{"id":2757,"title":"MOTOR PROTECT PRIVATE CAR 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/motor-protect-private-car-package-policy/proposal-forms/motor-protect-private-car-package-policy-proposal-form.pdf","sha256":"3275efbd62b78fbca739db2c43ce54d7bc6d04aa41791f5af84c826052bcfc37","pages":12,"collected":"2026-10-17","instructions":{"about":"This form is used by individuals or entities proposing to purchase or renew a private car insurance policy under the Motor Protect Private Car Package. The proposer (vehicle owner) fills this form to provide details about themselves, the vehicle, coverage options, and declarations.","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 if owner driver lacks valid license.","Use block letters where applicable.","Original documents and proofs must be attached as specified.","Physical copy of policy document can be requested by ticking the box; otherwise e-format will be provided."],"title":"MOTOR PROTECT PRIVATE CAR PACKAGE POLICY PROPOSAL FORM","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Cover and Proposal Type","fields":[{"help":"Select the desired cover type for the vehicle","type":"choice","label":"*Cover Package","options":["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 start and end date/time of insurance period","type":"date","label":"Period of Insurance: From hrs min To midnight of","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Proposer's Details","fields":[{"help":"Enter full name with appropriate title","type":"text","label":"Name: - Mr. Ms. Dr M/s","options":[],"required":true,"pdf_field":""},{"help":"Enter date of birth","type":"date","label":"Date of Birth","options":[],"required":true,"pdf_field":""},{"help":"Enter age in years","type":"number","label":"Age","options":[],"required":false,"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":false,"pdf_field":""},{"help":"Specify occupation or business","type":"text","label":"Occupation/Business/Service/Other","options":[],"required":false,"pdf_field":""},{"help":"Enter highest educational qualification","type":"text","label":"Educational Qualification","options":[],"required":false,"pdf_field":""},{"help":"Enter PAN number","type":"text","label":"PAN No.","options":[],"required":false,"pdf_field":""},{"help":"Indicate if professional and specify","type":"text","label":"Are you a professional? Yes/No, if yes please specify","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select preferred policy document format","type":"choice","label":"I want Private Car Insurance Policy and related information in","options":["Physical Format","e-Format (electronic)"],"required":false,"pdf_field":""},{"help":"Enter e-Insurance Account number if applicable","type":"text","label":"e-IA number (e-Insurance Account number)","options":[],"required":false,"pdf_field":""},{"help":"Select insurance repository","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 multiple","type":"text","label":"GSTIN: If applicable","options":[],"required":false,"pdf_field":""},{"help":"Select 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":"Enter 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":[],"required":false,"pdf_field":""},{"help":"Specify type if differently abled","type":"text","label":"Type of Impairment","options":[],"required":false,"pdf_field":""},{"help":"Enter percentage if differently abled","type":"number","label":"Percentage of Impairment","options":[],"required":false,"pdf_field":""},{"help":"Enter UDID number if differently abled","type":"text","label":"UDID Number","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Registration and Communication Address","fields":[{"help":"Enter full registered 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 postal code","type":"number","label":"Pin code","options":[],"required":true,"pdf_field":""},{"help":"Enter full present address for communication","type":"text","label":"PRESENT ADDRESS FOR COMMUNICATION (DISPATCH ADDRESS*)","options":[],"required":true,"pdf_field":""},{"help":"Office phone number","type":"phone","label":"Telephone (O)","options":[],"required":false,"pdf_field":""},{"help":"Fax number if any","type":"text","label":"Fax No","options":[],"required":false,"pdf_field":""},{"help":"Email address","type":"email","label":"Email","options":[],"required":false,"pdf_field":""},{"help":"If left blank, same as present address","type":"text","label":"PERMANENT ADDRESS FOR COMMUNICATION","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 manufacturing year","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","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 origin","type":"choice","label":"Vehicle make","options":["Indigenous/Domestic","Imported"],"required":true,"pdf_field":""},{"help":"Select vehicle condition","type":"choice","label":"Vehicle Insured is","options":["Brand New","Used"],"required":true,"pdf_field":""},{"help":"Select all applicable road types","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":"Select parking type","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","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 and number if applicable","type":"text","label":"Trailer Registration No. and No. of trailer*","options":[],"required":true,"pdf_field":""},{"help":"Tick Yes or No","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":[],"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 previous insurer name","type":"text","label":"Previous Insurer name","options":[],"required":false,"pdf_field":""},{"help":"Select previous cover type","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 previous policy period","type":"text","label":"Period of Insurance","options":[],"required":false,"pdf_field":""},{"help":"Enter previous insurer address","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":"Enter NCB percentage","type":"number","label":"No claim Bonus in the expiring policy (%)","options":[],"required":false,"pdf_field":""},{"help":"Enter amount if special conditions or excess imposed","type":"amount","label":"Amount","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Insured Declared Value (IDV)","fields":[{"help":"Enter IDV 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 trailer insured declared value","type":"amount","label":"Trailer IDV (D)","options":[],"required":false,"pdf_field":""},{"help":"Enter value of CNG/LPG kit","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","type":"text","label":"Personal Accident Cover for Owner Driver is compulsory in the Package policies. Please give details of nomination: Name of Nominee","options":[],"required":true,"pdf_field":""},{"help":"Enter nominee age","type":"number","label":"Age","options":[],"required":true,"pdf_field":""},{"help":"Enter relationship with nominee","type":"text","label":"Relationship","options":[],"required":true,"pdf_field":""},{"help":"Enter appointee name if nominee is minor","type":"text","label":"Name of Appointee (If nominee is minor)","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Do you have a Personal Accident cover with a sum insured of Rs 15 Lakhs?","options":[],"required":true,"pdf_field":""},{"help":"Enter policy number if applicable","type":"text","label":"If yes, then please provide policy number","options":[],"required":false,"pdf_field":""},{"help":"Enter number of unnamed passengers","type":"number","label":"Do you wish to include the following Personal Accident coverage: Unnamed Passenger - No of Person","options":[],"required":false,"pdf_field":""},{"help":"Enter sum insured for paid drivers","type":"amount","label":"Sum Insured Opted (Paid Driver)","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":"Tick Yes or No","type":"yes-no","label":"Do you wish to opt for statutory TPPD liability coverage of `6000/- only?","options":[],"required":false,"pdf_field":""},{"help":"Enter number of persons covered","type":"number","label":"Legal Liability to Driver/conductor/cleaner - No of person","options":[],"required":false,"pdf_field":""},{"help":"Enter number of other employees covered","type":"number","label":"Legal Liability to Other Employee – No of Person","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Is the vehicle fitted with Anti-Theft Device approved by AARI?","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Whether vehicle is specially designed for use of Handicap Person?","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Whether the use of the vehicle is limited to own premises?","options":[],"required":false,"pdf_field":""},{"help":"Tick countries if extension 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":"Tick Yes or No","type":"yes-no","label":"Whether Vehicle belongs to Foreign Embassy / consulate?","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Whether the vehicle is fitted with fibre glass tank?","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Are you a Member of Automobile Association of India?","options":[],"required":false,"pdf_field":""},{"help":"Enter membership name","type":"text","label":"Membership Name","options":[],"required":false,"pdf_field":""},{"help":"Enter association name","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":"Tick Yes or No","type":"yes-no","label":"Whether the vehicle is used for Driving Tuition?","options":[],"required":false,"pdf_field":""},{"help":"Select deductible amount","type":"choice","label":"Please select the higher deductible if you wish to opt for over and above the compulsory deductible","options":["2500","5000","7500","15000"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Add On Covers","fields":[{"help":"Select all add-on covers you want to opt for","type":"checkbox","label":"Do you wish to opt add on cover? if yes then please select","options":["Zero Depreciation Cover","Daily Cash Benefit /Inconvenience Allowance","Hospital Cash Cover","Consumable Cover","Roadside Assistance","Loan Protector Cover","Personal Accident Plan","Tyre Protection","Loss of Driving License/RC","Engine & Gear Box Cover","Protection of NCB","Increased property damage liability benefit","Loss of Personal Belonging","Return to Invoice","Additional Towing Charges","Key & Locks Replacement Cover","Wall Charger and associated components / accessories","App Protection Cover","Battery Guard Electric Vehicle Hybrid Vehicle","Pay As You GO Slab opted","Emergency Medical Expenses","Rim Protect","Tyre & Rim Protect"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Driver Details","fields":[{"help":"Enter years of self-driving experience","type":"number","label":"The vehicle to be driven by: Self –Driving Experience - years","options":[],"required":false,"pdf_field":""},{"help":"Provide details for other drivers","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","options":[],"required":false,"pdf_field":""},{"help":"Enter number of paid drivers","type":"number","label":"Paid drivers","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Other Details","fields":[{"help":"Tick Yes or No","type":"yes-no","label":"Do you have another vehicle insured with Generali Central Insurance Company Limited? (Yes/No)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Payment Details","fields":[{"help":"Specify payment mode","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","type":"amount","label":"Amount in (Rs.)","options":[],"required":false,"pdf_field":""},{"help":"Enter payment date","type":"date","label":"Date of Payment (DD/MM/YY)","options":[],"required":false,"pdf_field":""},{"help":"Enter PAN if premium >= 1 Lac","type":"text","label":"PAN (If premium is 1 Lac and Above.)","options":[],"required":false,"pdf_field":""},{"help":"Enter GSTIN(s)","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","type":"text","label":"Bank details of proposer for refund or claim purpose: Name of bank account holder","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","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","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","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":"Declaration","fields":[{"help":"Sign the form","type":"signature","label":"Signature of the Proposer(s)","options":[],"required":true,"pdf_field":""},{"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":""}],"filled_by":"proposer"},{"title":"Declaration for No Claim Bonus (NCB)","fields":[{"help":"Sign to declare NCB correctness","type":"signature","label":"Proposer’s Signature","options":[],"required":true,"pdf_field":""},{"help":"Enter place","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"Enter date","type":"date","label":"Date","options":[],"required":true,"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","type":"signature","label":"Intermediary’s Signature","options":[],"required":true,"pdf_field":""}],"filled_by":"intermediary"}],"deadlines":[],"applies_to":"Motor Protect Private Car Package Policy","attachments":["Copy of RC book","Expiring policy copy with schedule/renewal notice or cover note as proof of insurance","Annexure with GSTIN details if more than one GSTIN","Request for authorization form for NEFT claim/refund payments if premium amount is more than Rs.10,000/-"],"declarations":["The statements made in this proposal form are true and form the basis of the insurance contract.","Any untrue information or non-disclosure will render the policy void and premium forfeited.","Premium paid is from legally declared sources and not from proceeds of crime; company may verify source of funds.","The proposer agrees to receive service-related information electronically and consents to data storage and usage as per privacy policy.","The proposer consents to CKYC record verification and receiving related communications.","The information provided will be processed for insurance purposes and handled as per the company’s privacy policy.","The proposer declares the correctness of No Claim Bonus claimed and understands benefits will be forfeited if incorrect.","Intermediary confirms explanation of product features and consequences of untrue or non-disclosed information.","The proposer agrees to assist the company in anti-financial crime practices including anti-money laundering.","Section 41 of Insurance Act prohibits rebates as inducement for insurance policies."],"dropped_labels":12},"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/2757-motor-protect-private-car-package-policy-proposal-form"}