{"id":2761,"title":"MOTOR PROTECT 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/motor-protect-two-wheeler-package-policy/proposal-forms/motor-protect-two-wheeler-package-policy-proposal-form.pdf","sha256":"39acaf712b947367a7d925f0818ff6faa0cb5fabe4592f48e9c132addf1b7f78","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 two-wheeler insurance policy with Generali Central Insurance Company Limited.","notes":["Information for fields marked with asterisk [*] is mandatory.","If additional space is needed, attach a separate signed and dated sheet referencing the question number.","Cover commences no earlier than date/time of acceptance and receipt of premium.","Copy of RC book needs to be provided.","For granting NCB, appropriate documentary evidence must be submitted.","Use of the form implies acceptance of anti-money laundering and anti-financial crime policies.","Physical copy of policy will be sent only if requested; otherwise e-format will be provided.","Section 41 of Insurance Act, 1938 prohibits rebates as inducement for insurance."],"title":"MOTOR PROTECT TWO-WHEELER 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 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 and end date/time of the 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 in DD/MM/YYYY format.","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 you are a professional and specify 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 applicable.","type":"text","label":"e-IA number (e-Insurance Account number)","options":[],"required":false,"pdf_field":""},{"help":"Select insurance repository for e-format.","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":[],"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 registered address of the vehicle.","type":"text","label":"Registration Address","options":[],"required":true,"pdf_field":""},{"help":"Enter city name.","type":"text","label":"City","options":[],"required":true,"pdf_field":""},{"help":"Enter state name.","type":"text","label":"State","options":[],"required":true,"pdf_field":""},{"help":"Enter postal pin code.","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 name.","type":"text","label":"City","options":[],"required":true,"pdf_field":""},{"help":"Enter state name.","type":"text","label":"State","options":[],"required":true,"pdf_field":""},{"help":"Enter postal 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":"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 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.","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 applicable 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 and 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":"Confirm if vehicle has valid PUC certificate as on inception date.","type":"yes-no","label":"Pollution Under Control (PUC) Certificate","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 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 percentage of No Claim Bonus.","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 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 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 applicable.","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's name for Personal Accident cover.","type":"text","label":"Name of Nominee","options":[],"required":true,"pdf_field":""},{"help":"Enter appointee's name if nominee is minor.","type":"text","label":"Name of Appointee (If nominee is minor)","options":[],"required":false,"pdf_field":""},{"help":"Indicate if you have existing PA 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 existing PA policy number.","type":"text","label":"If yes, then please provide Policy Number","options":[],"required":false,"pdf_field":""},{"help":"Provide number and sum insured for unnamed passengers if opting.","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":"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":"Select if opting for statutory TPPD 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":"Add On Covers","fields":[{"help":"Select any add-on covers you want to include.","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 Cover","Tyre Protection","Loss of Driving License/RC","Engine & Gear Box Cover","EMI Cover","Increased property damage liability benefit","Loss of Personal Belonging","Return to Invoice","Additional Towing Charges","Battery Guard Electric Vehicle Hybrid Vehicle"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Driver Details","fields":[{"help":"Select who will drive the vehicle.","type":"choice","label":"The vehicle to be driven by","options":["Self","Any other person/s"],"required":true,"pdf_field":""},{"help":"Enter driving experience in years if self driving.","type":"number","label":"Driving Experience (years)","options":[],"required":false,"pdf_field":""},{"help":"Enter name of other driver(s).","type":"text","label":"Name","options":[],"required":false,"pdf_field":""},{"help":"Enter age of other driver(s).","type":"number","label":"Age","options":[],"required":false,"pdf_field":""},{"help":"Select gender of other driver(s).","type":"choice","label":"Gender","options":["Male","Female","Third Gender"],"required":false,"pdf_field":""},{"help":"Enter driving experience of other driver(s) in years.","type":"number","label":"Driving Experience","options":[],"required":false,"pdf_field":""},{"help":"Enter educational qualifications of other driver(s).","type":"text","label":"Educational Qualifications","options":[],"required":false,"pdf_field":""},{"help":"Enter number of accidents for other driver(s).","type":"number","label":"No. of accidents in previous 5 years","options":[],"required":false,"pdf_field":""},{"help":"Indicate if driver is paid.","type":"checkbox","label":"Paid drivers","options":[],"required":false,"pdf_field":""},{"help":"Indicate if other drivers.","type":"checkbox","label":"Others","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Others Details","fields":[{"help":"Indicate if you have other vehicle insured with GCICL.","type":"yes-no","label":"Do you have another vehicle insured with Generali Central Insurance Company Limited?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide policy details of other vehicle if applicable.","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.","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":"Provide bank details for refund or claim payments.","type":"text","label":"Bank details of proposer for refund or claim purpose","options":[],"required":false,"pdf_field":""},{"help":"Enter bank account holder name.","type":"text","label":"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's name.","type":"text","label":"Name","options":[],"required":false,"pdf_field":""},{"help":"Enter nominee's date of birth.","type":"date","label":"Date of Birth","options":[],"required":false,"pdf_field":""},{"help":"Specify relationship with proposer.","type":"text","label":"Relationship with the proposer","options":[],"required":false,"pdf_field":""},{"help":"Enter nominee's mobile number.","type":"phone","label":"Mobile Number","options":[],"required":false,"pdf_field":""},{"help":"Enter nominee's email address.","type":"email","label":"E-Mail ID","options":[],"required":false,"pdf_field":""},{"help":"Enter nominee's present address.","type":"text","label":"Address of Nominee: Present address","options":[],"required":false,"pdf_field":""},{"help":"Enter nominee's 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":"Provide nominee's bank account details.","type":"text","label":"Bank Account Details of Nominee","options":[],"required":false,"pdf_field":""},{"help":"Enter bank account holder name for nominee.","type":"text","label":"Name of Account holder","options":[],"required":false,"pdf_field":""},{"help":"Enter bank name and branch for nominee.","type":"text","label":"Bank Name & Branch","options":[],"required":false,"pdf_field":""},{"help":"Enter bank account number for nominee.","type":"text","label":"Bank Account Number","options":[],"required":false,"pdf_field":""},{"help":"Enter IFSC code for nominee's bank.","type":"text","label":"IFS Code","options":[],"required":false,"pdf_field":""},{"help":"Provide 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 to confirm declaration.","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"}],"deadlines":[],"applies_to":"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 amount is more than 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.","If misrepresentation or suppression of material facts is found, the policy may be void and premium forfeited.","The policyholder and related persons will assist the insurer with records and information to address anti-financial crime practices.","Premium is paid from legitimate sources and not from crime proceeds; insurer can verify source and reject or terminate policy if otherwise.","Consent to receive policy and service communications electronically and for processing of personal data as per privacy policy.","Consent for insurer to access CKYC records for verification and updates.","Agreement to abide by insurer's privacy policy and acceptance that insurer may reject proposal or terminate contract if named in sanctions list.","KYC records are current and valid and proposer will inform insurer of any changes.","Declaration that No Claim Bonus claimed is correct and no claims have arisen in expiring policy period; benefits will be forfeited if incorrect.","Insurance agent/intermediary declares that product features and proposal contents have been explained to the proposer."],"dropped_labels":13},"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/2761-motor-protect-two-wheeler-package-policy-proposal-form"}