{"id":2835,"title":"PRADHAN MANTRI FASAL BIMA YOJNA (PMFBY) PROPOSAL FORM","purpose":"proposal","insurer":{"slug":"generali-central-insurance","name":"Generali Central Insurance Company Limited"},"source_pdf":"https://www.generalicentralinsurance.com/downloads/rural-insurance/pradhan-mantri-fasal-bima-yojna-(pmfby)/proposal-forms/pradhan-mantri-fasal-bima-yojna-proposal-form.pdf","sha256":"c4f0b3e3b7dbc376911de3f028d1ee6a009b653b654a5be94348e4a6cfacf9e4","pages":11,"collected":"2026-10-17","instructions":{"about":"This form is used by farmers (loanee and non-loanee) to apply for crop insurance coverage under the Pradhan Mantri Fasal Bima Yojna scheme.","notes":["Read the prospectus/key features/policy wordings before completing the form","Answer all questions; attach signed and dated sheet if more space is needed","Cover commences only after acceptance and receipt of premium","Only one proposal form per season per crop per notified area","Insurance is a contract of utmost good faith; disclose all material facts","Premium D.D. should be in favour of GENERALI CENTRAL INSURANCE COMPANY LIMITED","Use correct notified area and crop; changes must be intimated at least 30 days before cut-off date","Sum insured equals crop loan sanctioned for notified crop and area","Avoid duplication in reporting farmers/area","Submit KYC and land documents with proposal","Submit discharge voucher before claim receipt","Payment of claim under prevented sowing cancels policy","Prohibitions of rebates under Section 41 of Insurance Act apply","For Go Green initiative, policy document will be sent electronically unless physical copy requested"],"title":"PRADHAN MANTRI FASAL BIMA YOJNA (PMFBY) PROPOSAL FORM","submit":{"to":"GENERALI CENTRAL INSURANCE COMPANY LIMITED","how":"submit within prescribed cut-off date as per notification","address":""},"purpose":"proposal","sections":[{"title":"Declaration Form – Loanee Farmers","fields":[{"help":"Enter the current address of the proposer","type":"text","label":"Present Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Phone No.","options":[],"required":null,"pdf_field":""},{"help":"Bank account number","type":"text","label":"A/C No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"No.","options":[],"required":null,"pdf_field":""},{"help":"Bank IFSC code","type":"text","label":"IFS Code","options":[],"required":null,"pdf_field":""},{"help":"","type":"phone","label":"Fax No.","options":[],"required":false,"pdf_field":""},{"help":"","type":"email","label":"E-mail","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Code","options":[],"required":false,"pdf_field":""},{"help":"Enter permanent address or leave blank if same as present address","type":"text","label":"Permanent address of the proposer (if left blank, will be construed as being same as Present Address)","options":[],"required":false,"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":""},{"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":"If differently abled, specify type","type":"text","label":"Type of Impairment","options":[],"required":false,"pdf_field":""},{"help":"If differently abled, specify percentage","type":"number","label":"Percentage of Impairment","options":[],"required":false,"pdf_field":""},{"help":"Unique Disability ID if applicable","type":"text","label":"UDID Number","options":[],"required":false,"pdf_field":""}],"filled_by":"bank branch or nodal bank authorized signatory"},{"title":"Loanee Farmers Crop and Area Details","fields":[{"help":"Select gender","type":"choice","label":"GENDER","options":["M","F","OTHER"],"required":null,"pdf_field":""},{"help":"Select category","type":"choice","label":"CATEGORY","options":["SC","ST","Other","GEN"],"required":null,"pdf_field":""},{"help":"Enter state name","type":"text","label":"State","options":[],"required":null,"pdf_field":""},{"help":"Enter season","type":"text","label":"Season","options":[],"required":null,"pdf_field":""},{"help":"Enter year","type":"number","label":"Year","options":[],"required":null,"pdf_field":""},{"help":"Enter crop name","type":"text","label":"Crop","options":[],"required":null,"pdf_field":""},{"help":"Enter district","type":"text","label":"District","options":[],"required":null,"pdf_field":""},{"help":"Enter Taluk/Tehsil/Block","type":"text","label":"Taluk/Tehsil/Block","options":[],"required":null,"pdf_field":""},{"help":"Select farmer category","type":"choice","label":"Category of Farmer","options":["Small & Marginal","Other"],"required":null,"pdf_field":""},{"help":"Enter number of farmers","type":"number","label":"No. of Farmer","options":[],"required":null,"pdf_field":""},{"help":"Enter area insured in hectares","type":"number","label":"Area Insured (Ha)","options":[],"required":null,"pdf_field":""},{"help":"Enter scale of finance per hectare","type":"amount","label":"Scale of finance (Rs/Ha)","options":[],"required":null,"pdf_field":""},{"help":"Calculated sum insured","type":"amount","label":"Sum Insured (Rs) = Area x Scale of Finance","options":[],"required":null,"pdf_field":""},{"help":"Enter total premium amount","type":"amount","label":"Total Farmer’s Premium","options":[],"required":null,"pdf_field":""},{"help":"Calculate premium times area","type":"amount","label":"Farmer’s Premium (in Rs.) x Area (in Ha)","options":[],"required":null,"pdf_field":""}],"filled_by":"bank branch or nodal bank authorized signatory"},{"title":"Payment Details","fields":[{"help":"Enter payment transaction number","type":"text","label":"DD/RTGS/NEFT No.","options":[],"required":null,"pdf_field":""},{"help":"Enter payment date","type":"date","label":"DD/RTGS/NEFT DATE","options":[],"required":null,"pdf_field":""},{"help":"Enter payment amount","type":"amount","label":"DD/RTGS/NEFT AMOUNT","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Proposal Form for Non-Loanee Farmers","fields":[{"help":"Enter season and year","type":"text","label":"Seasons & Year","options":[],"required":null,"pdf_field":""},{"help":"Enter bank name","type":"text","label":"Bank Name","options":[],"required":null,"pdf_field":""},{"help":"Enter branch address","type":"text","label":"Branch Add.","options":[],"required":null,"pdf_field":""},{"help":"Enter IFSC code","type":"text","label":"IFSC Code","options":[],"required":null,"pdf_field":""},{"help":"Enter phone number","type":"phone","label":"Phone No.","options":[],"required":null,"pdf_field":""},{"help":"Enter email address","type":"email","label":"E-mail","options":[],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"choice","label":"Are you a registered Farmer with GENERALI CENTRAL INSURANCE COMPANY LIMITED","options":["YES","NO"],"required":null,"pdf_field":""},{"help":"If registered, provide Farmer ID","type":"text","label":"Farmer ID No.","options":[],"required":false,"pdf_field":""},{"help":"Enter full name","type":"text","label":"Name: Mr./Ms.","options":[],"required":true,"pdf_field":""},{"help":"Enter mobile or phone number","type":"phone","label":"Mobile/Phone No.","options":[],"required":true,"pdf_field":""},{"help":"Enter email address","type":"email","label":"Email ID","options":[],"required":false,"pdf_field":""},{"help":"Select gender","type":"choice","label":"Gender","options":["Male","Female","Other"],"required":true,"pdf_field":""},{"help":"Select category","type":"choice","label":"Category","options":["SC","ST","Other"],"required":true,"pdf_field":""},{"help":"Select farmer category","type":"choice","label":"Small & Marginal / Other Farmer","options":["Small & Marginal","Other"],"required":true,"pdf_field":""},{"help":"Enter bank account number","type":"text","label":"Bank A/C No.","options":[],"required":true,"pdf_field":""},{"help":"Enter current address","type":"text","label":"Present Address of the Proposer","options":[],"required":true,"pdf_field":""},{"help":"Enter permanent address or leave blank if same as present","type":"text","label":"Permanent address of the proposer (if left blank, will be construed as being same as Present Address)","options":[],"required":false,"pdf_field":""},{"help":"Fill State, District, L2, L3, L4, L5, L6, L7 as per state nomenclature","type":"table","label":"Notified Area Details (L4 – L7 Labels to be filled in as per prevalent nomenclature in the State)","options":[],"required":true,"pdf_field":""},{"help":"Columns: Block/Tehsil/Hobli, Village, Survey No., Owner/Sharecropper/Tenant, Name of Crop Proposed, Date/Actual Date of Sowing, Area Sown in Hectares, Other Crops Sown, Cover Note No.","type":"table","label":"Details of Crop and Area Proposed for Insurance","options":[],"required":true,"pdf_field":""}],"filled_by":"non-loanee farmer"},{"title":"Declarations and Signature","fields":[{"help":"Enter place of signing","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"Enter date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Sign the form","type":"signature","label":"Proposer’s Signature","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Acknowledgement (For Use By Bank)","fields":[{"help":"Date of receipt","type":"date","label":"Date","options":[],"required":null,"pdf_field":""},{"help":"Amount received as farmer’s share premium","type":"amount","label":"Received Rs.","options":[],"required":null,"pdf_field":""},{"help":"Name of relative","type":"text","label":"Son/Daughter/Wife of","options":[],"required":null,"pdf_field":""},{"help":"Location details","type":"text","label":"Cultivator of","options":[],"required":null,"pdf_field":""},{"help":"Bank account number","type":"text","label":"Bank Account No.","options":[],"required":null,"pdf_field":""},{"help":"Fill details of premium remittance","type":"table","label":"Notified Area, Crop, Area Insured (ha), Total Sum Insured (Rs.), Farmers Premium Rate (%), Total Farmer’s Premium (Rs), Details of remittance of premium (DD / Cheque no. / Cash, Dated, Drawn on)","options":[],"required":null,"pdf_field":""}],"filled_by":"bank"},{"title":"Payment Details and Bank Information","fields":[{"help":"Specify payment mode","type":"text","label":"Mode of Payment","options":[],"required":null,"pdf_field":""},{"help":"Provide payment details","type":"text","label":"Payment Details","options":[],"required":null,"pdf_field":""},{"help":"Enter amount paid","type":"amount","label":"Amount in (₹)","options":[],"required":null,"pdf_field":""},{"help":"Enter payment date","type":"date","label":"Date of Payment (DD/MM/YY)","options":[],"required":null,"pdf_field":""},{"help":"Provide PAN if applicable","type":"text","label":"PAN (If premium is 1 Lac and Above)","options":[],"required":false,"pdf_field":""},{"help":"Provide GSTIN(s) if applicable","type":"text","label":"GSTIN (If more than one GSTIN, kindly attach an annexure with details)","options":[],"required":false,"pdf_field":""},{"help":"Enter 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":"Enter bank name and branch","type":"text","label":"Bank Name & Branch","options":[],"required":true,"pdf_field":""},{"help":"Enter bank account number","type":"text","label":"Bank Account Number","options":[],"required":true,"pdf_field":""},{"help":"Enter IFSC code","type":"text","label":"IFS Code","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Nominee Details","fields":[{"help":"Enter nominee's full name","type":"text","label":"Name","options":[],"required":false,"pdf_field":""},{"help":"Enter nominee's date of birth","type":"date","label":"Date of Birth","options":[],"required":false,"pdf_field":""},{"help":"Specify relationship","type":"text","label":"Relationship with the proposer","options":[],"required":false,"pdf_field":""},{"help":"Enter nominee's mobile number","type":"phone","label":"Mobile Number","options":[],"required":false,"pdf_field":""},{"help":"Enter nominee's email","type":"email","label":"E-Mail ID","options":[],"required":false,"pdf_field":""},{"help":"Enter nominee's present address","type":"text","label":"Address of Nominee - Present address","options":[],"required":false,"pdf_field":""},{"help":"Enter permanent address or leave blank if same","type":"text","label":"Permanent address (if left blank, will be construed as being same as Present Address)","options":[],"required":false,"pdf_field":""},{"help":"Enter bank account holder name","type":"text","label":"Bank Account Details of Nominee - Name of Account holder","options":[],"required":false,"pdf_field":""},{"help":"Enter bank name and branch","type":"text","label":"Bank Name & Branch","options":[],"required":false,"pdf_field":""},{"help":"Enter bank account number","type":"text","label":"Bank Account Number","options":[],"required":false,"pdf_field":""},{"help":"Enter 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","fields":[{"help":"Consent to receive communications electronically and data processing","type":"checkbox","label":"Declaration v","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Intermediary Use Only","fields":[{"help":"Enter intermediary's full 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":"Enter intermediary code","type":"text","label":"Intermediary’s Code","options":[],"required":true,"pdf_field":""},{"help":"Sign the form","type":"signature","label":"Intermediary’s Signature","options":[],"required":true,"pdf_field":""}],"filled_by":"insurance agent or intermediary"}],"deadlines":["Declaration along with premium must be sent to GENERALI CENTRAL INSURANCE COMPANY LIMITED within stipulated cut-off date mentioned in the notification","Revised declaration for changes must be submitted within one week of cut-off date","Clarifications sought by GENERALI CENTRAL INSURANCE COMPANY LIMITED must be submitted within one month of their letter","Inform insurance company within 48 hours of occurrence of loss due to perils mentioned in the scheme"],"applies_to":"crop insurance proposals under PMFBY for loanee and non-loanee farmers","attachments":["Copy of land document towards insurable interest (Land Possession Certificate/Land revenue receipt/Patta/Contract/Other Documents as per Notification)","KYC documents (Proof of identity and Proof of address)","Farmer Registration Form (if not registered)","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","Misrepresentation or suppression of material facts may render the policy void and premium forfeited","Policyholder will assist insurer with anti-financial crime compliance","Premium paid is from legitimate source and insurer may verify source of funds","Consent to receive electronic communications and data processing as per privacy policy","CKYC records are current and proposer will inform insurer of any changes"],"dropped_labels":9},"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/2835-pradhan-mantri-fasal-bima-yojna-pmfby-proposal-form"}