{"id":2838,"title":"SAMPOORNA SURAKSHA-SOOKSHMA (MICRO 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/sampoorna-suraksha-sookshma-micro-insurance/proposal-forms/sampoorna-suraksha-sookshma-micro-insurance-proposal-form.pdf","sha256":"19e9ab3f075d602bad51dc455a969d7ee394f8cd74f0cbb23c1abdc3b3e571f9","pages":16,"collected":"2026-10-17","instructions":{"about":"This form is a proposal for micro insurance coverage under the Sampoorna Suraksha-Sookshma plan. It is filled by the proposer who wishes to apply for insurance coverage.","notes":["Read prospectus/key features/policy wordings before completing the form.","Answer all questions; attach separate signed and dated sheet if needed.","Cover commences only after acceptance and receipt of premium.","If nominee is a minor, provide guardian's name.","If parents are covered concurrently, child above 90 days can be covered.","Use replacement value basis for sum insured for various assets as specified.","Pump sets must have ISI mark to be covered.","Deductibles apply as specified for various sections.","Original bills and documents may be required for claims (implied).","Policyholder may receive electronic policy documents; physical copy available on request.","Premium payment above Rs 1 lakh requires PAN.","Premium payment above Rs 10,000 requires bank authorization form for NEFT payments.","No rebates allowed except as per published prospectuses or tables.","Penalty up to Rs 10 lakh for violation of rebate provisions."],"title":"SAMPOORNA SURAKSHA-SOOKSHMA (MICRO INSURANCE) PROPOSAL FORM","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Product Details","fields":[{"help":"Select whether the insurance is for an individual or a group","type":"choice","label":"Type","options":["Individual","Group"],"required":null,"pdf_field":""},{"help":"Tick all the sections and plans you want to opt for","type":"checkbox","label":"Sections opted","options":["I. Hospital Cash","Plan A (`175/hospital cash benefit/ day)","Plan B (`250/hospital cash benefit/ day)","Plan C (`300/hospital cash benefit/ day)","II. Personal Accident","III. Building and Contents","IV. Robbery and Burglary","V. Farm Produce","VI. Agricultural Pump set","VII. Cart Protection & Liability","VIII. Pedal Cycle"],"required":null,"pdf_field":""}],"filled_by":""},{"title":"Proposer Details","fields":[{"help":"Enter full name with title","type":"text","label":"Name: Mr. / Ms.","options":[],"required":true,"pdf_field":""},{"help":"Enter date of birth or age","type":"date","label":"Date of Birth/ Age","options":[],"required":true,"pdf_field":""},{"help":"Select gender","type":"choice","label":"Gender: Male/ Female","options":["Male","Female"],"required":true,"pdf_field":""},{"help":"Enter full present address","type":"text","label":"Present Address of the Proposer","options":[],"required":true,"pdf_field":""},{"help":"Enter state of present address","type":"text","label":"State","options":[],"required":true,"pdf_field":""},{"help":"Enter postal pin code","type":"number","label":"Pin-code","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":"Enter state of permanent address","type":"text","label":"State","options":[],"required":false,"pdf_field":""},{"help":"Enter postal pin code of permanent address","type":"number","label":"Pin-code","options":[],"required":false,"pdf_field":""},{"help":"Enter telephone number","type":"phone","label":"Telephone","options":[],"required":false,"pdf_field":""},{"help":"Enter mobile number","type":"phone","label":"Mobile No","options":[],"required":true,"pdf_field":""},{"help":"Provide contact person name and designation if proposer is an entity","type":"text","label":"Contact person details (where proposer is not an individual) a. Name b. Designation","options":[],"required":false,"pdf_field":""},{"help":"Enter 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":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":"yes-no","label":"If you are Differently Abled, please tick on the checkbox to provide confirmation","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Describe type of impairment if applicable","type":"text","label":"Type of Impairment","options":[],"required":false,"pdf_field":""},{"help":"Enter percentage of impairment if applicable","type":"number","label":"Percentage of Impairment","options":[],"required":false,"pdf_field":""},{"help":"Enter Unique Disability ID if applicable","type":"text","label":"UDID Number","options":[],"required":false,"pdf_field":""},{"help":"List all insured parties","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":"Enter start and end date of insurance period","type":"date","label":"Period of Insurance desired: From : (dd/mm/yyyy) to (dd/mm/yyyy)","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Hospital Cash - Details of the Insured","fields":[{"help":"Enter name of primary insured, spouse, and children","type":"text","label":"Name","options":[],"required":true,"pdf_field":""},{"help":"Select gender for each insured","type":"choice","label":"Gender","options":["Male","Female"],"required":true,"pdf_field":""},{"help":"Enter date of birth or age for each insured","type":"date","label":"Date of Birth/ Age","options":[],"required":true,"pdf_field":""},{"help":"Enter marital status for each insured","type":"text","label":"Marital Status","options":[],"required":false,"pdf_field":""},{"help":"Enter occupation for each insured","type":"text","label":"Occupation","options":[],"required":false,"pdf_field":""},{"help":"Enter income for each insured","type":"amount","label":"Income","options":[],"required":false,"pdf_field":""},{"help":"Enter address for each insured","type":"text","label":"Address*","options":[],"required":true,"pdf_field":""},{"help":"Enter pin code for each insured","type":"number","label":"Pin code*","options":[],"required":true,"pdf_field":""},{"help":"Enter residence telephone number","type":"phone","label":"Residence Telephone*","options":[],"required":true,"pdf_field":""},{"help":"Enter mobile number","type":"phone","label":"Mobile No.","options":[],"required":false,"pdf_field":""},{"help":"Enter email address","type":"email","label":"E mail id","options":[],"required":false,"pdf_field":""},{"help":"Enter nominee name","type":"text","label":"Nominee Name*","options":[],"required":true,"pdf_field":""},{"help":"Signature of proposer or nominee","type":"signature","label":"Signature","options":[],"required":true,"pdf_field":""},{"help":"Provide illness details if any","type":"text","label":"In case any of you suffer or have been suffering from any illness please give details","options":[],"required":false,"pdf_field":""},{"help":"Provide details if applicable","type":"text","label":"Do you have any physical deformity /handicap or use any mechanical/ physical assistance for mobility? If yes, please give details","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Personal Accident","fields":[{"help":"Enter name of insured persons","type":"text","label":"Named Insured","options":[],"required":true,"pdf_field":""},{"help":"Enter age of insured persons","type":"number","label":"Age","options":[],"required":true,"pdf_field":""},{"help":"Enter relationship to primary insured","type":"text","label":"Relationship with the insured","options":[],"required":true,"pdf_field":""},{"help":"Enter nominee name","type":"text","label":"Name of Nominee","options":[],"required":true,"pdf_field":""},{"help":"Enter sum insured amount","type":"amount","label":"Sum Insured","options":[],"required":true,"pdf_field":""},{"help":"Provide details of any existing disability","type":"text","label":"Existing disability, if any","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Fire and Building Contents","fields":[{"help":"Describe the business","type":"text","label":"Business of Proposer","options":[],"required":true,"pdf_field":""},{"help":"Enter full address and pin code","type":"text","label":"Location of Risk/business to be covered - full–postal address with Pin code","options":[],"required":true,"pdf_field":""},{"help":"Provide details for each location including floor (GF/MF/H)","type":"table","label":"Sl. No., Address, Pin code, Occupancy, Age of unit, Floor","options":[],"required":true,"pdf_field":""},{"help":"Tick Yes or No for each item","type":"checkbox","label":"Details of insured property - Please tick in the space below","options":["Offices, Shops, Hotels, etc","Industrial / Manufacturing risks","Storage outside Industrial/ Manufacturing risks","Tanks / Gas holders outside Industrial/ Manufacturing risks","Utilities located outside Industrial/Manufacturing risks","Boundary wall","Basement storage","Others (please specify)"],"required":true,"pdf_field":""},{"help":"Enter sum insured value for basement storage if applicable","type":"amount","label":"If yes value stored SI: ₹","options":[],"required":false,"pdf_field":""},{"help":"List goods stored if applicable","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":"Describe products manufactured","type":"text","label":"If used as an Industrial Manufacturing unit give products manufactured at the location proposed","options":[],"required":false,"pdf_field":""},{"help":"Select status of factory","type":"text","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":"Tick all fire protection devices installed","type":"checkbox","label":"Fire Protection devices installed - Please tick the correct answers below","options":["Portable Extinguishers","Small bore hose reels","Trailer Pumps/Fire engines","Hydrant System","Sprinkler System","Fixed Water Spray System","Foam System","Fire Alarm System","Gas Flooding System","Others (please specify)"],"required":false,"pdf_field":""},{"help":"Tick Yes or No","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":"Enter number of floors","type":"number","label":"Number of Floors","options":[],"required":false,"pdf_field":""},{"help":"Select age category","type":"choice","label":"Age of the Building","options":["Less than 5 Years","5-10 Years","10-20 Years","Above 20 Years"],"required":false,"pdf_field":""},{"help":"Enter distance","type":"text","label":"Distance between the risk to be covered and nearest Fire Brigade","options":[],"required":false,"pdf_field":""},{"help":"Provide details if applicable","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":"Provide details if applicable","type":"text","label":"Whether Insurance was declined by any other Company (Give details)","options":[],"required":false,"pdf_field":""},{"help":"Provide premium and claim details for last 3 years","type":"table","label":"Premium / Claim details for the past 36 months excluding the expiring policy period - Year, Premium, Claim","options":[],"required":false,"pdf_field":""},{"help":"Enter sum insured values for each category","type":"table","label":"Sum Insured and Other details of Insured Property","options":["Description of Block","Building including plinth, Basement and additional structures","Plant & Machinery","Furniture & Fixtures, Fittings and other equipment","Raw Material","Stock in Process","Finished Stock","Other Contents (Please Specify)","Total"],"required":true,"pdf_field":""},{"help":"Provide location-wise sum insured for stocks","type":"table","label":"Floater Cover (for stocks at various locations) - Location (Postal Address with Pin code), Sum Insured(in ₹)","options":[],"required":false,"pdf_field":""},{"help":"Enter maximum stock value at any location","type":"amount","label":"Maximum value at any one location","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Whether stocks stored in open: Yes/No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Strike off what is not applicable","type":"yes-no","label":"Do You want to opt for Declaration Policy? -- Yes/No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Enter amount if opting for declaration policy","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":"Robbery and Burglary","fields":[{"help":"Enter contents details; sum insured should match section IV.2","type":"text","label":"Contents of Farmhouse","options":[],"required":false,"pdf_field":""},{"help":"Deductible is 5% of Sum Insured subject to min ₹500 and max ₹10,000 per claim","type":"text","label":"Deductible","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Farm Produce","fields":[{"help":"List farm produce and storage locations","type":"table","label":"Details of Farm Produce","options":["Sr. No.","Details of Farm Produce & Storage Location","Sub-limit of Sum Insured, if any"],"required":false,"pdf_field":""},{"help":"Enter total sum insured for farm produce","type":"amount","label":"Total Sum Insured","options":[],"required":false,"pdf_field":""},{"help":"Deductible is 5% of the Sum Insured per claim","type":"text","label":"Deductible","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Agricultural Pump Set","fields":[{"help":"Provide details of each pump set","type":"table","label":"Description of Pump Set","options":["Sr. No.","Number, Make, Electrical or Diesel","Year of Manufacture","Value","Sub-limit of Sum Insured, if any"],"required":false,"pdf_field":""},{"help":"Enter total sum insured for pump sets","type":"amount","label":"Total Sum Insured","options":[],"required":false,"pdf_field":""},{"help":"Tick Yes or No","type":"yes-no","label":"Is the Pump Set in working condition? Yes ☐ No ☐","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Deductible is 1% of Sum Insured or ₹100 whichever is less per claim","type":"text","label":"Deductible","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Cart Protection and Liability","fields":[{"help":"Enter total sum insured for carts","type":"amount","label":"Total Sum Insured","options":[],"required":false,"pdf_field":""},{"help":"Deductible is ₹500 per claim","type":"amount","label":"Deductible","options":[],"required":false,"pdf_field":""},{"help":"Deductible is ₹100 per claim except total loss by fire","type":"amount","label":"Deductible","options":[],"required":false,"pdf_field":""},{"help":"Limit not exceeding AOA- ₹10,000 / AOY- ₹25,000","type":"text","label":"Third Party Liability - Limit of Indemnity","options":[],"required":false,"pdf_field":""},{"help":"Deductible ₹500 per claim on third party property damage only","type":"amount","label":"Deductible","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Pedal Cycle","fields":[{"help":"Provide details of pedal cycles","type":"table","label":"Description of Pedal Cycle","options":["Sr. no.","Number, Make and Year of Manufacture","Value","Sub-limit of Sum Insured, if any"],"required":false,"pdf_field":""},{"help":"Enter total sum insured for pedal cycles","type":"amount","label":"Total Insured Sum","options":[],"required":false,"pdf_field":""},{"help":"Limit not in excess of ₹5,000 AOA/AOY","type":"amount","label":"Third Party Liability: Limit of Indemnity","options":[],"required":false,"pdf_field":""},{"help":"Deductible ₹100 per claim","type":"amount","label":"Deductible","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Miscellaneous","fields":[{"help":"Answer Yes or No","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?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Answer Yes or No","type":"yes-no","label":"Had any claim under any insurance policy declined or refused in whole or in part?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Answer Yes or No","type":"yes-no","label":"Had any insurance been cancelled, or accepted on special terms or conditions or rates?","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Provide any other relevant information","type":"text","label":"Any Other Information","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declarations","fields":[{"help":"Sign the form","type":"signature","label":"Proposer’s Signature","options":[],"required":true,"pdf_field":""},{"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":""}],"filled_by":"proposer"},{"title":"Payment Details","fields":[{"help":"Specify payment mode","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":"Enter amount paid","type":"amount","label":"Amount in (₹)","options":[],"required":true,"pdf_field":""},{"help":"Enter payment date","type":"date","label":"Date of Payment (DD/MM/YY)","options":[],"required":true,"pdf_field":""},{"help":"Enter PAN if applicable","type":"text","label":"PAN (If premium is 1 Lac and Above.)","options":[],"required":false,"pdf_field":""},{"help":"Enter 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":"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 name","type":"text","label":"Name","options":[],"required":true,"pdf_field":""},{"help":"Enter nominee date of birth","type":"date","label":"Date of Birth","options":[],"required":true,"pdf_field":""},{"help":"Enter relationship","type":"text","label":"Relationship with the proposer","options":[],"required":true,"pdf_field":""},{"help":"Enter nominee mobile number","type":"phone","label":"Mobile Number","options":[],"required":false,"pdf_field":""},{"help":"Enter nominee email","type":"email","label":"E-Mail ID","options":[],"required":false,"pdf_field":""},{"help":"Enter nominee present address","type":"text","label":"Address of Nominee - Present address","options":[],"required":true,"pdf_field":""},{"help":"Enter permanent address or leave blank","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":"For Intermediary Use Only","fields":[{"help":"Enter 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":"Enter intermediary code","type":"text","label":"Intermediary’s Code","options":[],"required":true,"pdf_field":""},{"help":"Intermediary signature","type":"signature","label":"Intermediary’s Signature","options":[],"required":true,"pdf_field":""}],"filled_by":"intermediary"}],"deadlines":[],"applies_to":"Micro Insurance policies under Sampoorna Suraksha-Sookshma","attachments":["Separate signed and dated sheet if additional space is needed","Annexure with GSTIN details if more than one GSTIN","Request for authorization form to receive Claim/Refund payments 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 with relevant records.","Premiums are paid from legitimate sources; insurer may verify source and reject or terminate policy if otherwise.","Consent to receive communications electronically and for processing of personal data as per privacy policy.","Consent to insurer accessing CKYC records for verification and receiving information via SMS/email.","Insurer reserves the right to reject proposal or terminate contract if proposer or associated persons are on sanctions list.","KYC records are current and proposer will inform insurer of any changes."],"dropped_labels":6},"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/2838-sampoorna-suraksha-sookshma-micro-insurance-proposal-form"}