{"id":2762,"title":"STANDALONE MOTOR PROTECT OD TWO WHEELER 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/standalone-motor-protect-od-two-wheeler-policy/proposal-forms/standalone-motor-od-motor-protect-two-wheeler-policy-proposal-form.pdf","sha256":"af76fad6647a8b4b2ea78fdd4983bc57f701f11907be0a1c54c8c7c8286be803","pages":9,"collected":"2026-10-17","instructions":{"about":"This form is used by the proposer (registered owner of the motor vehicle) to apply for a standalone motor protect own damage (OD) insurance policy for a two-wheeler vehicle.","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 and time of acceptance and receipt of premium.","Copy of RC book needs to be provided.","For granting NCB, appropriate documentary evidence must be submitted.","If permanent address is left blank, it will be construed as same as present address.","Use of block letters is implied by form style but not explicitly stated.","Original bills and documents may be required for claims but not specified here.","The form includes anti-money laundering and Section 41 of Insurance Act, 1938 prohibitions on rebates."],"title":"STANDALONE MOTOR PROTECT OD TWO WHEELER POLICY PROPOSAL FORM","submit":{"to":"Generali Central Insurance Company Limited","how":"","address":"Registered Office: Unit No. 801 & 802, 8th Floor, Tower C, Embassy 247 Park, LBS Marg, Vikhroli (West), Mumbai – 400083\nEmail ID: gcicare@generalicentral.com\nToll-free Phone: 1800 220 233 / 1860 500 3333 / 022 6783 7800"},"purpose":"proposal","sections":[{"title":"Cover and Proposal Details","fields":[{"help":"Select the desired cover type","type":"choice","label":"*Cover OD Cover Fire Only Fire with Liability Theft only Theft with Liability Desired Fire & Theft Only Fire & Theft with Liability","options":["OD Cover","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- New Policy Renewal Rollover Endorsement","options":["New Policy","Renewal","Rollover","Endorsement"],"required":true,"pdf_field":""},{"help":"Enter start and end date and 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":"(Registered owner of the motor vehicle) 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: Male Female Third Gender","options":["Male","Female","Third Gender"],"required":true,"pdf_field":""},{"help":"Select marital status","type":"choice","label":"Marital Status Married Single Widowed","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 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: Physical Format e-Format (electronic)","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 if e-format chosen","type":"choice","label":"Choose Insurance Repository (for those selecting e-format): NSDL Data Management Ltd CDSL Insurance Repository Ltd Karvy Insurance Repository Ltd CAMS Repository Services Ltd.","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","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) High Net Worth Individual/s Non-Residential Indian/s Politically Exposed Person Non-Governmental Organisation Non-Profit Organisation","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 NGO/NPO","type":"text","label":"If you are an NGO/NPO, please provide Niti Ayog – Darpan Portal Registration Number","options":[],"required":false,"pdf_field":""},{"help":"Indicate if differently abled","type":"choice","label":"If you are Differently Abled, please tick on the checkbox to provide confirmation. Yes No","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 registered address of the vehicle","type":"text","label":"Registration Address of Vehicle to be Insured","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 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","type":"text","label":"City","options":[],"required":true,"pdf_field":""},{"help":"Enter state","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","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","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","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 Private Purposes only Commercial Purpose","options":["Private Purposes only","Commercial Purpose"],"required":true,"pdf_field":""},{"help":"Select vehicle make origin","type":"choice","label":"Vehicle make Indigenous/Domestic Imported","options":["Indigenous/Domestic","Imported"],"required":true,"pdf_field":""},{"help":"Select vehicle condition","type":"choice","label":"Vehicle Insured is Brand New Used","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 Hilly National State Highways City Town Roads District Roads Others Pls specify","options":["Hilly","National","State Highways","City","Town Roads","District Roads","Others"],"required":false,"pdf_field":""},{"help":"Tick applicable parking type","type":"checkbox","label":"Parking 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","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 Petrol Diesel Bi fuel CNG LPG Battery Others Pls specify","options":["Petrol","Diesel","Bi fuel","CNG","LPG","Battery","Others"],"required":true,"pdf_field":""},{"help":"Select preferred repair option","type":"choice","label":"Repair Preferred garage Dealership","options":["Preferred garage","Dealership"],"required":false,"pdf_field":""},{"help":"Select estimated daily mileage","type":"choice","label":"Per day mileage Upto 20 kms 21 to 50 kms 51 to 100 kms 101kms and above","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 valid PUC certificate is available","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 Yes No","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":"Select type of financing","type":"choice","label":"Hypothecation Hire Purchase Lease","options":["Hypothecation","Hire Purchase","Lease"],"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":"Third Party Insurance Policy Details","fields":[{"help":"Enter third party insurer name","type":"text","label":"Name of Insurer","options":[],"required":true,"pdf_field":""},{"help":"Enter third party policy number","type":"text","label":"Policy Number","options":[],"required":true,"pdf_field":""},{"help":"Enter policy start and end dates","type":"date","label":"Policy Period – from to","options":[],"required":true,"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 Package Fire and/or Theft with liability Fire and/or Theft only Liability only Standalone OD only","options":["Package","Fire and/or Theft with liability","Fire and/or Theft only","Liability only","Standalone OD only"],"required":false,"pdf_field":""},{"help":"Enter previous policy period","type":"date","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":"Answer yes or no for each question","type":"yes-no","label":"Has any Insurance Company ever: 1) Declined the proposal. 2) Cancelled & refused to renew 3) Required an increase in premium. 4) Imposed special conditions or excess.","options":["Yes","No"],"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 side car IDV 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":"Indicate if anti-theft device is fitted","type":"yes-no","label":"Is the vehicle fitted with Anti-Theft Device approved by AARI? Yes No","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? Yes No","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? Yes No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Indicate if geographical extension is required","type":"yes-no","label":"Whether extension of geographical area to the following countries required? Bangladesh Bhutan Maldives Nepal Pakistan Sri Lanka","options":["Yes","No"],"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? Yes No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Indicate if fibre glass tank is fitted","type":"yes-no","label":"Whether the vehicle is fitted with fibre glass tank? Yes No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Indicate membership status","type":"yes-no","label":"Are you a Member of Automobile Association of India? Yes No","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? Yes No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Select additional deductible amount","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":"Select who will drive the vehicle","type":"choice","label":"The vehicle to be driven by: Self –Driving Experience - years Any other person/s please provide the below details","options":["Self","Any other person/s"],"required":false,"pdf_field":""},{"help":"Enter driver's name","type":"text","label":"Name","options":[],"required":false,"pdf_field":""},{"help":"Enter driver's age","type":"number","label":"Age","options":[],"required":false,"pdf_field":""},{"help":"Select driver's gender","type":"choice","label":"Gender","options":["Male","Female","Other"],"required":false,"pdf_field":""},{"help":"Enter years of driving experience","type":"number","label":"Driving Experience","options":[],"required":false,"pdf_field":""},{"help":"Enter educational qualifications","type":"text","label":"Educational Qualifications","options":[],"required":false,"pdf_field":""},{"help":"Enter number of accidents in last 5 years","type":"number","label":"No. of accidents in previous 5 years","options":[],"required":false,"pdf_field":""},{"help":"Provide details of paid drivers if any","type":"text","label":"Paid drivers","options":[],"required":false,"pdf_field":""},{"help":"Provide details of other drivers if any","type":"text","label":"Others","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Other Details","fields":[{"help":"Indicate if you have another vehicle insured with the company","type":"choice","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 vehicle if applicable","type":"text","label":"If Yes, please share policy details: Policy no.","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":""}],"filled_by":"proposer"},{"title":"Bank Details of Proposer for Refund or Claim Purpose","fields":[{"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 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":"Declarations","fields":[{"help":"Sign to confirm all statements and information are complete and accurate","type":"signature","label":"Declaration of Proposer","options":[],"required":true,"pdf_field":""},{"help":"Sign to declare correctness of NCB claimed","type":"signature","label":"Declaration for No Claim Bonus (NCB)","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"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":false,"pdf_field":""},{"help":"Enter intermediary code","type":"text","label":"Intermediary’s Code","options":[],"required":false,"pdf_field":""},{"help":"Intermediary to sign","type":"signature","label":"Intermediary’s Signature","options":[],"required":false,"pdf_field":""}],"filled_by":"intermediary"}],"deadlines":[],"applies_to":"Standalone Motor Protect OD Two Wheeler 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.","Misrepresentation or suppression of material facts may render the policy void and premium forfeited.","Policyholder and related persons must assist the insurer with records and information to address anti-financial crime practices.","Premium paid is from legitimate sources and insurer may verify source of funds 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 communication.","Obligation to keep CKYC records current and inform insurer of changes.","Policy may be rejected or terminated if policyholder or associated persons are named in any recognized sanctions list.","Declaration that no claim has arisen in the expiring policy period for No Claim Bonus (NCB) and benefits will be forfeited if incorrect.","Intermediary confirms explanation of product features, suitability, and consequences of untrue or non-disclosed information."],"dropped_labels":3},"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/2762-standalone-motor-protect-od-two-wheeler-policy-proposal-form"}