{"id":2833,"title":"FARMER’S PACKAGE POLICY - GRIHA 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-griha/proposal-forms/farmers-package-policy-griha-retail-proposal-form.pdf","sha256":"134d103d7e5994f5f032ac4520e4007fb5c7c7e549e9484fa8de6cb48e635736","pages":14,"collected":"2026-10-17","instructions":{"about":"This form is used by individuals or entities proposing to purchase the Farmer’s Package Policy - Griha insurance. The proposer fills it to provide details about themselves, their property, and the coverage they want.","notes":["Insurance is a contract of utmost good faith; all material facts must be disclosed.","Fill all questions in full; attach separate sheet if space is insufficient.","Cover commences only after acceptance and receipt of premium.","Use original bills and documents where required.","If permanent address is left blank, it will be considered same as present address.","Valuables are not covered under Baggage cover.","Minimum number of poultry required is 1000 if bank financed, else 5000.","The rate of cost of construction should be the prevailing rate at policy commencement date.","Sum Insured amounts should reflect replacement cost values at policy commencement date.","Deductibles apply as specified for each cover.","Physical copy of policy document can be requested by ticking the box; otherwise digital copy will be sent."],"title":"FARMER’S PACKAGE POLICY - GRIHA 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 the applicable business channel","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":"Provide contact number","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":"Date of filling the proposal","type":"date","label":"Date of proposal","options":[],"required":true,"pdf_field":""},{"help":"Provide previous policy number if renewing","type":"text","label":"Previous policy no (in case of renewal)","options":[],"required":false,"pdf_field":""},{"help":"Full name of the proposer","type":"text","label":"Name of proposer","options":[],"required":true,"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":"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":"Disability 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":null,"pdf_field":""},{"help":"Describe type of impairment if Yes","type":"text","label":"Type of Impairment","options":[],"required":false,"pdf_field":""},{"help":"Provide percentage if Yes","type":"number","label":"Percentage of Impairment","options":[],"required":false,"pdf_field":""},{"help":"Unique Disability ID if Yes","type":"text","label":"UDID Number","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Contact and Address Details","fields":[{"help":"Provide valid email address","type":"email","label":"Email ID","options":[],"required":true,"pdf_field":""},{"help":"Specify type of farm","type":"text","label":"Type of Farm","options":[],"required":true,"pdf_field":""},{"help":"Provide farmhouse details","type":"text","label":"Farmhouse","options":[],"required":true,"pdf_field":""},{"help":"Full present address including State, Pin Code, Telephone No., Mobile No.","type":"text","label":"Address of Proposer","options":[],"required":true,"pdf_field":""},{"help":"Provide permanent address if different","type":"text","label":"Permanent Address of Proposer (if left blank, will be construed as being same as Present Address)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Policy and Coverage Details","fields":[{"help":"Start and end date of policy","type":"date","label":"Policy period","options":[],"required":true,"pdf_field":""},{"help":"Tick the covers you want to opt for","type":"checkbox","label":"Coverage parts","options":["Cover 1: Building and Contents (compulsory)","Cover 2: Robbery and Burglary (compulsory)","Cover 3: Farm Produce","Cover 4: Agricultural Pump set","Cover 5: Poultry","Cover 6: Cart Protection & Liability","Cover 7: Tractors","Cover 8: Pedal Cycle","Cover 9: Personal Accident","Cover 10: Baggage"],"required":true,"pdf_field":""},{"help":"Indicate if existing policy is active","type":"choice","label":"Is there any policy in place for the same property? Yes/No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide existing policy details if applicable","type":"text","label":"If Yes, please provide the details","options":[],"required":false,"pdf_field":""},{"help":"Provide full address including Pin Code","type":"text","label":"Location of Home Building - full postal address with Pin Code","options":[],"required":true,"pdf_field":""},{"help":"Select the type of building","type":"choice","label":"Is it in a multi-storey building or is it a standalone house?","options":["Multi-storey building","Standalone house"],"required":true,"pdf_field":""},{"help":"Provide floor number if applicable","type":"number","label":"In case of multi-storey building, please provide the floor number of Your house","options":[],"required":false,"pdf_field":""},{"help":"Indicate presence of basement","type":"choice","label":"Is there a basement to Your house?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide carpet area in square meters","type":"number","label":"Carpet area of structure of Home in square metres","options":[],"required":true,"pdf_field":""},{"help":"Provide prevailing rate of construction cost","type":"amount","label":"Rate of Cost of Construction per square metre at the policy Commencement Date","options":[],"required":true,"pdf_field":""},{"help":"Select age category","type":"choice","label":"Age of Home Building","options":["Less than 5 Years","5-10 Years","10-20 Years","Above 20 Years"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Home Contents Details","fields":[{"help":"Provide sum insured for basement contents if applicable","type":"amount","label":"In case of Basement, If there are contents in it, please provide the Sum Insured","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Optional Covers","fields":[{"help":"Tick Yes or No","type":"choice","label":"Do You require ‘Personal Accident Cover’ for Yourself and Your spouse? Yes/No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide spouse's name and age if opting","type":"text","label":"Name & age of Your spouse","options":[],"required":false,"pdf_field":""},{"help":"Provide your age if opting","type":"number","label":"Your age","options":[],"required":false,"pdf_field":""},{"help":"Attach list of valuable items and sum insured","type":"attachment","label":"If Yes, please attach list of items and Sum Insured","options":[],"required":false,"pdf_field":""},{"help":"Attach valuation certificate if required","type":"choice","label":"Valuation certificate attached? (Yes/No)","options":["Yes","No"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Claim Details","fields":[{"help":"Provide date of any loss in last 3 years","type":"date","label":"Date of Loss","options":[],"required":false,"pdf_field":""},{"help":"Describe cause of loss","type":"text","label":"Cause of Loss","options":[],"required":false,"pdf_field":""},{"help":"Amount claimed","type":"amount","label":"Claimed Amount","options":[],"required":false,"pdf_field":""},{"help":"Amount settled or outstanding","type":"amount","label":"Settled Amount / please specify if claim is outstanding","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 2: Robbery and Burglary","fields":[{"help":"Fixed at Rs. 5000/- each and every claim and in aggregate","type":"amount","label":"Buildings: Sum Insured","options":[],"required":true,"pdf_field":""},{"help":"5% of Sum Insured subject to minimum Rs. 500 and maximum Rs. 10,000 per claim","type":"amount","label":"Deductible","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 3: Farm Produce","fields":[{"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":"Indicate working condition","type":"choice","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":"Answer required for cover eligibility","type":"choice","label":"Is the poultry on the Farm owned by you? Yes/No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Answer required for cover eligibility","type":"choice","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","options":[],"required":false,"pdf_field":""},{"help":"Provide bank finance details if applicable","type":"text","label":"Name of Bank, Branch, Date of finance taking, Remarks (if bank financed)","options":[],"required":false,"pdf_field":""},{"help":"Attach certificate if available","type":"choice","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 7: Tractors","fields":[{"help":"As per the Motor Policy attached","type":"text","label":"Deductible","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 8: Pedal Cycle","fields":[{"help":"Provide pedal cycle details and value","type":"table","label":"Pedal Cycle - Number, Make, Model and Year of Manufacturer, Value, Sub-limit","options":[],"required":false,"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","options":[],"required":false,"pdf_field":""},{"help":"Nil deductible","type":"amount","label":"Deductible","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cover 10: Baggage","fields":[{"help":"Provide sum insured for baggage","type":"amount","label":"Sum Insured","options":[],"required":false,"pdf_field":""},{"help":"Delete whichever not applicable","type":"choice","label":"Places for travel (India/Worldwide)","options":["India","Worldwide"],"required":false,"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":"Insurance History","fields":[{"help":"Answer truthfully","type":"choice","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":"Answer truthfully","type":"choice","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 of claims","fields":[{"help":"Provide address for claim notifications","type":"text","label":"Address for notifications of claims","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Special conditions or endorsements","fields":[{"help":"Provide any special conditions or endorsements","type":"text","label":"Special conditions or endorsements if any","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Payment Details","fields":[{"help":"Specify mode of payment","type":"text","label":"Mode of Payment","options":[],"required":true,"pdf_field":""},{"help":"Provide payment details","type":"text","label":"Payment Details","options":[],"required":true,"pdf_field":""},{"help":"Provide amount paid","type":"amount","label":"Amount in (₹)","options":[],"required":true,"pdf_field":""},{"help":"Date of payment","type":"date","label":"Date of Payment (DD/MM/YY)","options":[],"required":true,"pdf_field":""},{"help":"Provide PAN if premium is 1 Lac or above","type":"text","label":"PAN (If premium is 1 Lac and Above.)","options":[],"required":false,"pdf_field":""},{"help":"Provide GSTIN or attach annexure","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":"Provide bank account holder name","type":"text","label":"Name of bank account holder (mention specifically, if different from name of policyholder)","options":[],"required":true,"pdf_field":""},{"help":"Provide bank name and branch","type":"text","label":"Bank Name & Branch","options":[],"required":true,"pdf_field":""},{"help":"Provide bank account number","type":"text","label":"Bank Account Number","options":[],"required":true,"pdf_field":""},{"help":"Provide 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 present address","type":"text","label":"Address of Nominee - 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 account holder name","type":"text","label":"Bank Account Details of Nominee - Name of Account holder","options":[],"required":false,"pdf_field":""},{"help":"Nominee bank name and branch","type":"text","label":"Bank Name & Branch","options":[],"required":false,"pdf_field":""},{"help":"Nominee bank account number","type":"text","label":"Bank Account Number","options":[],"required":false,"pdf_field":""},{"help":"Nominee IFSC code","type":"text","label":"IFS Code","options":[],"required":false,"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 the form","type":"signature","label":"Signature of the Proposer(s) (Affix stamp, where proposer is a juridical person)","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declaration for NCB (No claim Bonus)","fields":[{"help":"Place of declaration","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"Date of declaration","type":"date","label":"Date DD / MM/ YYYY","options":[],"required":true,"pdf_field":""},{"help":"Sign the declaration","type":"signature","label":"Proposer’s Signature","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"For Intermediary Use Only","fields":[{"help":"Provide intermediary name","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":"Provide intermediary code","type":"text","label":"Intermediary’s Code","options":[],"required":true,"pdf_field":""},{"help":"Intermediary to sign","type":"signature","label":"Intermediary’s Signature","options":[],"required":true,"pdf_field":""}],"filled_by":"intermediary"}],"deadlines":[],"applies_to":"Farmer’s Package Policy - Griha","attachments":["Separate signed and dated sheet if insufficient space to answer any question","List of items and Sum Insured for Valuable Contents if opting for Agreed Value Basis cover","Valuation certificate for Valuable Contents if required","Copy of previous policy for NCB declaration","Request for authorization form to receive Claim/Refund payments via NEFT if premium paid is more than Rs 10,000"],"declarations":["All statements and information provided are complete and accurate with no material facts 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; insurer may verify and reject or terminate policy if otherwise.","Consent is given to receive communications electronically and for processing personal data as per privacy policy.","Consent is given for insurer to access CKYC records for verification.","The insurer may reject proposal or terminate contract if proposer or associated persons are on sanctions lists.","KYC records are current and proposer will inform insurer of any changes.","Declaration that the No Claim Bonus claimed is correct and no claim has arisen in the expiring policy period."],"dropped_labels":34},"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/2833-farmers-package-policy-griha-proposal-form"}