{"id":2802,"title":"MARINE INSURANCE - CARGO PROPOSAL FORM","purpose":"proposal","insurer":{"slug":"generali-central-insurance","name":"Generali Central Insurance Company Limited"},"source_pdf":"https://www.generalicentralinsurance.com/downloads/other-insurance/marine-insurance-cargo/proposal-forms/marine-cargo-specific-policy-retail-proposal-form.pdf","sha256":"9f67701cb45b4cded77e3e02b2d47f185037ff85958a34a95349a9518813e997","pages":6,"collected":"2026-10-17","instructions":{"about":"This form is used by the proposer (policyholder) to apply for marine cargo insurance coverage by providing details about themselves, the cargo, and payment information.","notes":["All questions are compulsory and must be filled using BLOCK LETTERS.","If additional space is needed, attach a separate signed and dated sheet referencing the question number.","Cover starts only after acceptance and receipt of premium.","For second hand machinery, basis for value declared must be mentioned.","Use original documents where required.","The form includes a Go Green initiative to send policy documents electronically; tick box if physical copy is desired."],"title":"MARINE INSURANCE - CARGO PROPOSAL FORM","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Proposer and Communication Details","fields":[{"help":"Enter start and end dates of insurance coverage (DD/MM/YYYY).","type":"date","label":"Period of Insurance","options":[],"required":true,"pdf_field":""},{"help":"Enter full name of the insured person or entity.","type":"text","label":"Name of the Proposed Insured (in full)","options":[],"required":true,"pdf_field":""},{"help":"Enter full present address including building name/block number.","type":"text","label":"PRESENT ADDRESS FOR COMMUNICATION (DISPATCH ADDRESS*): Building Name / Block No","options":[],"required":true,"pdf_field":""},{"help":"Enter street name of present address.","type":"text","label":"Street Name","options":[],"required":true,"pdf_field":""},{"help":"Enter city of present address.","type":"text","label":"City","options":[],"required":true,"pdf_field":""},{"help":"Enter state of present address.","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":"Office phone number.","type":"phone","label":"Telephone (O)","options":[],"required":true,"pdf_field":""},{"help":"Fax number if any.","type":"text","label":"Fax No","options":[],"required":true,"pdf_field":""},{"help":"Email address.","type":"email","label":"Email","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Permanent Address and Proposer Type","fields":[{"help":"Enter permanent address or leave blank if same as present address.","type":"text","label":"Permanent address of the proposer (if left blank, will be construed as being same as Present Address) Building Name / Block No","options":[],"required":false,"pdf_field":""},{"help":"Street name of permanent address.","type":"text","label":"Street Name","options":[],"required":false,"pdf_field":""},{"help":"City of permanent address.","type":"text","label":"City","options":[],"required":false,"pdf_field":""},{"help":"State of permanent address.","type":"text","label":"State","options":[],"required":false,"pdf_field":""},{"help":"Pin code of permanent address.","type":"number","label":"Pin code","options":[],"required":false,"pdf_field":""},{"help":"Office phone number at permanent address.","type":"phone","label":"Telephone (O)","options":[],"required":false,"pdf_field":""},{"help":"Fax number at permanent address.","type":"text","label":"Fax No","options":[],"required":false,"pdf_field":""},{"help":"Email address at permanent address.","type":"email","label":"Email","options":[],"required":false,"pdf_field":""},{"help":"Central KYC number if available.","type":"text","label":"CKYC Number (if available)","options":[],"required":false,"pdf_field":""},{"help":"Select all applicable categories.","type":"checkbox","label":"I am (please tick all that are applicable)","options":["High Net Worth Individual/s","Non-Residential Indian/s","Politically Exposed Person","Non-Governmental Organisation","Non-Profit Organisation"],"required":true,"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":"choice","label":"If you are Differently Abled, please tick on the checkbox to provide confirmation","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Describe 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 Unique Disability ID if applicable.","type":"text","label":"UDID Number","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Details of Cargo to be Insured","fields":[{"help":"Describe the goods or merchandise to be insured.","type":"text","label":"Merchandise or Goods to be insured","options":[],"required":true,"pdf_field":""},{"help":"Describe packing type and container details if any.","type":"text","label":"Nature of Packing. (If in Containers– LCL/FCL, please mention)","options":[],"required":true,"pdf_field":""},{"help":"List fragile items and their separate value.","type":"text","label":"Fragile items (please give details and separate value)","options":[],"required":true,"pdf_field":""},{"help":"Specify export/import/domestic transit details with from and to locations.","type":"text","label":"Voyage/Transit","options":[],"required":true,"pdf_field":""},{"help":"Select mode of conveyance; specify if Others.","type":"choice","label":"Mode of conveyance","options":["Sea","Air","Closed","Rail wagons","Covered trucks","Courier","Post","Others"],"required":true,"pdf_field":""},{"help":"Enter vessel name if applicable.","type":"text","label":"Name of the Vessel","options":[],"required":false,"pdf_field":""},{"help":"Enter Bill of Lading, Air Waybill, Railway Receipt or Consignment Note number and date.","type":"text","label":"B/L, AWB, RR/CN no. and date","options":[],"required":false,"pdf_field":""},{"help":"Enter invoice number and date.","type":"text","label":"Invoice No. and Date","options":[],"required":false,"pdf_field":""},{"help":"Specify any transshipment or storage details.","type":"text","label":"Transshipment &/ or storage if any (specify place and period)","options":[],"required":false,"pdf_field":""},{"help":"Specify basis of valuation and percentage if applicable.","type":"text","label":"Basis of valuation CIF / FOB /C&F + _______________%","options":[],"required":true,"pdf_field":""},{"help":"Declare value in foreign currency and Indian Rupees.","type":"amount","label":"Value declared for insurance In foreign currency- In Indian Rupees-","options":[],"required":true,"pdf_field":""},{"help":"Specify terms of cover required.","type":"text","label":"Terms of cover (e.g. All risk, basic, war & SRCC)","options":[],"required":true,"pdf_field":""},{"help":"Specify letter of credit wordings if applicable.","type":"text","label":"Specify LC wordings, if any, to be incorporated","options":[],"required":false,"pdf_field":""},{"help":"Provide any other relevant risk details.","type":"text","label":"Any other details about the risk","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":true,"pdf_field":""},{"help":"Provide payment details such as transaction number.","type":"text","label":"Payment Details","options":[],"required":true,"pdf_field":""},{"help":"Enter payment amount in Indian Rupees.","type":"amount","label":"Amount in (Rs.)","options":[],"required":true,"pdf_field":""},{"help":"Enter date of payment.","type":"date","label":"Date of Payment (DD/MM/YY)","options":[],"required":true,"pdf_field":""},{"help":"Provide PAN if premium is 100,000 INR or more.","type":"text","label":"PAN (If premium is 1 Lac and Above.)","options":[],"required":false,"pdf_field":""},{"help":"Provide 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 for refunds or 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":"Enter bank name and branch.","type":"text","label":"Bank Name & Branch","options":[],"required":true,"pdf_field":""},{"help":"Enter bank account number.","type":"text","label":"Bank Account Number","options":[],"required":true,"pdf_field":""},{"help":"Enter bank IFSC code.","type":"text","label":"IFS Code","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Nominee Details","fields":[{"help":"Enter nominee's full name.","type":"text","label":"Name","options":[],"required":true,"pdf_field":""},{"help":"Enter nominee's date of birth.","type":"date","label":"Date of Birth","options":[],"required":true,"pdf_field":""},{"help":"Specify relationship to proposer.","type":"text","label":"Relationship with the proposer","options":[],"required":true,"pdf_field":""},{"help":"Enter nominee's mobile number.","type":"phone","label":"Mobile Number","options":[],"required":true,"pdf_field":""},{"help":"Enter nominee's email address.","type":"email","label":"E-Mail ID","options":[],"required":true,"pdf_field":""},{"help":"Enter nominee's present address.","type":"text","label":"Address of Nominee: Present address","options":[],"required":true,"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":"Enter bank account holder name for nominee.","type":"text","label":"Bank Account Details of Nominee: Name of Account holder","options":[],"required":true,"pdf_field":""},{"help":"Enter bank name and branch for nominee.","type":"text","label":"Bank Name & Branch","options":[],"required":true,"pdf_field":""},{"help":"Enter bank account number for nominee.","type":"text","label":"Bank Account Number","options":[],"required":true,"pdf_field":""},{"help":"Enter IFSC code for nominee's bank.","type":"text","label":"IFS Code","options":[],"required":true,"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 by Proposer","fields":[{"help":"Sign the form; affix stamp if proposer is a juridical person.","type":"signature","label":"Signature of the Proposer(s)","options":[],"required":true,"pdf_field":""},{"help":"Enter date of signing.","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Enter place of signing.","type":"text","label":"Place","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"For Intermediary Use Only","fields":[{"help":"Enter intermediary's full name.","type":"text","label":"Name of Insurance Agent/POSP/Specified Person of the Corporate Agent/Authorized Person of the Broker/IMF","options":[],"required":true,"pdf_field":""},{"help":"Enter intermediary code.","type":"text","label":"Intermediary’s Code","options":[],"required":true,"pdf_field":""},{"help":"Intermediary to sign here.","type":"signature","label":"Intermediary’s Signature","options":[],"required":true,"pdf_field":""}],"filled_by":"intermediary"}],"deadlines":[],"applies_to":"marine cargo insurance proposals","attachments":["request for authorization form attached with this proposal form to receive claim/refund payments if any, directly into your bank account through NEFT if the 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 material facts withheld.","Misrepresentation or suppression of material facts may render the policy void and premium forfeited.","Policyholder and related persons will assist the insurer with anti-financial crime compliance.","Premium is paid from legitimate sources and insurer may verify source of funds and reject policy if otherwise.","Consent to receive policy and service communications electronically and for processing of personal data.","Consent to insurer accessing CKYC records for verification and communication.","Agreement to abide by insurer's privacy policy.","Insurer may reject proposal or terminate contract if proposer or associates are on sanctions lists.","KYC records are current and proposer will inform insurer of any changes."],"dropped_labels":4},"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/2802-marine-insurance-cargo-proposal-form"}