{"id":2767,"title":"STANDALONE MOTOR SECURE OD PRIVATE CAR 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-secure-od-private-car-policy/proposal-forms/standalone-motor-secure-od-private-car-policy-proposal-form.pdf","sha256":"f69ae2a76e23381f793c979a9109d9501c17d8fe4e281f78aa85dad8ff85f163","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 standalone motor own damage private car 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 shall commence no earlier than the date and time of acceptance and subsequent to receipt of premium.","Copy of RC book needs to be provided.","For vehicles more than 5 years old, contact the company for fixing the IDV.","Use block letters where applicable.","Original bills and documents should be attached as required.","The company reserves the right to reject the proposal or terminate the contract if the proposer or associated persons are named in any recognized blacklist.","Fill up the request for authorization form attached with this proposal form to receive claim/refund payments directly into bank account through NEFT if premium is more than Rs.10,000/-."],"title":"STANDALONE MOTOR SECURE OD PRIVATE CAR POLICY PROPOSAL FORM","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Cover and Proposal Details","fields":[{"help":"Select the type of cover desired","type":"choice","label":"*Cover Desired         OD Cover       Fire Only       Theft Only       Fire & Theft Only","options":["OD Cover","Fire Only","Theft Only","Fire & Theft Only"],"required":true,"pdf_field":""},{"help":"Select the type of proposal","type":"choice","label":"Proposal For:      New Policy       Renewal        Endorsement","options":["New Policy","Renewal","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":"(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":true,"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 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 format for policy documents","type":"choice","label":"I want Private Car 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","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":"Select 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":"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":"Indicate if differently abled","type":"yes-no","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 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","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","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":"Select all applicable road types","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":"Select 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":["Roadside public Parking","Roadside Outside Parking","Parking lot open or covered","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 repair preference","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","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 financier type","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 name of third party insurer","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 start date of third party policy","type":"date","label":"Policy Period – from","options":[],"required":true,"pdf_field":""},{"help":"Enter end date of third party policy","type":"date","label":"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","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":"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 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":"Enter total insured declared value","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?","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":"Indicate if extension to these countries 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?","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?","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","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 desired","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"],"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 name(s)","type":"text","label":"Name","options":[],"required":false,"pdf_field":""},{"help":"Enter driver age(s)","type":"number","label":"Age","options":[],"required":false,"pdf_field":""},{"help":"Select driver gender","type":"choice","label":"Gender","options":["Male","Female","Third Gender"],"required":false,"pdf_field":""},{"help":"Enter driving experience in years","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","type":"number","label":"No. of accidents in previous 5 years","options":[],"required":false,"pdf_field":""},{"help":"Enter details of paid drivers","type":"text","label":"Paid drivers","options":[],"required":false,"pdf_field":""},{"help":"Enter other driver details 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":"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":"Enter policy details 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":"Enter mode of payment","type":"text","label":"Mode of Payment","options":[],"required":false,"pdf_field":""},{"help":"Enter 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 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","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":"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"}],"deadlines":[],"applies_to":"Standalone Motor Secure OD Private Car Policy","attachments":["Copy of RC book","Expiring policy copy with schedule/renewal notice or cover note as proof of insurance","Appropriate documentary evidence for No Claim Bonus (NCB)","Request for authorization form for NEFT payments if premium is more than Rs.10,000/-","Annexure with GSTIN details if more than one GSTIN"],"declarations":["All statements and information provided in this proposal 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 proposer agrees to assist the insurer with records and information to address anti-financial crime practices.","Premium is paid from legitimate sources and insurer may verify source of funds and reject or terminate policy if otherwise.","Consent is given to receive policy and service communications electronically and for processing of personal data as per privacy policy.","Consent is given for insurer to access CKYC records for verification and communication.","The proposer agrees to abide by the insurer's privacy policy.","The insurer reserves the right to reject or terminate the policy if the proposer or associated persons are named in any sanctions list.","KYC records are current and proposer will inform insurer of any changes.","Declaration for No Claim Bonus (NCB) correctness and understanding that incorrect declaration will forfeit benefits."],"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/2767-standalone-motor-secure-od-private-car-policy-proposal-form"}