{"id":2798,"title":"HORSE INSURANCE PROPOSAL FORM","purpose":"proposal","insurer":{"slug":"generali-central-insurance","name":"Generali Central Insurance Company Limited"},"source_pdf":"https://www.generalicentralinsurance.com/downloads/other-insurance/horse-insurance/proposal-forms/horse-insurance-proposal-form.pdf","sha256":"d2809ea68deb4c2d14810ad127d46552745713dc23af2020f826c0ac2a65b9db","pages":7,"collected":"2026-10-17","instructions":{"about":"This form is used by individuals or entities proposing to insure horses. The proposer fills it to provide details about themselves, the horses, and related insurance history to apply for horse insurance coverage.","notes":["Read the prospectus/key features document/policy wordings before completing the form.","Answer all questions fully; attach separate signed and dated sheets if needed referencing question numbers.","Cover commences only after acceptance and receipt of premium.","Use original bills and certificates where required.","For premium above Rs 10,000, fill authorization form for NEFT payments.","Physical policy copy is available on request; otherwise, policy will be sent electronically.","Section 41 of Insurance Act prohibits rebates as inducements in insurance contracts."],"title":"HORSE INSURANCE PROPOSAL FORM","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Proposer Details","fields":[{"help":"","type":"text","label":"Name of the Proposer","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"A. Present Address of the Proposer","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"B. Present Address of the Proposer","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"6-digit postal code","type":"number","label":"Pin code","options":[],"required":null,"pdf_field":""},{"help":"Central KYC Registry number if available","type":"text","label":"CKYC Number (if available)","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":null,"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":""}],"filled_by":"proposer"},{"title":"Disability Confirmation","fields":[{"help":"Tick Yes or No","type":"choice","label":"If you are Differently Abled, please tick on the checkbox to provide confirmation.","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Describe impairment type if Yes","type":"text","label":"Type of Impairment","options":[],"required":false,"pdf_field":""},{"help":"Provide percentage if Yes","type":"number","label":"Percentage of Impairment","options":[],"required":false,"pdf_field":""},{"help":"Unique Disability ID if Yes","type":"text","label":"UDID Number","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Animal and Occupation Details","fields":[{"help":"Address where animals are stabled if different from proposer address","type":"text","label":"Animal Stabling Address (If Different)","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"State","options":[],"required":false,"pdf_field":""},{"help":"6-digit postal code","type":"number","label":"Pin code","options":[],"required":false,"pdf_field":""},{"help":"Proposer's occupation","type":"text","label":"Occupation","options":[],"required":null,"pdf_field":""},{"help":"Provide details for each animal in the columns listed","type":"table","label":"Give the following particulars in full, of each of the animals proposed for insurance. Type of Animal, Sex M/F, Age Yrs., Breed, Description of the Animal Color, Tail Switch, All other Distinguishing Features, marks, Tag No., Market Value","options":[],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Is cover required for Permanent Total Disability? YES NO","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Details of any hypothecation on the animals","type":"text","label":"Hypothecation, if any","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Animal Use and Health Details","fields":[{"help":"Describe intended use of the animals","type":"text","label":"State for what purpose the animals will be used.","options":[],"required":null,"pdf_field":""},{"help":"Provide health details and attach veterinary certificate","type":"text","label":"Is/are the animals in the stable sound and healthy and free from vice? If not give full particulars of defects and ailments if any. Please provide a certificate of good health issued by a qualified veterinary practitioner for each animal proposed for insurance.","options":[],"required":null,"pdf_field":""},{"help":"Specify veterinary service availability","type":"text","label":"Whether own Veterinary Services available or are you dependent on Government Veterinary Services?","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Loss and Claims History","fields":[{"help":"Provide details if Yes","type":"text","label":"Have you lost any animal/s during the last three years? YES NO If so state particulars Year, Cause of Loss, Number of animals lost","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Provide details for each year","type":"table","label":"Previous Insurance and Claims experience (for the last three years) Year, Policy No., Name of Insurer, Claim Amount, Whether claim settled in full or in part or outstanding or repudiated.","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Other Animals and Insurance History","fields":[{"help":"List other animals owned","type":"text","label":"How many other animals do you own and of what type?","options":[],"required":null,"pdf_field":""},{"help":"Provide insurer details if insured","type":"text","label":"Are they insured and if so with which insurer?","options":[],"required":null,"pdf_field":""},{"help":"Explain reason for new insurance","type":"text","label":"If not, why are they proposed for insurance now?","options":[],"required":false,"pdf_field":""},{"help":"Provide company names if applicable","type":"text","label":"Are any of the animals now proposed for insurance or have any other animals belonging to you been previously insured? If so, state name of Company.","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Ownership and Financing Details","fields":[{"help":"Provide ownership details","type":"text","label":"Are you the owner of the animal? If not state name and address of owner and also nature of your interest in the animal","options":[],"required":null,"pdf_field":""},{"help":"Provide financing details if applicable","type":"text","label":"Is any bank or other financing institution interested in the animal, If so, state Name and address of the bank and Amount of loan outstanding.","options":[],"required":false,"pdf_field":""},{"help":"Provide government scheme details if applicable","type":"text","label":"Is/ are the animal/s proposed for insurance covered by any Govt. scheme? If so, state Address of Govt. Agency Implementing the scheme and Amount of subsidy obtained from Implementing Govt. agency.","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Additional Information","fields":[{"help":"Provide any other relevant information","type":"text","label":"Any other information material to the risk or the terms upon which cover might be offered.","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declarations and Consent","fields":[{"help":"Sign the form","type":"signature","label":"Proposer’s Signature","options":[],"required":true,"pdf_field":""},{"help":"Location of signing","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Tick if physical policy copy is desired","type":"checkbox","label":"If you still wish for a physical copy, you may tick on this box.","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Payment Details","fields":[{"help":"Specify payment mode","type":"text","label":"Mode of Payment","options":[],"required":null,"pdf_field":""},{"help":"Provide payment reference/details","type":"text","label":"Payment Details","options":[],"required":null,"pdf_field":""},{"help":"Premium amount paid","type":"amount","label":"Amount in (₹)","options":[],"required":true,"pdf_field":""},{"help":"Date payment was made","type":"date","label":"Date of Payment (DD/MM/YY)","options":[],"required":true,"pdf_field":""},{"help":"Permanent Account Number if premium ≥ ₹1,00,000","type":"text","label":"PAN (If premium is 1 Lac and Above.)","options":[],"required":false,"pdf_field":""},{"help":"Goods and Services Tax Identification Number","type":"text","label":"GSTIN (If more than one GSTIN, kindly attach an annexure with details)","options":[],"required":false,"pdf_field":""},{"help":"Bank account holder name for refunds/claims","type":"text","label":"Bank details of proposer for refund or claim purpose: Name of bank account holder (mention specifically, if different from name of policyholder)","options":[],"required":true,"pdf_field":""},{"help":"Bank name and branch","type":"text","label":"Bank Name & Branch","options":[],"required":true,"pdf_field":""},{"help":"Bank account number","type":"text","label":"Bank Account Number","options":[],"required":true,"pdf_field":""},{"help":"Indian Financial System Code","type":"text","label":"IFS Code","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Nominee Details","fields":[{"help":"Nominee's full name","type":"text","label":"Name","options":[],"required":true,"pdf_field":""},{"help":"Nominee's date of birth","type":"date","label":"Date of Birth","options":[],"required":true,"pdf_field":""},{"help":"Relationship to proposer","type":"text","label":"Relationship with the proposer","options":[],"required":true,"pdf_field":""},{"help":"Nominee's mobile number","type":"phone","label":"Mobile Number","options":[],"required":false,"pdf_field":""},{"help":"Nominee's email address","type":"email","label":"E-Mail ID","options":[],"required":false,"pdf_field":""},{"help":"Nominee's current address","type":"text","label":"Address of Nominee: Present address","options":[],"required":true,"pdf_field":""},{"help":"Nominee's 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":"Bank account holder name for nominee","type":"text","label":"Bank Account Details of Nominee: Name of Account holder","options":[],"required":false,"pdf_field":""},{"help":"Bank name and branch for nominee","type":"text","label":"Bank Name & Branch","options":[],"required":false,"pdf_field":""},{"help":"Bank account number for nominee","type":"text","label":"Bank Account Number","options":[],"required":false,"pdf_field":""},{"help":"IFS Code for nominee's bank","type":"text","label":"IFS Code","options":[],"required":false,"pdf_field":""},{"help":"Details of authorized person 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":"Intermediary Declaration","fields":[{"help":"Name of intermediary","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":"Code of intermediary","type":"text","label":"Intermediary’s Code","options":[],"required":true,"pdf_field":""},{"help":"Signature of intermediary","type":"signature","label":"Intermediary’s Signature","options":[],"required":true,"pdf_field":""}],"filled_by":"insurance agent or intermediary"}],"deadlines":[],"applies_to":"Horse insurance","attachments":["A Certificate given by a qualified Veterinary Doctor must accompany this proposal","Certificate of good health issued by a qualified veterinary practitioner for each animal proposed for insurance","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.","Premiums are paid from legitimate sources and the insurer may verify source of funds and reject or terminate policy if found otherwise.","The proposer consents to receive communications electronically and to processing of personal data for the insurance policy.","The insurer may reject the proposal or terminate the contract if the proposer or associated persons are named in sanctions lists.","The proposer confirms that their KYC records are current and valid and will inform the insurer of any changes."],"dropped_labels":1},"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/2798-horse-insurance-proposal-form"}