{"id":2832,"title":"FARMER’S PACKAGE POLICY-SOOKSHMA PROPOSAL FORM","purpose":"proposal","insurer":{"slug":"generali-central-insurance","name":"Generali Central Insurance Company Limited"},"source_pdf":"https://www.generalicentralinsurance.com/downloads/rural-insurance/farmers-package-policy-sookshma/proposal-forms/farmers-package-policy-sookshma-proposal-form.pdf","sha256":"88880b263abd396b5e44d3003c6a4bb7c633f6f2380162fd22b3f2f1d7473986","pages":13,"collected":"2026-10-17","instructions":{"about":"This form is used by farmers or farm owners to apply for insurance coverage under the Farmer’s Package Policy-Sookshma. The proposer (applicant) fills it to provide details about themselves, their farm, and the insurance coverage requested.","notes":["Insurance is a contract of utmost good faith requiring full disclosure of material facts.","Answer all questions; attach separate signed and dated sheet if more space is needed.","Cover commences only after acceptance and receipt of premium.","Use replacement value basis for sum insured as specified for different items.","Valuables are not covered under Baggage cover.","Minimum number of poultry required is 1000 if bank financed, else 5000.","Physical copy of policy document available on request; otherwise digital copy sent via email/phone link.","Section 41 of Insurance Act prohibits rebates except as per published prospectuses or tables."],"title":"FARMER’S PACKAGE POLICY-SOOKSHMA 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\nEmail ID: gcicare@generalicentral.com\nToll-free Phone: 1800 220 233 / 1860 500 3333 / 022 6783 7800"},"purpose":"proposal","sections":[{"title":"Proposer Details","fields":[{"help":"","type":"date","label":"Date of proposal","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Previous policy no (in case of renewal)","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Name of proposer","options":[],"required":true,"pdf_field":""},{"help":"","type":"date","label":"Date of Birth/ Age","options":[],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Gender: Male/ Female","options":["Male","Female"],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Type of Farm","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Farmhouse","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Present Address of Proposer - City","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Permanent Address of Proposer (if left blank, will be construed as being same as Present Address) - City","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Contact person details (where proposer is not an individual) - Name","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Contact person details (where proposer is not an individual) - Designation","options":[],"required":false,"pdf_field":""},{"help":"Central KYC Registry number","type":"text","label":"CKYC Number (if available)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Proposer Status and Special Categories","fields":[{"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":"","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":""}],"filled_by":"proposer"},{"title":"Policy Details","fields":[{"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":true,"pdf_field":""},{"help":"Specify am or pm","type":"date","label":"Policy period: Commencement date (   ) am /pm","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Period of Insurance","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Coverage Parts and Business Details","fields":[{"help":"","type":"text","label":"Business of Proposer","options":[],"required":true,"pdf_field":""},{"help":"Columns: Sl. No, 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":true,"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":"choice","label":"If used as an Industrial Manufacturing unit, please state whether the factory is working or silent","options":["Working","Silent"],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Indicate whether AMC (Annual Maintenance contract) for the Fire Protection Appliances is in force","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"number","label":"Number of Floors","options":[],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Age of the Building (Less than 5 Years / 5-10 Years / 10-20 Years / Above 20 Years)","options":["Less than 5 Years","5-10 Years","10-20 Years","Above 20 Years"],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Distance between the risk to be covered and nearest Fire Brigade","options":[],"required":false,"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":"Provide year-wise premium and claim amounts for last 3 years","type":"table","label":"Premium / Claim details for the past 36 months excluding the expiring policy period - Year, Premium, Claim (table)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Sum Insured and Other Details of Insured Property","fields":[{"help":"Sum Insured as Reinstatement Value","type":"amount","label":"Description of Block Building including plinth, Basement and additional structures","options":[],"required":true,"pdf_field":""},{"help":"Sum Insured as Reinstatement Value","type":"amount","label":"Plant & Machinery","options":[],"required":true,"pdf_field":""},{"help":"Sum Insured as Reinstatement Value","type":"amount","label":"Furniture & Fixtures, Fittings and other equipment","options":[],"required":true,"pdf_field":""},{"help":"Sum Insured as Landed Cost","type":"amount","label":"Raw Material","options":[],"required":true,"pdf_field":""},{"help":"Sum Insured as Input Cost","type":"amount","label":"Stock in Process","options":[],"required":true,"pdf_field":""},{"help":"Sum Insured as Manufacturing cost or Contract Price","type":"amount","label":"Finished Stock","options":[],"required":true,"pdf_field":""},{"help":"","type":"amount","label":"Other Contents (Please Specify)","options":[],"required":false,"pdf_field":""},{"help":"Total sum insured","type":"amount","label":"Total","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Floater Cover (for stocks at various locations)","fields":[{"help":"List locations and sum insured at each","type":"table","label":"Location (Postal Address with Pin code)","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"Maximum value at any one location","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"Whether stocks stored in open: Yes/No","options":["Yes","No"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declaration Policy Option","fields":[{"help":"","type":"yes-no","label":"Do You want to opt for Declaration Policy? -- Yes/No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"Stocks which fluctuate in value to be covered on (monthly) declaration basis: Amount (₹)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 2: Robbery and Burglary","fields":[{"help":"Rs. 5000/- each and every claim and in aggregate","type":"amount","label":"Buildings: Sum Insured","options":[],"required":true,"pdf_field":""},{"help":"","type":"amount","label":"Sub-limit of Sum Insured, if any","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"Total Sum Insured","options":[],"required":true,"pdf_field":""},{"help":"5% of Sum Insured subject to min Rs. 500 and max Rs. 10,000 per claim","type":"amount","label":"Deductible","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 3: Farm Produce","fields":[{"help":"","type":"text","label":"Farm Business","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"Total Sum Insured","options":[],"required":true,"pdf_field":""},{"help":"Lesser of Rs. 25,000 or 5% of Sum Insured per claim","type":"amount","label":"Deductible","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 4: Agricultural Pump set","fields":[{"help":"Provide full details and replacement value","type":"text","label":"Pump Set - Number, Make, Year of Manufacturer, Electrical or Diesel, Capacity, Value","options":[],"required":true,"pdf_field":""},{"help":"","type":"amount","label":"Total Sum Insured","options":[],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Is the Pump Set in working condition? Yes/No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"First Rs. 100 of each claim","type":"amount","label":"Deductible","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 5: Poultry","fields":[{"help":"Cover available only if Yes","type":"yes-no","label":"Is the poultry on the Farm owned by you? Yes/No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Cover available only if Yes","type":"yes-no","label":"Is it located within your Farm: Yes/No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide details for Broiler and Layer poultry","type":"table","label":"Type of Poultry, Average Age, Number, Value, Sub-limit of Sum Insured (Broiler and Layer)","options":[],"required":true,"pdf_field":""},{"help":"","type":"amount","label":"Total Insured Sum","options":[],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Is certificate from a qualified veterinarian practitioner enclosed regarding the good health of the poultry: Yes/No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"20% of each claim","type":"amount","label":"Deductible","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 6: Cart Protection & Liability","fields":[{"help":"Not exceeding Rs. 10,000 per claim, aggregate Rs. 25,000","type":"amount","label":"Third Party Liability - Limit of Indemnity","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 7: Tractors","fields":[{"help":"Provide details and replacement value","type":"table","label":"Sum Insured - Reg. No., Eng. No., Number, Make, Year of Manufacturer, Diesel or Petrol, Value, Sub-limit of Sum Insured","options":[],"required":true,"pdf_field":""},{"help":"As per the Motor Policy attached","type":"text","label":"Deductible","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 8: Pedal Cycle","fields":[{"help":"","type":"amount","label":"Total Sum Insured","options":[],"required":true,"pdf_field":""},{"help":"Not in excess of Rs. 5,000 per claim and aggregate","type":"amount","label":"Third Party Liability - Limit of Indemnity","options":[],"required":true,"pdf_field":""},{"help":"Rs. 100 per claim","type":"amount","label":"Deductible","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 9: Personal Accident","fields":[{"help":"Provide details for each named insured","type":"table","label":"Named Insured, Age, Relationship with the Insured, Name of Nominee, Sum Insured, Existing disability if any (table)","options":[],"required":true,"pdf_field":""},{"help":"Nil","type":"amount","label":"Deductible","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 10: Baggage","fields":[{"help":"Valuables are not covered","type":"amount","label":"Sum Insured","options":[],"required":true,"pdf_field":""},{"help":"No cover for places with Government restrictions","type":"choice","label":"Places for travel India/Worldwide (delete whichever not applicable)","options":["India","Worldwide"],"required":true,"pdf_field":""},{"help":"5% of claim amount subject to minimum Rs. 250 per claim","type":"amount","label":"Deductible","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Previous Insurance and Claims History","fields":[{"help":"","type":"yes-no","label":"Over the preceding 5-year period, have you (or any person proposed to be insured) made any claim under any insurance policy in respect of any of the Insurance covers now proposed? (Yes/No)","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Had any claim under any insurance policy declined or refused in whole or in part? (Yes/No)","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Had any insurance been cancelled, or accepted on special terms or conditions or rates? (Yes/No)","options":["Yes","No"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Address for Notifications and Special Conditions","fields":[{"help":"","type":"text","label":"Address for notifications of claims","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Special conditions or endorsements if any","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Payment Details","fields":[{"help":"","type":"choice","label":"Mode of Payment","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Payment Details","options":[],"required":true,"pdf_field":""},{"help":"","type":"amount","label":"Amount in (₹)","options":[],"required":true,"pdf_field":""},{"help":"","type":"date","label":"Date of Payment (DD/MM/YY)","options":[],"required":true,"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 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":true,"pdf_field":""},{"help":"","type":"text","label":"Bank Name & Branch","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Bank Account Number","options":[],"required":true,"pdf_field":""},{"help":"Indian Financial System Code","type":"text","label":"IFS Code","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Nominee Details","fields":[{"help":"","type":"text","label":"Name","options":[],"required":true,"pdf_field":""},{"help":"","type":"date","label":"Date of Birth","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Relationship with the proposer","options":[],"required":true,"pdf_field":""},{"help":"","type":"phone","label":"Mobile Number","options":[],"required":false,"pdf_field":""},{"help":"","type":"email","label":"E-Mail ID","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Address of Nominee - Present address","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Bank Account Details of Nominee","fields":[{"help":"","type":"text","label":"Name of Account holder","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Bank Name & Branch","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Bank Account Number","options":[],"required":true,"pdf_field":""},{"help":"Indian Financial System Code","type":"text","label":"IFS Code","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Authorized Person Details (if nominee is a minor)","fields":[{"help":"","type":"text","label":"Authorized person details","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"}],"deadlines":[],"applies_to":"Farmer’s Package Policy-Sookshma","attachments":["Detailed block plan showing various facilities (where applicable)","Certificate from a qualified veterinarian practitioner regarding good health of poultry (if poultry cover opted)","Copy of expiring policy for NCB declaration","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 10,000)"],"declarations":["All statements and information provided are complete and accurate with no relevant information withheld.","If misrepresentation or suppression of material facts is found, the policy may be void and premium forfeited.","The insurer adheres to anti-financial crime practices and may require assistance to address these.","Premiums are paid from legitimate sources and insurer may verify source of funds and reject or terminate policy if otherwise.","Consent is given to receive policy communications electronically and for processing of personal data as per privacy policy.","Consent is given for insurer to access CKYC records for verification and communication.","Insurer reserves the right to reject or terminate policy if proposer or associated persons are named in sanctions lists.","KYC records are current and proposer will inform insurer of any changes.","Declaration that no claim has arisen in the expiring policy period for NCB claim; incorrect declaration forfeits benefits.","Intermediary confirms explanation of product features and proposal form contents to proposer."],"dropped_labels":35},"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/2832-farmers-package-policy-sookshma-proposal-form"}