{"id":2825,"title":"TRADE CREDIT INSURANCE 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/trade-credit-insurance/proposal-forms/trade-credit-insurance-policy-retail-proposal%20form.pdf","sha256":"5249223de5393526d046f9a9b91a43b4d09e46d405964ebb584936c2c764a5be","pages":11,"collected":"2026-10-17","instructions":{"about":"This form is used by a proposer (business or individual) to apply for trade credit insurance coverage from the insurer.","notes":["Read prospectus/key features/policy wordings before completing.","Answer all questions; use separate signed sheet if needed.","Cover starts only after acceptance and premium receipt.","Use original bills and documents as required.","Fill request for authorization form to receive claim/refund payments via NEFT if premium paid is more than Rs. 10,000/-.","The form includes a Go Green option to receive policy documents electronically; tick box if physical copy is desired.","Section 41 of Insurance Act prohibits rebates as inducements.","Anti-money laundering and anti-financial crime compliance is mandatory."],"title":"TRADE CREDIT INSURANCE POLICY PROPOSAL FORM","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Proposer Details","fields":[{"help":"","type":"text","label":"Name","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Registered Number","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Present Address of the Proposer","options":[],"required":null,"pdf_field":""},{"help":"If left blank, will be construed as same as Present Address","type":"text","label":"Permanent Address of the Proposer","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Post Code","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Website address","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Contact name","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Position","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Tel. No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"email","label":"E-mail","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":"","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":"","type":"text","label":"If you are an NGO/NPO, please provide Niti Ayog – Darpan Portal Registration Number","options":[],"required":false,"pdf_field":""},{"help":"If Yes, provide type of impairment, percentage, and UDID number","type":"yes-no","label":"If you are Differently Abled, please tick on the checkbox to provide confirmation","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"If Differently Abled is Yes","type":"text","label":"Type of Impairment","options":[],"required":false,"pdf_field":""},{"help":"If Differently Abled is Yes","type":"number","label":"Percentage of Impairment","options":[],"required":false,"pdf_field":""},{"help":"If Differently Abled is Yes","type":"text","label":"UDID Number","options":[],"required":false,"pdf_field":""},{"help":"If Yes, provide details","type":"yes-no","label":"Is cover required for any other group company?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Details of other group company cover required","type":"text","label":"If yes, please provide details","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Reasons for seeking credit insurance","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Proposer’s Business Activities","fields":[{"help":"","type":"text","label":"Do you act as agent or principal?","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"What goods /services do you sell?","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"To which trade sector do you sell them?","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Do you manufacture the goods that you sell?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide period duration","type":"text","label":"What is the period from date of contract to date of shipment?","options":[],"required":null,"pdf_field":""},{"help":"Yes/No or details","type":"text","label":"Do you have a written supply contracts with your Buyers?","options":[],"required":null,"pdf_field":""},{"help":"Yes/No or details","type":"text","label":"Do you hold Retention of Title (ROT) rights?","options":[],"required":null,"pdf_field":""},{"help":"Explain enforceability and resale value","type":"text","label":"Please comment on enforceability prospects of ROT rights & the resale value of your products","options":[],"required":null,"pdf_field":""},{"help":"Describe any collateral held","type":"text","label":"Details of any collateral other than ROT held in respect of your Buyers","options":[],"required":false,"pdf_field":""},{"help":"If yes, provide details","type":"yes-no","label":"Is your business seasonal?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Seasonal business details","type":"text","label":"If yes, please provide details","options":[],"required":false,"pdf_field":""},{"help":"Describe normal payment terms","type":"text","label":"What are your normal terms of payment?","options":[],"required":null,"pdf_field":""},{"help":"Describe extended payment terms","type":"text","label":"What extended terms of payment do you sell on?","options":[],"required":null,"pdf_field":""},{"help":"Percentage or proportion","type":"text","label":"What proportion of your sales are on extended terms?","options":[],"required":null,"pdf_field":""},{"help":"Average number of days","type":"number","label":"What is your average Days’ Sales Outstanding?","options":[],"required":null,"pdf_field":""},{"help":"Specify any special cover features needed","type":"text","label":"Do you require any special features of cover (e.g. consignment stock; binding contracts, work-in-progress, self-billing etc.)?","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Past Experience","fields":[{"help":"Currency used for financial figures","type":"text","label":"Currency","options":[],"required":null,"pdf_field":""},{"help":"Year for turnover and losses data","type":"text","label":"Financial Year","options":[],"required":null,"pdf_field":""},{"help":"Exclude VAT unless covered; exclude inter-company and non-insurable items","type":"amount","label":"Turnover*","options":[],"required":null,"pdf_field":""},{"help":"Losses net of VAT; exclude credit insurance claim payments","type":"amount","label":"Losses**","options":[],"required":null,"pdf_field":""},{"help":"Recoveries net of VAT; include ROT but not credit insurance claim payments","type":"amount","label":"Recoveries**","options":[],"required":null,"pdf_field":""},{"help":"Count of loss incidents","type":"number","label":"Number of losses","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Details of Largest Individual Losses","fields":[{"help":"","type":"text","label":"Financial Year","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Name of Buyer","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Cause of Loss","options":[],"required":null,"pdf_field":""},{"help":"Loss value net of VAT","type":"amount","label":"Value*","options":[],"required":null,"pdf_field":""},{"help":"Recoveries net of VAT; include ROT but not credit insurance claim payments","type":"amount","label":"Recoveries*","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Accounts Receivable Balances","fields":[{"help":"Currency of balances","type":"text","label":"Currency","options":[],"required":null,"pdf_field":""},{"help":"Provide balances as of these dates","type":"text","label":"As at last 31 March, 30 June, 30 September, 31 December","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Current Aged Debt Analysis","fields":[{"help":"Date of analysis","type":"date","label":"As at","options":[],"required":null,"pdf_field":""},{"help":"Currency of debt","type":"text","label":"Currency","options":[],"required":null,"pdf_field":""},{"help":"Columns: Range, Value, % of Past Due from Disputes; rows: Current (not yet due), 1-30 days overdue, 31-60 days overdue, 61-90 days overdue, Over 90 days overdue, Total","type":"table","label":"Range, Value, % of Past Due resulting from Disputes","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Accounts Receivable Profile","fields":[{"help":"Date of profile","type":"date","label":"As at","options":[],"required":null,"pdf_field":""},{"help":"Currency of debt","type":"text","label":"Currency","options":[],"required":null,"pdf_field":""},{"help":"Columns: Range, Total debt outstanding, Number of Buyers; ranges include 0-5,000; 5,001-10,000; 10,001-25,000; 25,001-50,000; 50,001-75,000; 75,001-100,000; 100,001-250,000; 250,001-500,000; 500,001-1,000,000; 1,000,000+","type":"table","label":"Range, Total debt outstanding, Number of Buyers","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Projected Turnover Details","fields":[{"help":"Currency of turnover","type":"text","label":"Currency","options":[],"required":null,"pdf_field":""},{"help":"Start date of projection period","type":"date","label":"Period From","options":[],"required":null,"pdf_field":""},{"help":"Provide details per country in columns as listed","type":"table","label":"Country, Estimated turnover, Maximum exposure at any one time, No. of Buyers, Terms of Payment","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Principal Buyers","fields":[{"help":"Currency of credit limits","type":"text","label":"Currency","options":[],"required":null,"pdf_field":""},{"help":"Provide details for up to 13 buyers; continue on separate sheet if needed","type":"table","label":"Name & address, Registered number or equivalent, Credit Limit required, Annual turnover, Terms of payment","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"List of Buyers more than 60 days overdue, accounts giving cause for concern and/or where deliveries have been stopped","fields":[{"help":"Date of listing","type":"date","label":"As at","options":[],"required":null,"pdf_field":""},{"help":"Currency of amounts","type":"text","label":"Currency","options":[],"required":null,"pdf_field":""},{"help":"Provide details of overdue buyers; continue on separate sheet if needed","type":"table","label":"Name & address, Amount outstanding, Original due date, Action taken","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Credit Procedures","fields":[{"help":"Attach manual if yes","type":"choice","label":"Do you have a credit procedures manual?","options":["Yes","No","Attached"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Other credit insurance policies, guarantees, securities","fields":[{"help":"If yes, provide details and expiry","type":"yes-no","label":"Do you hold any insurance policy, guarantee or security in connection with the credit risk on any of your customers?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"If yes, what is it and when does it expire?","options":[],"required":false,"pdf_field":""},{"help":"If yes, provide details","type":"yes-no","label":"Do you factor, discount or otherwise assign your debts?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"If yes, please provide details","options":[],"required":false,"pdf_field":""},{"help":"If yes, provide details","type":"yes-no","label":"Have you ever had an insurance policy cancelled or a renewal refused by an insurer?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"If yes, please provide details","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Premium Details","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":"Format DD/MM/YY","type":"date","label":"Date of Payment (DD/MM/YY)","options":[],"required":null,"pdf_field":""},{"help":"Permanent Account Number for tax purposes","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":false,"pdf_field":""},{"help":"","type":"text","label":"Address of Nominee","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"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":"Fill below bank details","type":"section","label":"Bank Account Details of Nominee","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"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":"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 Proposal","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":""}],"filled_by":"proposer"},{"title":"For Intermediary Use Only","fields":[{"help":"","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":"","type":"text","label":"Intermediary’s Code","options":[],"required":true,"pdf_field":""},{"help":"","type":"signature","label":"Intermediary’s Signature","options":[],"required":true,"pdf_field":""}],"filled_by":"intermediary"}],"deadlines":[],"applies_to":"Trade Credit Insurance policies","attachments":["Separate signed and dated sheet if additional space is needed","Credit procedures manual if available","Annexure with GSTIN details if more than one GSTIN"],"declarations":["All statements and information provided are complete and accurate with no relevant information withheld.","Misrepresentation or suppression of material facts may render the policy void and premium forfeited.","Policyholder and related persons will assist insurer with anti-financial crime practices.","Premium paid is from legitimate sources and not crime proceeds; insurer may verify source of funds.","Consent to receive communications electronically and for insurer to process personal data as per privacy policy.","Consent for insurer to access CKYC records for verification.","Obligation to inform insurer of any changes to KYC records.","Insurer may reject proposal or terminate contract if proposer or associated persons are on sanctions lists."],"dropped_labels":2},"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/2825-trade-credit-insurance-policy-proposal-form"}