{"id":2827,"title":"CATTLE AND LIVESTOCK INSURANCE PROPOSAL FORM","purpose":"proposal","insurer":{"slug":"generali-central-insurance","name":"Generali Central Insurance Company Limited"},"source_pdf":"https://www.generalicentralinsurance.com/downloads/rural-insurance/cattle-and-livestock-insurance/proposal-forms/cattle-and-livestock-insurance-proposal-form.pdf","sha256":"2fe041859e60f8dc8d2af56d25c4831e2ba360528df7e6ed11639cf56e37ecf2","pages":7,"collected":"2026-10-17","instructions":{"about":"This form is used by the proposer (animal owner) to apply for insurance coverage for cattle and livestock. It collects details about the proposer, the animals, and other relevant information for underwriting the insurance policy.","notes":["Read the prospectus/key features document/policy wordings before completing 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.","Use original veterinary health certificate for each animal.","Fill the request for authorization form for NEFT payments if premium is more than Rs 10,000.","The form includes a section for intermediary use only which is not to be filled by the proposer.","The insurer follows anti-money laundering and anti-financial crime regulations.","Physical copy of policy document can be requested by ticking the box; otherwise digital copy will be sent."],"title":"CATTLE AND LIVESTOCK INSURANCE PROPOSAL FORM","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Proposer Details and Insurance Period","fields":[{"help":"Enter start and end dates of the insurance coverage","type":"date","label":"1. Period of Insurance","options":[],"required":null,"pdf_field":""},{"help":"Full name of the person applying for insurance","type":"text","label":"2. Name of the Proposer","options":[],"required":null,"pdf_field":""},{"help":"Full present address including State, Pin code, Telephone No, Mobile No","type":"text","label":"3. Address of the Proposer","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Additional Addresses and Occupation","fields":[{"help":"Full permanent address including State, Pin code, Telephone No, Mobile No","type":"text","label":"4. Permanent Address of the Proposer (if left blank, will be construed as being same as Present Address)","options":[],"required":false,"pdf_field":""},{"help":"Address where animals are stabled if different from proposer address, including State, Pin code, Telephone No, Mobile No","type":"text","label":"5. Animal Stabling Address (If Different)","options":[],"required":false,"pdf_field":""},{"help":"Occupation of the proposer","type":"text","label":"6. Occupation","options":[],"required":null,"pdf_field":""},{"help":"Tick yes or no","type":"yes-no","label":"7. Is cover required for Permanent Total Disability? ❑ YES  ❑ NO","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Central KYC Registry number if available","type":"text","label":"8. CKYC (If available)","options":[],"required":false,"pdf_field":""},{"help":"Tick all applicable categories","type":"checkbox","label":"9. 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":"yes-no","label":"10. If you are Differently Abled, please tick on the checkbox to provide confirmation. ☐Yes  ☐No","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Describe type of impairment if yes above","type":"text","label":"i. Type of Impairment:","options":[],"required":false,"pdf_field":""},{"help":"Enter percentage if yes above","type":"number","label":"ii. Percentage of Impairment:","options":[],"required":false,"pdf_field":""},{"help":"Unique Disability ID if yes above","type":"text","label":"iii. UDID Number:","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Animal Details","fields":[{"help":"Fill columns: Type of Animal, Sex M/F, Age Yrs., Breed, Description (Color, Horns, Tail Switch, Body Marks, other Distinguishing Features), Tag No. Rt./Lt. Ear, Market Value Rs.","type":"table","label":"12. Give the following particulars in full, of each of the animals proposed for insurance.","options":[],"required":null,"pdf_field":""},{"help":"Describe the use of the animals","type":"text","label":"13. State for what purpose the animals will be used.","options":[],"required":null,"pdf_field":""},{"help":"Describe health status and attach veterinary certificate","type":"text","label":"14. Is/are the animals in the stable sound and healthy and free from vice? If not give full particulars of defects and aliments if any. Please provide a certificate of good health issued by a qualified veterinary practitioner for each animal proposed for insurance.","options":[],"required":null,"pdf_field":""},{"help":"Specify veterinary service availability","type":"text","label":"10. Whether own Veterinary Services available or are you dependent on Government Veterinary Services?","options":[],"required":null,"pdf_field":""},{"help":"Tick yes or no","type":"yes-no","label":"11. a) Have you lost any animal/s during the last three years If so state particulars ❑ YES  ❑ NO","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"Provide details for each loss","type":"table","label":"Year, Cause of Loss, Number of animals lost","options":[],"required":null,"pdf_field":""},{"help":"Fill columns: Year, Policy No., Name of Insurer, Claim Amount, Whether claim settled in full or in part or outstanding or repudiated","type":"table","label":"b) Previous Insurance and Claims experience (for the last three years)","options":[],"required":null,"pdf_field":""},{"help":"Provide number and type of other animals owned","type":"text","label":"12. a) How many other animals do you own and of what type?","options":[],"required":null,"pdf_field":""},{"help":"Provide insurer details if insured","type":"text","label":"b) Are they insured and if so with which insurer?","options":[],"required":null,"pdf_field":""},{"help":"Explain reason for current insurance proposal","type":"text","label":"c) If not why are they proposed for insurance now?","options":[],"required":null,"pdf_field":""},{"help":"Provide previous insurer details if any","type":"text","label":"d) Were they insured previously and if so where?","options":[],"required":null,"pdf_field":""},{"help":"Provide details if any of these occurred","type":"text","label":"13. Has any Company a) Declined insurance of any of your animals or b) Declined to renew the insurance c) Increased your premium or imposed special conditions on renewal?","options":[],"required":null,"pdf_field":""},{"help":"Provide bank/financing details if applicable","type":"text","label":"14. a) Is any bank or other financing institution interested in the animal, If so, state i. name and address of the bank ii. Amount of loan outstanding.","options":[],"required":null,"pdf_field":""},{"help":"Provide government scheme details if applicable","type":"text","label":"b) Is/ are the animal/s proposed for insurance covered by any Govt. scheme? If Yes, please state. i. Address of Govt. Agency Implementing the scheme ii. Amount of subsidy obtained from Implementing Govt. agency.","options":[],"required":null,"pdf_field":""},{"help":"Provide any other relevant information","type":"text","label":"15. Any other information material to the risk or the terms upon which cover might be offered.","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Payment Details","fields":[{"help":"Specify payment mode","type":"choice","label":"Mode of Payment","options":[],"required":null,"pdf_field":""},{"help":"Provide payment reference or details","type":"text","label":"Payment Details","options":[],"required":null,"pdf_field":""},{"help":"Enter premium amount paid","type":"amount","label":"Amount in (₹)","options":[],"required":null,"pdf_field":""},{"help":"Date when payment was made","type":"date","label":"Date of Payment (DD/MM/YY)","options":[],"required":null,"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(s)","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":"Name on bank account for refunds or claims","type":"text","label":"Name of bank account holder (mention specifically, if different from name of policyholder)","options":[],"required":null,"pdf_field":""},{"help":"Bank and branch name","type":"text","label":"Bank Name & Branch","options":[],"required":null,"pdf_field":""},{"help":"Bank account number","type":"text","label":"Bank Account Number","options":[],"required":null,"pdf_field":""},{"help":"Bank IFSC code","type":"text","label":"IFS Code","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Nominee Details","fields":[{"help":"Full name of nominee","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":"Relationship to proposer","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","options":[],"required":null,"pdf_field":""},{"help":"Nominee's 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's bank details","type":"text","label":"Bank Account Details of Nominee","options":[],"required":false,"pdf_field":""},{"help":"Name on nominee's bank account","type":"text","label":"Name of Account holder","options":[],"required":false,"pdf_field":""},{"help":"Nominee's bank and branch","type":"text","label":"Bank Name & Branch","options":[],"required":false,"pdf_field":""},{"help":"Nominee's bank account number","type":"text","label":"Bank Account Number","options":[],"required":false,"pdf_field":""},{"help":"Nominee's bank IFSC code","type":"text","label":"IFS Code","options":[],"required":false,"pdf_field":""},{"help":"Details of authorized person 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 the form","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Place of signing the form","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"Sign the form; stamp if applicable","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":"Cattle and livestock insurance","attachments":["A Certificate given by a qualified Veterinary Doctor must accompany this proposal","Request for authorization form to receive Claim/Refund payments if premium paid is more than Rs 10000/-"],"declarations":["All statements and information provided in this proposal are complete and accurate and form the basis of the insurance contract.","If 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 insurer can verify source of funds and reject or terminate policy if otherwise.","Consent is given to receive communications electronically and for processing of personal data as per privacy policy.","Consent is given for insurer to access CKYC records for verification and updates.","Insurer reserves the right to reject or terminate contract if proposer or associated persons are named in sanctions lists.","KYC records are current and proposer will inform insurer of any changes."],"dropped_labels":0},"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/2827-cattle-and-livestock-insurance-proposal-form"}