{"id":2824,"title":"VIVAH SURAKSHA POLICY PROPOSAL FORM","purpose":"proposal","insurer":{"slug":"generali-central-insurance","name":"Generali Central Insurance Company Limited"},"source_pdf":"https://www.generalicentralinsurance.com/downloads/other-insurance/vivah-suraksha-policy/proposal-forms/vivah-suraksha-proposal-form.pdf","sha256":"77e28139de96f0b11afb071d036bacb55ee8af77886b943d1178548f2deef97b","pages":9,"collected":"2026-10-17","instructions":{"about":"This form is used by individuals or organizations proposing to purchase the Vivah Suraksha insurance policy. The proposer fills it to provide details about themselves, the wedding event, and coverage requirements.","notes":["Read the prospectus/key features/policy wordings before filling the form.","Disclose all material facts fully and do not suppress any information.","If insufficient space, attach a separate signed and dated sheet referencing the question number.","Cover starts only after acceptance and receipt of premium.","Proof of expenses is required during claim for wedding costs and decorations.","Use original bills and documents for claims.","If premium is above Rs 10,000, fill authorization form for NEFT payments.","Section 41 of Insurance Act prohibits rebates; non-compliance may lead to penalty.","The form includes sections for intermediary use which are not to be filled by the proposer."],"title":"VIVAH SURAKSHA POLICY PROPOSAL FORM","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Proposer and Intermediary Details","fields":[{"help":"","type":"text","label":"Intermediary Name","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Intermediary Code","options":[],"required":null,"pdf_field":""},{"help":"Tick all applicable","type":"choice","label":"Business Channel","options":["Agency","Banca","Corporate/Broking","Direct"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"RM/SP Name","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"RM/SP Code","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"RM/SP Contact No","options":[],"required":null,"pdf_field":""},{"help":"Provide GST number if applicable","type":"text","label":"GSTN: If applicable","options":[],"required":false,"pdf_field":""},{"help":"Provide PAN if applicable","type":"text","label":"POSP PAN (if applicable)","options":[],"required":false,"pdf_field":""},{"help":"Full name of the insured person","type":"text","label":"Name of the Insured","options":[],"required":true,"pdf_field":""},{"help":"Current address","type":"text","label":"Address of the Insured","options":[],"required":true,"pdf_field":""},{"help":"Provide if different from present address","type":"text","label":"Permanent Address of the Insured(if left blank, will be construed as being same as Present Address)","options":[],"required":false,"pdf_field":""},{"help":"Provide phone numbers","type":"phone","label":"Contact Nos.","options":[],"required":true,"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":false,"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 and intermediary"},{"title":"Differently Abled 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":false,"pdf_field":""},{"help":"Describe impairment type if Yes above","type":"text","label":"Type of Impairment","options":[],"required":false,"pdf_field":""},{"help":"Provide percentage if Yes above","type":"number","label":"Percentage of Impairment","options":[],"required":false,"pdf_field":""},{"help":"Unique Disability ID if Yes above","type":"text","label":"UDID Number","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Wedding Details","fields":[{"help":"Date and time of wedding ceremony","type":"date","label":"Wedding Date & Time of Mahurat","options":[],"required":true,"pdf_field":""},{"help":"Tick Yes or No","type":"choice","label":"Is the date on any public holiday, death anniversary, birth anniversary of any politically influential person (dead or alive)","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"choice","label":"Have the cards been printed","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Attach a sample invitation card if printed","type":"attachment","label":"If Yes, please attach one","options":[],"required":false,"pdf_field":""},{"help":"Number of invitees","type":"number","label":"How many people are invited for the function","options":[],"required":true,"pdf_field":""},{"help":"Bride's full name","type":"text","label":"Full Name of the Bride","options":[],"required":true,"pdf_field":""},{"help":"Bride's age","type":"number","label":"Age","options":[],"required":true,"pdf_field":""},{"help":"Groom's full name","type":"text","label":"Full Name of the Groom","options":[],"required":true,"pdf_field":""},{"help":"Groom's age","type":"number","label":"Age","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Blood Relations Details","fields":[{"help":"Tick Yes or No","type":"choice","label":"Is any one in above list seriously ill / in hospital / has a known medical problem","options":["Yes","No"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Venue Details","fields":[{"help":"Full address of wedding venue","type":"text","label":"Venue of the Wedding (Address)","options":[],"required":true,"pdf_field":""},{"help":"Telephone number of venue","type":"phone","label":"Tel","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"choice","label":"Is the venue an official regular location","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Describe venue if not regular","type":"text","label":"If No, then please describe the venue","options":[],"required":false,"pdf_field":""},{"help":"Describe any hazards","type":"text","label":"Any known hazards at / surrounding the venue: (e.g.: sensitive area, high rise location etc.)","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"choice","label":"Is the venue being officially booked and the advances paid","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Percentage of advance paid","type":"number","label":"How Much percentage","options":[],"required":false,"pdf_field":""},{"help":"Amount of advance paid","type":"amount","label":"Amount","options":[],"required":false,"pdf_field":""},{"help":"Select venue type","type":"choice","label":"Indoors/ Outdoors","options":["Indoors","Outdoors"],"required":false,"pdf_field":""},{"help":"Tick Yes or No if outdoors","type":"choice","label":"(If outdoors is there any provision made for a waterproof cover)","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Describe firefighting equipment available","type":"text","label":"Firefighting equipments at the venue","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"choice","label":"Emergency escape exits","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Number of emergency exits","type":"number","label":"How many?","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"choice","label":"Security arrangement","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Number of security personnel","type":"number","label":"How Many","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"choice","label":"Is there going to be any cooking at the venue","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Describe cooking location if Yes","type":"text","label":"If Yes, is it in a separate identified enclosure or within the same enclosure?","options":[],"required":false,"pdf_field":""},{"help":"Describe safety measures at venue","type":"text","label":"Safety Precautions","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Decoration and Wedding Cost Details","fields":[{"help":"Tick Yes or No","type":"choice","label":"Is the Residence of the insured & venue of the wedding going to be decorated?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Cost in Rs.","type":"amount","label":"If yes pl. give break up of the costs involved: Residence Lighting and related equipments","options":[],"required":false,"pdf_field":""},{"help":"Cost in Rs.","type":"amount","label":"Mandap / Tents","options":[],"required":false,"pdf_field":""},{"help":"Cost in Rs.","type":"amount","label":"Sets & decorations","options":[],"required":false,"pdf_field":""},{"help":"Other decoration costs in Rs.","type":"amount","label":"Others","options":[],"required":false,"pdf_field":""},{"help":"Total decoration cost in Rs.","type":"amount","label":"Total","options":[],"required":false,"pdf_field":""},{"help":"Provide amounts for Card Printing & Postage/Courier, Catering, Venue, Music/Decoration & Mandap, Hotel rooms & lodging, Transportation & Travel, Any other charges","type":"table","label":"Please provide break up to the cost of the Wedding as under","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Jewelry and Valuables Details","fields":[{"help":"Tick Yes or No","type":"choice","label":"Are any Jewelry, precious, money, metal & stones and expensive appliance given to the bride or groom (only of the insured’s and not of the in laws to be) which is kept / stored at the insured’s residence","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"choice","label":"Is it stored in a safe or a locker in the residence?","options":["YES","NO"],"required":false,"pdf_field":""},{"help":"Describe storage arrangement if not in safe/locker","type":"text","label":"If no then what arrangement is made","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"choice","label":"Is there security arrangement at the residence?","options":["YES","NO"],"required":false,"pdf_field":""},{"help":"Describe security arrangement if none","type":"text","label":"If no then what arrangement is made","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Sum Insured and Coverage Sections","fields":[{"help":"Specify sum insured amount","type":"amount","label":"Sum Insured","options":[],"required":true,"pdf_field":""},{"help":"Specify amount if applicable","type":"amount","label":"Section I: Wedding Cancellation & Postponement","options":[],"required":false,"pdf_field":""},{"help":"Specify amount if applicable","type":"amount","label":"Section II: Damage to Property","options":[],"required":false,"pdf_field":""},{"help":"Specify amount if applicable","type":"amount","label":"Section III: Personal Accident","options":[],"required":false,"pdf_field":""},{"help":"Specify amount if applicable","type":"amount","label":"Section IV: Money","options":[],"required":false,"pdf_field":""},{"help":"Specify amount if applicable","type":"amount","label":"Section V: Burglary","options":[],"required":false,"pdf_field":""},{"help":"Specify amount if applicable","type":"amount","label":"Section VI: Public Liability","options":[],"required":false,"pdf_field":""},{"help":"Start date of insurance coverage","type":"date","label":"Period Of Insurance From","options":[],"required":true,"pdf_field":""},{"help":"End date of insurance coverage","type":"date","label":"To","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Payment Details","fields":[{"help":"Specify payment mode","type":"text","label":"Mode of Payment","options":[],"required":true,"pdf_field":""},{"help":"Provide payment reference/details","type":"text","label":"Payment Details","options":[],"required":true,"pdf_field":""},{"help":"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":"Provide PAN if premium ≥ 1 lakh","type":"text","label":"PAN (If premium is 1 Lac and Above.)","options":[],"required":false,"pdf_field":""},{"help":"Provide GSTIN(s) or attach annexure","type":"text","label":"GSTIN (If more than one GSTIN, kindly attach an annexure with details)","options":[],"required":false,"pdf_field":""},{"help":"Name of bank account holder","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":"Bank IFSC code","type":"text","label":"IFS Code","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Nominee Details","fields":[{"help":"Nominee full name","type":"text","label":"Name","options":[],"required":true,"pdf_field":""},{"help":"Nominee 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 mobile number","type":"phone","label":"Mobile Number","options":[],"required":false,"pdf_field":""},{"help":"Nominee email address","type":"email","label":"E-Mail ID","options":[],"required":false,"pdf_field":""},{"help":"Nominee address","type":"text","label":"Address of Nominee","options":[],"required":true,"pdf_field":""},{"help":"Nominee present address","type":"text","label":"Present address","options":[],"required":true,"pdf_field":""},{"help":"Nominee permanent address if different","type":"text","label":"Permanent address: (if left blank, will be construed as being same as Present Address)","options":[],"required":false,"pdf_field":""},{"help":"Nominee bank details","type":"text","label":"Bank Account Details of Nominee","options":[],"required":true,"pdf_field":""},{"help":"Bank account holder name","type":"text","label":"Name of Account holder","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":"Bank IFSC code","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":"Declarations and Signature","fields":[{"help":"Date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Place of signing","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"Sign here","type":"signature","label":"Signature of the Proposer(s) (Affix stamp, where proposer is a juridical person)","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"}],"deadlines":[],"applies_to":"Vivah Suraksha Policy","attachments":["Sample invitation card if cards have been printed","Valuation certificate and photograph of jewelry and valuables if applicable","Annexure with GSTIN details if more than one GSTIN"],"declarations":["All statements and information provided are complete and accurate and form the basis of the insurance contract.","If any 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 agrees to data processing as per privacy policy.","The insurer reserves the right to reject or terminate the policy if the proposer or associated persons are named in sanctions lists.","The proposer confirms that KYC records are current and will inform insurer of any changes."],"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/2824-vivah-suraksha-policy-proposal-form"}