{"id":2753,"title":"LONG TERM TWO-WHEELER PACKAGE POLICY PROPOSAL FORM","purpose":"proposal","insurer":{"slug":"generali-central-insurance","name":"Generali Central Insurance Company Limited"},"source_pdf":"https://www.generalicentralinsurance.com/downloads/motor-insurance/long-term-two-wheeler-package-policy/proposal-forms/long-term-two-wheeler-package-policy-proposal-form.pdf","sha256":"5e3cb90eb82aef877eeaeb11c9084167c60cf6afa98ac969b782732f32027124","pages":10,"collected":"2026-10-17","instructions":{"about":"This form is used by the proposer (registered owner of the motor vehicle) to apply for a long term two-wheeler insurance policy with Generali Central Insurance Company Limited.","notes":["Information marked with asterisk [*] is mandatory.","Attach separate signed and dated sheet if additional space is needed, referencing question number.","Cover commences only after acceptance and receipt of premium.","Copy of RC book must be provided.","For vehicles more than 5 years old, contact company for IDV fixing.","Personal Accident Cover for owner driver is compulsory with sum insured of Rs. 15 Lakhs except for company-owned vehicles or where owner driver lacks valid license.","Maximum Capital Sum Insured per person is Rs. 1 Lakh.","Use block letters where applicable.","Original documents may be required for verification.","Company reserves right to reject proposal or terminate contract if customer is on blacklist or sanctions list."],"title":"LONG TERM TWO-WHEELER PACKAGE POLICY PROPOSAL FORM","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Cover and Policy Details","fields":[{"help":"Select the desired cover type for the policy.","type":"choice","label":"*Cover","options":["Package","Fire Only","Fire with Liability","Theft only","Theft with Liability","Fire & Theft Only","Fire & Theft with Liability"],"required":true,"pdf_field":""},{"help":"Select the type of proposal.","type":"choice","label":"Proposal For-","options":["New Policy","Renewal","Rollover","Endorsement"],"required":true,"pdf_field":""},{"help":"Enter the start date and time and end date of the insurance period.","type":"date","label":"Period of Insurance: From hrs min To midnight of","options":[],"required":true,"pdf_field":""},{"help":"Select the policy term duration.","type":"choice","label":"Policy term","options":["2 years","3 years"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Proposer's Details","fields":[{"help":"Enter full name with appropriate title.","type":"text","label":"(Registered owner of the motor vehicle) Name: - Mr. Ms. Dr M/s","options":[],"required":true,"pdf_field":""},{"help":"Enter date of birth of the proposer.","type":"date","label":"Date of Birth","options":[],"required":true,"pdf_field":""},{"help":"Enter age in years.","type":"number","label":"Age","options":[],"required":true,"pdf_field":""},{"help":"Select gender.","type":"choice","label":"Sex","options":["Male","Female","Third Gender"],"required":true,"pdf_field":""},{"help":"Select marital status.","type":"choice","label":"Marital Status","options":["Married","Single","Widowed"],"required":true,"pdf_field":""},{"help":"Specify occupation or business.","type":"text","label":"Occupation/Business/Service/Other","options":[],"required":true,"pdf_field":""},{"help":"Enter educational qualification.","type":"text","label":"Educational Qualification","options":[],"required":false,"pdf_field":""},{"help":"Enter PAN number if available.","type":"text","label":"PAN No.","options":[],"required":false,"pdf_field":""},{"help":"Indicate if you are a professional and specify the profession if yes.","type":"text","label":"Are you a professional? Yes/No, if yes please specify","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select preferred format for policy documents.","type":"choice","label":"I want Two-Wheeler Insurance Policy and related information in","options":["Physical Format","e-Format (electronic)"],"required":false,"pdf_field":""},{"help":"Enter e-Insurance Account number if available.","type":"text","label":"e-IA number (e-Insurance Account number)","options":[],"required":false,"pdf_field":""},{"help":"Select insurance repository for e-format documents.","type":"choice","label":"Choose Insurance Repository (for those selecting e-format)","options":["NSDL Data Management Ltd","CDSL Insurance Repository Ltd","Karvy Insurance Repository Ltd","CAMS Repository Services Ltd"],"required":false,"pdf_field":""},{"help":"Enter CKYC number if available.","type":"text","label":"CKYC No (Central Know Your Customer Registry No)","options":[],"required":false,"pdf_field":""},{"help":"Enter GSTIN if applicable; attach annexure if more than one.","type":"text","label":"GSTIN: If applicable","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":"Specify type of impairment if applicable.","type":"text","label":"Type of Impairment","options":[],"required":false,"pdf_field":""},{"help":"Enter percentage of impairment if applicable.","type":"number","label":"Percentage of Impairment","options":[],"required":false,"pdf_field":""},{"help":"Enter UDID number if applicable.","type":"text","label":"UDID Number","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Registration Address of Vehicle to be Insured","fields":[{"help":"Enter full registration address of the vehicle.","type":"text","label":"Registration Address of Vehicle to be Insured","options":[],"required":true,"pdf_field":""},{"help":"Enter city of registration address.","type":"text","label":"City","options":[],"required":true,"pdf_field":""},{"help":"Enter state of registration address.","type":"text","label":"State","options":[],"required":true,"pdf_field":""},{"help":"Enter pin code of registration address.","type":"number","label":"Pin code","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Present Address for Communication (Dispatch Address)","fields":[{"help":"Enter building or block number.","type":"text","label":"Building Name / Block No","options":[],"required":true,"pdf_field":""},{"help":"Enter street name.","type":"text","label":"Street Name","options":[],"required":true,"pdf_field":""},{"help":"Enter city.","type":"text","label":"City","options":[],"required":true,"pdf_field":""},{"help":"Enter state.","type":"text","label":"State","options":[],"required":true,"pdf_field":""},{"help":"Enter pin code.","type":"number","label":"Pin code","options":[],"required":true,"pdf_field":""},{"help":"Enter office telephone number.","type":"phone","label":"Telephone (O)","options":[],"required":false,"pdf_field":""},{"help":"Enter fax number if any.","type":"text","label":"Fax No","options":[],"required":false,"pdf_field":""},{"help":"Enter email address.","type":"email","label":"Email","options":[],"required":false,"pdf_field":""},{"help":"Enter permanent address or leave blank if same as present address.","type":"text","label":"Permanent Address for Communication (if left blank, will be construed as being same as Present Address)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Vehicle Details","fields":[{"help":"Enter vehicle make and model.","type":"text","label":"Make and model","options":[],"required":true,"pdf_field":""},{"help":"Enter vehicle registration number.","type":"text","label":"Registration No.","options":[],"required":true,"pdf_field":""},{"help":"Enter engine number.","type":"text","label":"Engine No.","options":[],"required":true,"pdf_field":""},{"help":"Enter chassis number.","type":"text","label":"Chassis No.","options":[],"required":true,"pdf_field":""},{"help":"Enter engine cubic capacity.","type":"number","label":"Cubic capacity","options":[],"required":true,"pdf_field":""},{"help":"Enter year of manufacture.","type":"number","label":"Year of manufacturer","options":[],"required":true,"pdf_field":""},{"help":"Enter vehicle color.","type":"text","label":"Colour","options":[],"required":true,"pdf_field":""},{"help":"Enter RTO location.","type":"text","label":"RTO where vehicle is/will be registered","options":[],"required":true,"pdf_field":""},{"help":"Enter date of registration or purchase.","type":"date","label":"Date of Registration/purchase","options":[],"required":true,"pdf_field":""},{"help":"Enter seating capacity including driver.","type":"number","label":"Seating capacity (including driver)","options":[],"required":true,"pdf_field":""},{"help":"Select vehicle usage.","type":"choice","label":"What is the usage of the vehicle","options":["Private Purposes only","Commercial Purpose"],"required":true,"pdf_field":""},{"help":"Select vehicle make origin.","type":"choice","label":"Vehicle make","options":["Indigenous/Domestic","Imported"],"required":true,"pdf_field":""},{"help":"Select if vehicle is brand new or used.","type":"choice","label":"Vehicle Insured is","options":["Brand New","Used"],"required":true,"pdf_field":""},{"help":"Tick all applicable road types and specify if others.","type":"checkbox","label":"Type of Road where vehicle would normally ply","options":["Hilly","National","State Highways","City","Town Roads","District Roads","Others Pls specify"],"required":false,"pdf_field":""},{"help":"Tick all applicable parking types.","type":"checkbox","label":"Parking","options":["Open Parking","Roadside public Parking","Roadside Outside Parking","Parking lot open or covered","Closed Parking","Within Compound of Residence open","Within compound of residence covered"],"required":false,"pdf_field":""},{"help":"Select fuel type or specify if others.","type":"choice","label":"Fuel type","options":["Petrol","Diesel","Bi fuel","CNG","LPG","Battery","Others Pls specify"],"required":true,"pdf_field":""},{"help":"Select preferred repair option.","type":"choice","label":"Repair","options":["Preferred garage","Dealership"],"required":false,"pdf_field":""},{"help":"Select estimated daily mileage.","type":"choice","label":"Per day mileage","options":["Upto 20 kms","21 to 50 kms","51 to 100 kms","101kms and above"],"required":false,"pdf_field":""},{"help":"Enter current speedometer reading.","type":"number","label":"Speedometer reading as on date*","options":[],"required":true,"pdf_field":""},{"help":"Enter trailer registration number and number of trailers if applicable.","type":"text","label":"Trailer Registration No. and No. of trailer*","options":[],"required":true,"pdf_field":""},{"help":"Indicate if vehicle has valid PUC certificate at policy start date.","type":"yes-no","label":"Pollution Under Control (PUC) Certificate: Vehicle being insured has valid Pollution Under Control (PUC) certificate as on Inception Date of Policy","options":["Yes","No"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Financier Details","fields":[{"help":"Enter financier bank name if applicable.","type":"text","label":"Bank Name","options":[],"required":false,"pdf_field":""},{"help":"Enter bank location.","type":"text","label":"Location of the Bank","options":[],"required":false,"pdf_field":""},{"help":"Enter loan account number.","type":"text","label":"Loan Account no","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Previous Insurance Particulars","fields":[{"help":"Enter name of previous insurer.","type":"text","label":"Previous Insurer name","options":[],"required":false,"pdf_field":""},{"help":"Select type of previous cover.","type":"choice","label":"Type of cover","options":["Package","Fire and/or Theft with liability","Fire and/or Theft only","Liability only"],"required":false,"pdf_field":""},{"help":"Enter period of previous insurance.","type":"text","label":"Period of Insurance","options":[],"required":false,"pdf_field":""},{"help":"Enter address of previous insurer.","type":"text","label":"Address","options":[],"required":false,"pdf_field":""},{"help":"Enter previous policy or cover note number.","type":"text","label":"Policy/Cover note number","options":[],"required":false,"pdf_field":""},{"help":"Indicate if proposal was ever declined.","type":"yes-no","label":"Has any Insurance Company ever: 1) Declined the proposal","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Indicate if policy was ever cancelled or renewal refused.","type":"yes-no","label":"2) Cancelled & refused to renew","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Indicate if premium was ever increased.","type":"yes-no","label":"3) Required an increase in premium","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Indicate if special conditions or excess were imposed.","type":"yes-no","label":"4) Imposed special conditions or excess","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Enter percentage of No Claim Bonus claimed.","type":"number","label":"No claim Bonus in the expiring policy (%)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Insured Declared Value (IDV)","fields":[{"help":"Enter insured declared value of the vehicle.","type":"amount","label":"Insured Declared Value of the Vehicle* (A)","options":[],"required":true,"pdf_field":""},{"help":"Enter value of non-electrical accessories.","type":"amount","label":"Value of Non-Electrical Accessories fitted to the vehicle (B)","options":[],"required":false,"pdf_field":""},{"help":"Enter value of electrical accessories.","type":"amount","label":"Value of Electrical Accessories fitted to the Vehicle (C)","options":[],"required":false,"pdf_field":""},{"help":"Enter insured declared value of side car if applicable.","type":"amount","label":"Side Car IDV (D)","options":[],"required":false,"pdf_field":""},{"help":"Enter value of CNG/LPG kit if fitted.","type":"amount","label":"Value of CNG/LPG kit (E)","options":[],"required":false,"pdf_field":""},{"help":"Sum of all above values.","type":"amount","label":"Total IDV (A+B+C+D+E)","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Coverage Information","fields":[{"help":"Enter nominee name for personal accident cover.","type":"text","label":"Personal Accident Cover for Owner Driver is compulsory in the Package policies. Please give details of nomination: (a) Name of Nominee","options":[],"required":true,"pdf_field":""},{"help":"Enter age of nominee.","type":"number","label":"(b) Age","options":[],"required":true,"pdf_field":""},{"help":"Enter relationship of nominee to proposer.","type":"text","label":"(c) Relationship","options":[],"required":true,"pdf_field":""},{"help":"Enter name of appointee if nominee is minor.","type":"text","label":"(d) Name of Appointee (If nominee is minor)","options":[],"required":false,"pdf_field":""},{"help":"Indicate if you already have personal accident cover of Rs. 15 Lakhs.","type":"yes-no","label":"Do you have a Personal Accident cover with a sum insured of Rs. 15 Lakhs?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Enter policy number of existing personal accident cover.","type":"text","label":"If yes, then please provide Policy Number","options":[],"required":false,"pdf_field":""},{"help":"Enter policy period of existing personal accident cover.","type":"date","label":"Policy Period: From- DD/MM/YYYY To- DD/MM/YYYY","options":[],"required":false,"pdf_field":""},{"help":"Enter number of unnamed passengers and sum insured opted.","type":"text","label":"Do you wish to include the following Personal Accident coverage: Unnamed Passenger - No of Person, Sum Insured Opted","options":[],"required":false,"pdf_field":""},{"help":"Enter number of paid drivers and sum insured opted.","type":"text","label":"Paid Driver - No of Paid Driver, Sum Insured Opted","options":[],"required":false,"pdf_field":""},{"help":"Provide name, sum insured, nominee, and relationship for named persons.","type":"table","label":"In case of named persons, give name and CSI opted for","options":[],"required":false,"pdf_field":""},{"help":"Indicate if opting for statutory Third Party Property Damage liability coverage.","type":"yes-no","label":"Do you wish to opt for statutory TPPD liability coverage of Rs. 6000/- only?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Enter number of persons for legal liability to driver/cleaner.","type":"number","label":"Legal Liability to Driver cleaner - No of person","options":[],"required":false,"pdf_field":""},{"help":"Enter number of persons for legal liability to other employees.","type":"number","label":"Legal Liability to Other Employee – No of Person","options":[],"required":false,"pdf_field":""},{"help":"Indicate if vehicle has approved anti-theft device.","type":"yes-no","label":"Is the vehicle fitted with Anti-Theft Device approved by AARI?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Indicate if vehicle is designed for handicapped use.","type":"yes-no","label":"Whether vehicle is specially designed for use of Handicap Person?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Indicate if vehicle use is limited to own premises.","type":"yes-no","label":"Whether the use of the vehicle is limited to own premises?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Tick countries for geographical extension if required.","type":"checkbox","label":"Whether extension of geographical area to the following countries required?","options":["Bangladesh","Bhutan","Maldives","Nepal","Pakistan","Sri Lanka"],"required":false,"pdf_field":""},{"help":"Indicate if vehicle belongs to foreign embassy or consulate.","type":"yes-no","label":"Whether Vehicle belongs to Foreign Embassy / consulate?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Indicate if vehicle has fibre glass tank.","type":"yes-no","label":"Whether the vehicle is fitted with fibre glass tank?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Indicate membership status.","type":"yes-no","label":"Are you a Member of Automobile Association of India?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Enter membership name if applicable.","type":"text","label":"Membership Name","options":[],"required":false,"pdf_field":""},{"help":"Enter association name if applicable.","type":"text","label":"Association Name","options":[],"required":false,"pdf_field":""},{"help":"Enter membership expiry date.","type":"date","label":"Expiry Date","options":[],"required":false,"pdf_field":""},{"help":"Indicate if vehicle is used for driving tuition.","type":"yes-no","label":"Whether the vehicle is used for Driving Tuition?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select additional deductible amount if desired.","type":"choice","label":"Please select the higher deductible if you wish to opt for over and above the compulsory deductible","options":["500","750","1000","1500","3000"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Driver Details","fields":[{"help":"Enter years of driving experience if self-driven.","type":"number","label":"The vehicle to be driven by: Self – Driving Experience - years","options":[],"required":false,"pdf_field":""},{"help":"Provide details of other drivers if applicable.","type":"table","label":"Any other person/s please provide the below details: Name, Age, Gender, Driving Experience, Educational Qualifications, No. of accidents in previous 5 years, Paid drivers, Others","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Other Details","fields":[{"help":"Indicate if you have other vehicles insured with the company.","type":"yes-no","label":"Do you have another vehicle insured with Generali Central Insurance Company Limited? (Yes/No)","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide policy details of other insured vehicle.","type":"text","label":"If Yes, please share policy details","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Payment Details","fields":[{"help":"Specify mode of payment.","type":"text","label":"Mode of Payment","options":[],"required":false,"pdf_field":""},{"help":"Provide payment details.","type":"text","label":"Payment Details","options":[],"required":false,"pdf_field":""},{"help":"Enter payment amount in rupees.","type":"amount","label":"Amount in (Rs.)","options":[],"required":false,"pdf_field":""},{"help":"Enter date of payment.","type":"date","label":"Date of Payment (DD/MM/YY)","options":[],"required":false,"pdf_field":""},{"help":"Enter PAN if premium is 1 lakh or above.","type":"text","label":"PAN (If premium is 1 Lac and Above.)","options":[],"required":false,"pdf_field":""},{"help":"Enter GSTIN or attach annexure if multiple.","type":"text","label":"GSTIN (If more than one GSTIN, kindly attach an annexure with details)","options":[],"required":false,"pdf_field":""},{"help":"Enter bank account holder name for refunds or claims.","type":"text","label":"Bank details of proposer for refund or claim purpose: Name of bank account holder (mention specifically, if different from name of policyholder)","options":[],"required":false,"pdf_field":""},{"help":"Enter bank name and branch.","type":"text","label":"Bank Name & Branch","options":[],"required":false,"pdf_field":""},{"help":"Enter bank account number.","type":"text","label":"Bank Account Number","options":[],"required":false,"pdf_field":""},{"help":"Enter IFSC code.","type":"text","label":"IFS Code","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Nominee Details","fields":[{"help":"Enter nominee name.","type":"text","label":"Name","options":[],"required":false,"pdf_field":""},{"help":"Enter nominee date of birth.","type":"date","label":"Date of Birth","options":[],"required":false,"pdf_field":""},{"help":"Enter relationship with proposer.","type":"text","label":"Relationship with the proposer","options":[],"required":false,"pdf_field":""},{"help":"Enter nominee mobile number.","type":"phone","label":"Mobile Number","options":[],"required":false,"pdf_field":""},{"help":"Enter nominee email address.","type":"email","label":"E-Mail ID","options":[],"required":false,"pdf_field":""},{"help":"Enter nominee present address.","type":"text","label":"Address of Nominee: Present address","options":[],"required":false,"pdf_field":""},{"help":"Enter nominee permanent address or leave blank if same as present.","type":"text","label":"Permanent address (if left blank, will be construed as being same as Present Address)","options":[],"required":false,"pdf_field":""},{"help":"Enter nominee bank account holder name.","type":"text","label":"Bank Account Details of Nominee: Name of Account holder","options":[],"required":false,"pdf_field":""},{"help":"Enter nominee bank name and branch.","type":"text","label":"Bank Name & Branch","options":[],"required":false,"pdf_field":""},{"help":"Enter nominee bank account number.","type":"text","label":"Bank Account Number","options":[],"required":false,"pdf_field":""},{"help":"Enter nominee IFSC code.","type":"text","label":"IFS Code","options":[],"required":false,"pdf_field":""},{"help":"Enter authorized person details 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":"For Intermediary Use Only","fields":[{"help":"Enter intermediary name.","type":"text","label":"Name of Insurance Agent/POSP/Specified Person of the Corporate Agent/Authorized Person of the Broker/IMF","options":[],"required":true,"pdf_field":""},{"help":"Enter intermediary code.","type":"text","label":"Intermediary’s Code","options":[],"required":true,"pdf_field":""},{"help":"Intermediary to sign here.","type":"signature","label":"Intermediary’s Signature","options":[],"required":true,"pdf_field":""}],"filled_by":"intermediary"}],"deadlines":[],"applies_to":"Long Term Two-Wheeler Package Policy","attachments":["Copy of RC book","Expiring policy copy with schedule/renewal notice or cover note as proof of insurance","Request for authorization form (for NEFT payments if premium > Rs.10,000)","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 with records to address 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 for insurer to access CKYC records for verification and communication.","Obligation to keep CKYC records current and inform insurer of changes.","No person shall offer or accept rebates on insurance premiums except as allowed by insurer's published prospectus."],"dropped_labels":7},"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/2753-long-term-two-wheeler-package-policy-proposal-form"}