},{"help":"Unique Disability ID if applicable","type":"text","label":"UDID Number","options":[],"required":false,"pdf_field":""},{"help":"List all parties with insurable interest","type":"text","label":"Policy to be issued in favour of (list out all the parties who have insurable interest) including the financial institutions","options":[],"required":null,"pdf_field":""},{"help":"Start date of policy","type":"date","label":"Period of Insurance From","options":[],"required":true,"pdf_field":""},{"help":"Maximum 10 years","type":"number","label":"No of Years in case of long term policy","options":[],"required":false,"pdf_field":""},{"help":"Name of nominee","type":"text","label":"Nominee Name","options":[],"required":false,"pdf_field":""},{"help":"Relationship of nominee to insured","type":"text","label":"Relationship with the insured","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Covers Opted","fields":[{"help":"Tick Yes or No","type":"yes-no","label":"Is there any policy in place for the same property? Yes/No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide existing policy details if any","type":"text","label":"If Yes, please provide the details","options":[],"required":false,"pdf_field":""},{"help":"Select one cover option","type":"choice","label":"Cover/s required: (When Home Building and Home Contents are opted for, cover for General Contents of Home for Sum Insured equal to 20% of the Sum Insured for Home Building Cover subject to a maximum of ₹ 10 Lakh [Rupees Ten Lakh] is automatically provided). Cover Please tick","options":["Home Building & Home Contents","Home Building Only","Home Contents Only"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Location of Home Building","fields":[{"help":"Provide full address including pin code","type":"text","label":"Location of Home Building - full postal address with Pin Code","options":[],"required":true,"pdf_field":""},{"help":"6-digit postal code","type":"number","label":"Pin Code","options":[],"required":true,"pdf_field":""},{"help":"Select one","type":"choice","label":"Is it in a multi-storey building or is it a standalone house?","options":["Multi-storey building","Standalone house"],"required":true,"pdf_field":""},{"help":"Floor number if applicable","type":"number","label":"In case of multi-storey building, please provide the floor number of Your house","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Is there a basement to Your house?","options":["Yes","No"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Details of Home Building","fields":[{"help":"Area in square meters","type":"number","label":"Carpet area of structure of Home in square metres","options":[],"required":true,"pdf_field":""},{"help":"Prevailing rate of construction cost","type":"amount","label":"Rate of Cost of Construction per square metre at the policy Commencement Date","options":[],"required":true,"pdf_field":""},{"help":"Select age category","type":"choice","label":"Age of Home Building","options":["Less than 5 Years","5-10 Years","10-20 Years","Above 20 Years"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Details of Home Contents","fields":[{"help":"Sum insured for basement contents","type":"amount","label":"In case of Basement, If there are contents in it, please provide the Sum Insured","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"In-Built Covers (Loss of Rent & Rent for Alternative Accommodation)","fields":[{"help":"Tick if required","type":"checkbox","label":"Cover for (Please Tick) Loss of Rent","options":["Loss of Rent"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Optional Covers","fields":[{"help":"Tick Yes or No","type":"yes-no","label":"Do You require ‘Personal Accident Cover’ for Yourself and Your spouse? Yes/No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"If Personal Accident Cover opted","type":"text","label":"Name & age of Your spouse","options":[],"required":false,"pdf_field":""},{"help":"If Personal Accident Cover opted","type":"number","label":"Your age","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Do You require ‘Cover for Valuable Contents on Agreed Value Basis (under Home Contents cover)’: Yes/No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"List items and sum insured for valuable contents","type":"text","label":"If Yes, please attach list of items and Sum Insured","options":[],"required":false,"pdf_field":""},{"help":"Attach valuation certificate if required","type":"yes-no","label":"Valuation certificate attached? (Yes/No)","options":["Yes","No"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Additional/Add-on Covers","fields":[{"help":"List add-on covers required","type":"text","label":"Name of Add-on cover","options":[],"required":false,"pdf_field":""},{"help":"Sum insured or limit for add-on cover","type":"amount","label":"Sum insured/Limit of liability","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Claim Details","fields":[{"help":"Date of any loss in last 3 years","type":"date","label":"Date of Loss","options":[],"required":false,"pdf_field":""},{"help":"Cause of loss","type":"text","label":"Cause of Loss","options":[],"required":false,"pdf_field":""},{"help":"Amount claimed","type":"amount","label":"Claimed Amount","options":[],"required":false,"pdf_field":""},{"help":"Amount settled or status","type":"amount","label":"Settled Amount/please specify if claim is outstanding","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Premium Details","fields":[{"help":"Select payment mode","type":"choice","label":"Mode of Payment","options":[],"required":true,"pdf_field":""},{"help":"Provide payment details","type":"text","label":"Payment Details","options":[],"required":true,"pdf_field":""},{"help":"Premium amount paid","type":"amount","label":"Amount in (₹)","options":[],"required":true,"pdf_field":""},{"help":"Date of premium payment","type":"date","label":"Date of Payment (DD/MM/YY)","options":[],"required":true,"pdf_field":""},{"help":"PAN number if premium ≥ ₹1,00,000","type":"text","label":"PAN (If premium is 1 Lac and Above.)","options":[],"required":false,"pdf_field":""},{"help":"GSTIN number(s)","type":"text","label":"GSTIN (If more than one GSTIN, kindly attach an annexure with details)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Bank Details of Proposer for Refund or Claim Purpose","fields":[{"help":"Name on bank account","type":"text","label":"Name of bank account holder (mention specifically, if different from name of policyholder)","options":[],"required":false,"pdf_field":""},{"help":"Bank and branch name","type":"text","label":"Bank Name & Branch","options":[],"required":false,"pdf_field":""},{"help":"Account number","type":"text","label":"Bank Account Number","options":[],"required":false,"pdf_field":""},{"help":"Bank IFSC code","type":"text","label":"IFS Code","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Nominee Details","fields":[{"help":"Nominee's name","type":"text","label":"Name","options":[],"required":false,"pdf_field":""},{"help":"Nominee's date of birth","type":"date","label":"Date of Birth","options":[],"required":false,"pdf_field":""},{"help":"Relationship to proposer","type":"text","label":"Relationship with the proposer","options":[],"required":false,"pdf_field":""},{"help":"Nominee's mobile number","type":"phone","label":"Mobile Number","options":[],"required":false,"pdf_field":""},{"help":"Nominee's email address","type":"email","label":"E-Mail ID","options":[],"required":false,"pdf_field":""},{"help":"Nominee's present address","type":"text","label":"Address of Nominee - Present address","options":[],"required":false,"pdf_field":""},{"help":"Nominee's permanent address","type":"text","label":"Permanent address (if left blank, will be construed as being same as Present Address)","options":[],"required":false,"pdf_field":""},{"help":"Name on nominee's bank account","type":"text","label":"Bank Account Details of Nominee - Name of Account holder","options":[],"required":false,"pdf_field":""},{"help":"Nominee's bank and branch","type":"text","label":"Bank Name & Branch","options":[],"required":false,"pdf_field":""},{"help":"Nominee's bank account number","type":"text","label":"Bank Account Number","options":[],"required":false,"pdf_field":""},{"help":"Nominee's bank IFSC code","type":"text","label":"IFS Code","options":[],"required":false,"pdf_field":""},{"help":"Details of authorized person if nominee is minor","type":"text","label":"Authorized person details (in case nominee is a minor)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declaration by Insured","fields":[{"help":"Sign the form","type":"signature","label":"Proposer’s Signature","options":[],"required":true,"pdf_field":""},{"help":"Place of signing","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Annexure - Questionnaire","fields":[{"help":"Select age category","type":"choice","label":"Age of the building","options":["Less than 5 Years","5-10 Years","10-20 Years","20-25 Years","Above 25 Years"],"required":true,"pdf_field":""},{"help":"Select Yes or No and type of devices if Yes","type":"choice","label":"Are Fire Protection devices installed? If Yes, please select the type","options":["YES","NO","Hand Appliances","Hand Appliances & Hydrant System","Hand Appliances + Hydrant System & independent Sprinkler/ Fixed Water Spray System"],"required":true,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Is round the clock security guard available in the premises?","options":["YES","NO"],"required":true,"pdf_field":""},{"help":"Distance in kilometers","type":"number","label":"Distance of Proposed Property from the Public Fire Station","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Claims Details for Property Older than 3 Years","fields":[{"help":"Year of loss","type":"number","label":"Year","options":[],"required":false,"pdf_field":""},{"help":"Date of loss","type":"date","label":"Date of Loss","options":[],"required":false,"pdf_field":""},{"help":"Cause of loss","type":"text","label":"Cause of Loss","options":[],"required":false,"pdf_field":""},{"help":"Amount claimed","type":"amount","label":"Claimed Amount","options":[],"required":false,"pdf_field":""},{"help":"Amount settled or status","type":"amount","label":"Settled Amount/please specify if claim is outstanding","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"}],"deadlines":[],"applies_to":"Home Building and/or Home Contents insurance against Fire and Allied Perils","attachments":["Valuation certificate (if opting for Cover for Valuable Contents on Agreed Value Basis and sum insured exceeds ₹5 Lakh or individual item value exceeds ₹1 Lakh)","Annexure with GSTIN details (if more than one GSTIN)"],"declarations":["All statements and information provided are complete and accurate with no relevant information withheld.","Misrepresentation or suppression of material facts may render the policy void and premium forfeited.","Policyholder and related persons must assist the insurer in anti-financial crime practices.","Premium must be paid from legitimate sources; insurer may verify and reject policy if otherwise.","Consent to receive policy and service communications electronically and for data processing as per privacy policy.","Consent to insurer accessing CKYC records for verification and communication.","Policy may be rejected or terminated if policyholder or associated persons are on any recognized sanctions list.","KYC records are current and valid and proposer will inform insurer of any changes."],"dropped_labels":17},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"grievance","channel":"email","value":"GCIcare@generalicentral.com","label":"HELPLINE Email","level":1,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/customer-service/grievance-redressal","quote":"atrix given below.\nLEVEL 1\nYou Can Call On Our HELPLINE\n1800-220-233 / 1860-500-3333 / 022-67837800\nOR\nSEND US AN EMAIL\nGCIcare@generalicentral.com\nOur senior citizen policyholders can avail priority support by choosing the valid option from the helpline menu or writ","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"1800-220-233 / 1860-500-3333 / 022-67837800","label":"HELPLINE","level":1,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/customer-service/grievance-redressal","quote":"may have. You can escalate your concerns as per the\nescalation matrix given below.\nLEVEL 1\nYou Can Call On Our HELPLINE\n1800-220-233 / 1860-500-3333 / 022-67837800\nOR\nSEND US AN EMAIL\nGCIcare@generalicentral.com\nOur senior citizen policyholders can avail priority support by choosing","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Generali Central Insurance Company Ltd.\nUnit No. 301, 3rd Floor Part, Building No. 8,\nMindspace IT/ITES SEZ, MIDC Industrial Area,\nAiravali, Navi Mumbai,\nThane District – 400 708.","label":"Corporate Grievance Redressal Officer (GRO) Address","level":2,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/customer-service/grievance-redressal","quote":"ON\n+91-79001 97777\nOR\nSend your complaint to our Corporate Grievance Redressal Officer\nMr. Hari Shankar Mishra\nADDRESS\nGenerali Central Insurance Company Ltd.\nUnit No. 301, 3\nrd\nFloor Part, Building No. 8,\nMindspace IT/ITES SEZ, MIDC Industrial Area,\nAiravali, Navi Mumbai,\nThane District – 400 708.\nLEVEL 3\nIf you are still not satisfied with the solution provided, you can email\nour CEO’s office.\nEMAIL OUR CEO’s OFF","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"GCIGRO@generalicentral.com","label":"Corporate Grievance Redressal Officer (GRO) Email","level":2,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/customer-service/grievance-redressal","quote":"solution provided to you does not meet your expectations,\nyou can write directly to our Corporate GRO.\nSEND US AN EMAIL\nGCIGRO@generalicentral.com\nOR\nCALL US ON\n+91-79001 97777\nOR\nSend your complaint to our Corporate Grievance Redressal Officer\nMr. Hari Shankar Mish","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"+91-79001 97777","label":"Corporate Grievance Redressal Officer (GRO) Phone","level":2,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/customer-service/grievance-redressal","quote":"ur expectations,\nyou can write directly to our Corporate GRO.\nSEND US AN EMAIL\nGCIGRO@generalicentral.com\nOR\nCALL US ON\n+91-79001 97777\nOR\nSend your complaint to our Corporate Grievance Redressal Officer\nMr. Hari Shankar Mishra\nADDRESS\nGenerali Central In","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/generali-central-insurance/2748-gc-bharat-griha-raksha-proposal-form"}