{"id":2804,"title":"LAGHU LITE PROPOSAL FORM","purpose":"proposal","insurer":{"slug":"generali-central-insurance","name":"Generali Central Insurance Company Limited"},"source_pdf":"https://www.generalicentralinsurance.com/downloads/other-insurance/laghu-lite/proposal-forms/laghu-lite-proposal-form-retail.pdf","sha256":"17dcb6b89bfacc24cd807fd5d9348204b35185f6b5c54236a6a47151970a5f2b","pages":9,"collected":"2026-10-17","instructions":{"about":"This form is used by the proposer to apply for Laghu Lite insurance coverage for an enterprise with insurable assets between ₹5 Crore and ₹50 Crore against Fire and Allied Perils.","notes":["Insurance contract is based on utmost good faith; disclose all material facts.","Cover commences only after acceptance and receipt of premium.","Use separate signed and dated sheet if space is insufficient for answers, identifying question number.","Kutcha construction means walls/roofs made of wooden planks, thatched leaves, grass, bamboo, plastic cloth, asphalt, canvas, tarpaulin etc.","Pucca construction means buildings other than Kutcha.","Policyholder must fill request for authorization form to receive claim/refund payments directly via NEFT if premium paid is more than Rs 10,000.","Section 41 of Insurance Act prohibits rebates as inducement for insurance.","The insurer may send policy documents electronically as part of Go Green initiative."],"title":"LAGHU LITE PROPOSAL FORM","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Details about Proposer and Policy Period","fields":[{"help":"","type":"text","label":"Name of Proposer","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Present Address of Proposer","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Permanent Address of Proposer","options":[],"required":null,"pdf_field":""},{"help":"Enter mobile phone number","type":"phone","label":"Mobile No","options":[],"required":null,"pdf_field":""},{"help":"Enter email address","type":"email","label":"Email","options":[],"required":null,"pdf_field":""},{"help":"Provide contact person name and designation if proposer is not an individual","type":"text","label":"Contact person details, if not an individual a. Name b. Designation","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":""},{"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":"If Yes to Differently Abled, specify type","type":"text","label":"Type of Impairment","options":[],"required":false,"pdf_field":""},{"help":"If Yes to Differently Abled, specify percentage","type":"number","label":"Percentage of Impairment","options":[],"required":false,"pdf_field":""},{"help":"If Yes to Differently Abled, provide UDID number","type":"text","label":"UDID Number","options":[],"required":false,"pdf_field":""},{"help":"List all parties with insurable interest","type":"text","label":"Policy to be Issued in favour of (list out all the parties who have insurable interest) including the financial institutions","options":[],"required":null,"pdf_field":""},{"help":"Enter start and end date of policy period","type":"date","label":"Period of Insurance From : To :","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Business and Location of Business","fields":[{"help":"Describe the business","type":"text","label":"Business of Proposer","options":[],"required":null,"pdf_field":""},{"help":"Provide address, pin code, occupancy, age of unit, floor for each location","type":"table","label":"Location of risk/business to be covered - full postal address with Pin Code","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Details about business covered at the insured location","fields":[{"help":"Tick Yes or No","type":"yes-no","label":"The Insured property is Please tick in the space below : a) Offices, shops, hotels etc.","options":[],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"b) Industrial / manufacturing risks","options":[],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"c) Storage outside Industrial/ manufacturing risks","options":[],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"d) Tanks / gas holders outside industrial/ manufacturing risks.","options":[],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"e) Utilities located outside Industrial/manufacturing risks.","options":[],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"f) Boundary wall","options":[],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"g) Basement storage","options":[],"required":null,"pdf_field":""},{"help":"Provide sum insured value if basement storage is Yes","type":"amount","label":"If, yes value stored SI: ₹……………","options":[],"required":null,"pdf_field":""},{"help":"Specify other insured property types if any","type":"text","label":"h) Others ( please specify)","options":[],"required":false,"pdf_field":""},{"help":"List goods stored if applicable","type":"text","label":"If used as warehouse / godown (not located in a manufacturing unit) please give the list of goods stored.","options":[],"required":false,"pdf_field":""},{"help":"Describe products manufactured","type":"text","label":"If used as an Industrial Manufacturing unit give products manufactured at the location proposed(detailed block plan showing various facilities to be enclosed wherever applicable)","options":[],"required":false,"pdf_field":""},{"help":"State factory status","type":"text","label":"If used as an Industrial Manufacturing unit, please state whether the factory is working or silent?","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Fire Protection devices installed? Yes/No","options":[],"required":null,"pdf_field":""},{"help":"Tick all applicable fire protection devices","type":"checkbox","label":"If Yes, Please Tick the correct answer in the box below.","options":["Portable Extinguishers","Small bore hose reels","Trailer Pumps/Fire engines","Hydrant System","Sprinkler System","Fixed Water Spray System","Foam System","Fire Alarm System","Gas Flooding System","Others, please specify below."],"required":false,"pdf_field":""},{"help":"Specify other fire protection devices if any","type":"text","label":"Others, please specify below.","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Indicate whether AMC (Annual Maintenance contract) for the Fire Protection Appliances is in force : Yes / No","options":[],"required":null,"pdf_field":""},{"help":"Tick the correct material for walls, floor, and roof","type":"choice","label":"Construction Details a. Please state material used Please tick the correct answer in the box i. Walls Kutcha / Pucca ii. Floor Kutcha / Pucca iii. Roof Kutcha / Pucca","options":["Walls Kutcha","Walls Pucca","Floor Kutcha","Floor Pucca","Roof Kutcha","Roof Pucca"],"required":null,"pdf_field":""},{"help":"Tick the correct construction quality","type":"choice","label":"Please select the type of Construction quality/structure","options":["Earthquake Resistant Construction","Superior Construction","Class I Construction","Class II Construction"],"required":null,"pdf_field":""},{"help":"Enter number of floors","type":"number","label":"Number of Floors","options":[],"required":null,"pdf_field":""},{"help":"Select age category","type":"choice","label":"Age of the Building Less than 5 years / 5-10 years / Upto15 years / Above 15 years","options":["Less than 5 years","5-10 years","Upto15 years","Above 15 years"],"required":null,"pdf_field":""},{"help":"Provide distance in meters if possible","type":"text","label":"Distance between the risk to be covered and nearest Fire Brigade","options":[],"required":false,"pdf_field":""},{"help":"Provide distance in meters","type":"text","label":"Please provide the distance of the premises from the nearest water body","options":[],"required":false,"pdf_field":""},{"help":"Provide details if applicable","type":"text","label":"Whether You have insured the same property with any other Insurance Company with the same type of coverage. (Give details)","options":[],"required":false,"pdf_field":""},{"help":"Provide distance in meters","type":"text","label":"Distance between the Risk to be covered from the nearest water body","options":[],"required":false,"pdf_field":""},{"help":"Provide details if applicable","type":"text","label":"Whether Insurance was declined by any other Company (Give details)","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"choice","label":"Is Watchmen on Duty (Round the Clock) available at your Storage Facility?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"choice","label":"Are you following standard housekeeping practices at premises to be covered?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Tick Yes or No","type":"choice","label":"Please confirm whether your premises has conductive wiring in place ?","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Provide year-wise premium and claim amounts for past 36 months","type":"table","label":"a) Premium / Claim details for the past 36 months excluding the expiring policy period Year Premium Claim","options":[],"required":false,"pdf_field":""},{"help":"Describe claims if any","type":"text","label":"b) Please provide the type and description of claim","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Sum Insured and Other details of Insured Property","fields":[{"help":"Provide sum insured amounts for each category as per instructions","type":"table","label":"Description of Block Building including plinth, Basement and additional structures Plant & Machinery Furniture & Fixtures, Fittings and other equipment Raw Material Stock in Process Finished Stock Other Contents (Please specify) Total","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Optional Covers/Add-On","fields":[{"help":"Tick Yes or No and provide location and max value","type":"text","label":"Floater Cover (for stocks at various locations) Location (Postal Address with Pin Code ) i) Maximum value at any one location: ₹…………….. ii) Whether stocks stored in open: Yes / No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Tick if opting for declaration policy for stocks","type":"checkbox","label":"Declaration Policy For Stocks*","options":["Declaration Policy For Stocks"],"required":false,"pdf_field":""},{"help":"Tick all applicable optional covers","type":"checkbox","label":"Sabotage And Terrorism Damage Cover Endorsement (Material Damage Only) Please select if below mentioned extensions under the above cover are also opted. I. Terrorism Third Party Liability Insurance Add On Cover II. Political Violence Insurance Extension","options":["Sabotage And Terrorism Damage Cover Endorsement","Terrorism Third Party Liability Insurance Add On Cover","Political Violence Insurance Extension"],"required":false,"pdf_field":""},{"help":"Tick if opting","type":"checkbox","label":"Involuntary Betterment","options":["Involuntary Betterment"],"required":false,"pdf_field":""},{"help":"Tick if opting","type":"checkbox","label":"Immediate Repair Clause","options":["Immediate Repair Clause"],"required":false,"pdf_field":""},{"help":"Tick if opting","type":"checkbox","label":"Escalation","options":["Escalation"],"required":false,"pdf_field":""},{"help":"Tick if opting","type":"checkbox","label":"Brands And Label","options":["Brands And Label"],"required":false,"pdf_field":""},{"help":"Tick if opting","type":"checkbox","label":"Additional Custom Duty","options":["Additional Custom Duty"],"required":false,"pdf_field":""},{"help":"Specify indemnity period in months","type":"text","label":"Insurance Of Additional Expenses Of Rent For An Alternative Accommodation Indemnity Period ( ___) in months","options":[],"required":false,"pdf_field":""},{"help":"Tick applicable options","type":"checkbox","label":"Deterioration Of Stocks In Cold Storage Premises (A) Deterioration of stocks in cold storage premises due to accidental power failure consequent to damage at the premises of power station due to an insured peril (B) Deterioration of stocks in cold storage premises due to change in temperature arising out of loss or damage to the cold storage machinery(ies) in the insured’s premises due to operation of insured peril","options":["Deterioration due to power failure","Deterioration due to cold storage machinery damage"],"required":false,"pdf_field":""},{"help":"Tick if opting","type":"checkbox","label":"Accidental Damage","options":["Accidental Damage"],"required":false,"pdf_field":""},{"help":"Tick if opting","type":"checkbox","label":"EMI Protection Cover","options":["EMI Protection Cover"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Premium Details and Bank Details","fields":[{"help":"Specify mode of payment","type":"text","label":"Mode of Payment","options":[],"required":null,"pdf_field":""},{"help":"Provide payment amount and date","type":"text","label":"Payment Details Amount in (₹) Date of Payment (DD/MM/YY)","options":[],"required":null,"pdf_field":""},{"help":"Provide PAN if premium is 1 Lac or above","type":"text","label":"PAN (If premium is 1 Lac and Above.)","options":[],"required":false,"pdf_field":""},{"help":"Provide GSTIN(s)","type":"text","label":"GSTIN (If more than one GSTIN, kindly attach an annexure with details)","options":[],"required":false,"pdf_field":""},{"help":"Provide bank account holder name","type":"text","label":"Name of bank account holder (mention specifically, if different from name of policyholder)","options":[],"required":null,"pdf_field":""},{"help":"Provide bank name and branch","type":"text","label":"Bank Name & Branch","options":[],"required":null,"pdf_field":""},{"help":"Provide bank account number","type":"text","label":"Bank Account Number","options":[],"required":null,"pdf_field":""},{"help":"Provide IFSC code","type":"text","label":"IFS Code","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Nominee Details","fields":[{"help":"Nominee's full name","type":"text","label":"Name","options":[],"required":null,"pdf_field":""},{"help":"Nominee's date of birth","type":"date","label":"Date of Birth","options":[],"required":null,"pdf_field":""},{"help":"Specify relationship","type":"text","label":"Relationship with the proposer","options":[],"required":null,"pdf_field":""},{"help":"Nominee's mobile number","type":"phone","label":"Mobile Number","options":[],"required":null,"pdf_field":""},{"help":"Nominee's email address","type":"email","label":"E-Mail ID","options":[],"required":false,"pdf_field":""},{"help":"Nominee's present address","type":"text","label":"Address of Nominee Present address","options":[],"required":null,"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":"Nominee's bank account holder name","type":"text","label":"Name of Account holder","options":[],"required":null,"pdf_field":""},{"help":"Nominee's bank name and branch","type":"text","label":"Bank Name & Branch","options":[],"required":null,"pdf_field":""},{"help":"Nominee's bank account number","type":"text","label":"Bank Account Number","options":[],"required":null,"pdf_field":""},{"help":"Nominee's IFSC code","type":"text","label":"IFS Code","options":[],"required":null,"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 Insured","fields":[{"help":"Sign the form","type":"signature","label":"Proposer’s Signature","options":[],"required":true,"pdf_field":""},{"help":"Enter place of signing","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"Enter date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Tick if you want a physical copy of the policy","type":"checkbox","label":"If you still wish for a physical copy, you may tick on this box.","options":["Tick for physical copy"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"For Intermediary Use Only","fields":[{"help":"Enter intermediary's name","type":"text","label":"Name of Insurance Agent/POSP/Specified Person of the Corporate Agent/Authorized Person of the Broker/IMF","options":[],"required":null,"pdf_field":""},{"help":"Enter intermediary code","type":"text","label":"Intermediary’s Code","options":[],"required":null,"pdf_field":""},{"help":"Intermediary to sign","type":"signature","label":"Intermediary’s Signature","options":[],"required":null,"pdf_field":""}],"filled_by":"intermediary"}],"deadlines":[],"applies_to":"enterprises with total value of insurable assets at a location exceeding ₹5 Crore but not exceeding ₹50 Crore, for Fire and Allied Perils coverage","attachments":["detailed block plan showing various facilities (where applicable)","annexure with GSTIN details (if more than one GSTIN)","separate signed and dated sheet if insufficient space to answer any question"],"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 agrees to assist the insurer with records and information for anti-financial crime practices.","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 updates.","Agreement to abide by insurer's Privacy Policy.","Insurer reserves right to reject or terminate policy if policyholder or associated persons are on sanctions lists."],"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/2804-laghu-lite-proposal-form"}