{"id":2817,"title":"SOOKSHMA 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/sookshma-lite/proposal-forms/sookshma-lite-proposal-form.pdf","sha256":"13d00986440e048e7c9c8150d9ea0e6fe32e60b915712671c9f5af9f44822d5f","pages":9,"collected":"2026-10-17","instructions":{"about":"This form is used by the proposer to apply for Sookshma Lite insurance coverage for an enterprise with insurable assets up to Rs. 5 Crore against Fire and Allied Perils.","notes":["Insurance is a contract of utmost good faith requiring full disclosure of material facts.","Attach separate signed and dated sheet if insufficient space to answer any question, identifying the question number.","Cover commences only after acceptance and receipt of premium.","Use the form only for enterprises with insurable assets not exceeding Rs. 5 Crore at a location.","Policyholder must fill the form; intermediary to fill intermediary details.","Original bills and documents may be required for claims (implied).","Policyholder must provide PAN if premium is 1 Lac and above.","Policyholder must provide GSTIN details if applicable.","Proposer may receive policy documents electronically; physical copy available on request.","Anti-money laundering and anti-financial crime compliance is mandatory.","Section 41 of Insurance Act prohibits rebates on commission or premium."],"title":"SOOKSHMA LITE 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; Email ID: GCIcare@generalicentral.com"},"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":"","type":"phone","label":"Mobile No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"email","label":"Email","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Contact person details (where proposer is not an individual) a. Name","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Contact person details (where proposer is not an individual) b. Designation","options":[],"required":null,"pdf_field":""},{"help":"Central KYC 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":"","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","type":"text","label":"Type of Impairment","options":[],"required":false,"pdf_field":""},{"help":"If Yes to Differently Abled","type":"number","label":"Percentage of Impairment","options":[],"required":false,"pdf_field":""},{"help":"If Yes to Differently Abled","type":"text","label":"UDID Number","options":[],"required":false,"pdf_field":""},{"help":"","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":"Start date of policy","type":"date","label":"Period of Insurance From","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Business and Location of Business","fields":[{"help":"","type":"text","label":"Business of Proposer","options":[],"required":null,"pdf_field":""},{"help":"Fill address, pin code, occupancy, age of unit, floor (GF/MF/H)","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 for each item","type":"choice","label":"Details of insured property Please tick in the space below","options":["Offices, Shops, Hotels, etc Yes / No","Industrial / Manufacturing risks Yes / No","Storage outside Industrial/ Manufacturing risks Yes / No","Tanks / Gas holders outside Industrial/ Manufacturing risks Yes / No","Utilities located outside Industrial/Manufacturing risks Yes / No","Boundary wall Yes / No","Basement storage Yes / No"],"required":null,"pdf_field":""},{"help":"If basement storage is Yes","type":"amount","label":"If, yes value stored SI: ₹","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Others (please specify)","options":[],"required":false,"pdf_field":""},{"help":"","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":"Attach detailed block plan if applicable","type":"text","label":"If used as an Industrial Manufacturing unit give products manufactured at the location proposed","options":[],"required":false,"pdf_field":""},{"help":"","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":"choice","label":"Fire Protection devices installed? Yes / No","options":["Yes","No"],"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"],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"Indicate whether AMC( Annual Maintenance contract) for the Fire Protection Appliances is in force","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Tick Kutcha or Pucca for each","type":"checkbox","label":"Construction details a. Please state material used","options":["Walls Kutcha / Pucca","Floor Kutcha / Pucca","Roof Kutcha / Pucca"],"required":null,"pdf_field":""},{"help":"Tick one or more applicable","type":"checkbox","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":"","type":"number","label":"Number of Floors","options":[],"required":null,"pdf_field":""},{"help":"Select one","type":"choice","label":"Age of the Building","options":["Less than 5 Years","5-10 Years","Upto 15 Years","Above 15 Years"],"required":null,"pdf_field":""},{"help":"Provide distance in meters","type":"text","label":"Distance between the risk to be covered and nearest Fire Brigade","options":[],"required":null,"pdf_field":""},{"help":"","type":"number","label":"Please provide the distance of the premises from the nearest water body (in meters)","options":[],"required":null,"pdf_field":""},{"help":"","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":"","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":"Select one","type":"choice","label":"Please confirm the average age of equipment in the premises?","options":["Less than 2 years","3 - 5 years","5-10 years","10 - 15 years","15 - 20 years","20 - 25 years","Above 25 years"],"required":null,"pdf_field":""},{"help":"Provide year-wise premium and claim amounts","type":"table","label":"Premium / Claim details for the past 36 months excluding the expiring policy period","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"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":"Indicate sum insured 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 all optional covers you want to opt for","type":"checkbox","label":"Please select from below mentioned covers, which you want to opt for","options":["Floater Cover (for stocks at various locations)","Sabotage And Terrorism Damage Cover Endorsement (Material Damage Only)","I.Terrorism Third Party Liability Insurance Add On Cover","II.Political Violence Insurance Extension","Declaration Policy for Stocks","Involuntary Betterment","Escalation","Claim Preparation Costs","Additional Custom Duty","Loss Of Rent Clause","Insurance Of Additional Expenses Of Rent For An Alternative Accommodation","Deterioration Of Stocks In Cold Storage Premises (A) Deterioration due to accidental power failure","Deterioration Of Stocks In Cold Storage Premises (B) Deterioration due to change in temperature","Accidental Damage","EMI Protection Cover"],"required":false,"pdf_field":""},{"help":"If floater cover selected","type":"amount","label":"Maximum value at any one location: ₹","options":[],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"Whether stocks stored in open: Yes/No","options":["Yes","No"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Premium Details and Payment","fields":[{"help":"","type":"text","label":"Mode of Payment","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Payment Details","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"Amount in (₹)","options":[],"required":null,"pdf_field":""},{"help":"Date format DD/MM/YY","type":"date","label":"Date of Payment (DD/MM/YY)","options":[],"required":null,"pdf_field":""},{"help":"Permanent Account Number","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":""}],"filled_by":"proposer"},{"title":"Bank Details of Proposer for Refund or Claim Purpose","fields":[{"help":"","type":"text","label":"Name of bank account holder (mention specifically, if different from name of policyholder)","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Bank Name & Branch","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Bank Account Number","options":[],"required":null,"pdf_field":""},{"help":"Indian Financial System Code","type":"text","label":"IFS Code","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Nominee Details","fields":[{"help":"","type":"text","label":"Name","options":[],"required":null,"pdf_field":""},{"help":"","type":"date","label":"Date of Birth","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Relationship with the proposer","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Mobile Number","options":[],"required":null,"pdf_field":""},{"help":"","type":"email","label":"E-Mail ID","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Address of Nominee - Present address","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Permanent address: ((if left blank, will be construed as being same as Present Address))","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Bank Account Details of Nominee - Name of Account holder","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Bank Name & Branch","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Bank Account Number","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"IFS Code","options":[],"required":null,"pdf_field":""},{"help":"","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":"","type":"signature","label":"Proposer’s Signature","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"","type":"date","label":"Date","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"}],"deadlines":[],"applies_to":"enterprises with total value of insurable assets at a location not exceeding Rs. 5 Crore, against Fire and Allied Perils","attachments":["detailed block plan showing various facilities (where applicable)","annexure with GSTIN details (if more than one GSTIN)","request for authorization form to receive Claim/Refund payments through NEFT (if premium paid is more than Rs 10000/-)"],"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.","The insured agrees to assist GCICL with records/information to address anti-financial crime practices.","Premiums are paid from legitimate sources and GCICL may verify source of funds and reject or terminate policy if otherwise.","Consent to receive policy and service communications electronically and for GCICL to process personal data as per privacy policy.","Consent for GCICL to access CKYC records for verification and communication.","KYC records are current and valid and proposer will inform GCICL 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/2817-sookshma-lite-proposal-form"}