{"id":2845,"title":"Digit Commercial Vehicle Insurance - Proposal Form","purpose":"proposal","insurer":{"slug":"go-digit-general-insurance","name":"Go Digit General Insurance Limited"},"source_pdf":"https://www.godigit.com/content/dam/godigit/directportal/en/downloads/commercial/proposal-form-digit-commercial-vehicle-insurance.pdf","sha256":"6c4a3aff336f4a11e571ac2a6e21f6b8cd4e3256b863e5f802993522af690221","pages":5,"collected":"2026-10-17","instructions":{"about":"This form is used by a person or business proposing to insure a commercial vehicle with Go Digit General Insurance Ltd. The proposer fills it to provide details about themselves, the vehicle, coverage options, and previous insurance.","notes":["If insufficient space, attach a separate signed sheet or thumb impression.","You can opt for either Optional Cover 9: Return to Invoice or Optional Cover 23: New Vehicle Replacement, not both.","Use correct formats for dates (DDMMYY or DDMMYYYY as indicated).","Fields marked with * are optional.","Declaration from person filling the form is required if proposer cannot sign or signs in vernacular.","Refer to Insurance Act 1938 Section 41 regarding prohibition of rebates."],"title":"Digit Commercial Vehicle Insurance - Proposal Form","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Personal Details","fields":[{"help":"","type":"choice","label":"Proposer: Title Mr./Ms/Mrs.","options":["Mr.","Ms","Mrs."],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Name","options":[],"required":null,"pdf_field":""},{"help":"Answer Yes or No; if Yes, provide existing policy number","type":"text","label":"Are you an existing Go Digit General Insurance Ltd. Customer (Digit): Yes / No. If yes, please mention the Policy No","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Enter date in DDMMYY format","type":"date","label":"Date of Birth:( DDMMYY)","options":[],"required":true,"pdf_field":""},{"help":"Permanent Account Number","type":"text","label":"PAN No","options":[],"required":true,"pdf_field":""},{"help":"Aadhaar number","type":"text","label":"UIDAI NO","options":[],"required":true,"pdf_field":""},{"help":"Goods and Services Tax number","type":"text","label":"GST Number","options":[],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Profession: Business / Govt Job / Doctor / Lawyer / IT professional / Office work / Field Job","options":["Business","Govt Job","Doctor","Lawyer","IT professional","Office work","Field Job"],"required":true,"pdf_field":""},{"help":"Year when driving license was issued","type":"number","label":"Driving license issue year","options":[],"required":true,"pdf_field":""},{"help":"Full present address including PIN code","type":"text","label":"Present Address","options":[],"required":null,"pdf_field":""},{"help":"Mobile phone number","type":"phone","label":"Mobile No","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Do You have Your Own Garage / Workshop","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Count of Vehicles You have","options":["Upto 25","26-50","More than 50","Not Known"],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Area of Operation of Your Vehicles","options":["National","Regional","Not Known"],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Vehicle Details","fields":[{"help":"Vehicle registration number","type":"text","label":"Registration No","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Vehicle variant (sub type)","options":[],"required":null,"pdf_field":""},{"help":"Insured Declared Value in rupees","type":"amount","label":"Vehicle IDV (Rs.)","options":[],"required":true,"pdf_field":""},{"help":"Date vehicle was registered","type":"date","label":"Date of Registration","options":[],"required":true,"pdf_field":""},{"help":"Current odometer reading in kilometers","type":"number","label":"Odometer Reading (In Kms)","options":[],"required":null,"pdf_field":""},{"help":"Value of non-electrical accessories insured","type":"amount","label":"Non-Electrical Accessories IDV in (Rs.)","options":[],"required":true,"pdf_field":""},{"help":"Vehicle chassis number","type":"text","label":"Chassis No","options":[],"required":null,"pdf_field":""},{"help":"Type of fuel used by vehicle","type":"text","label":"Fuel Type","options":[],"required":null,"pdf_field":""},{"help":"Value of electrical/electronic accessories insured","type":"amount","label":"Electrical / Electronic Accessories IDV (Rs.)","options":[],"required":true,"pdf_field":""},{"help":"Vehicle engine number","type":"text","label":"Engine No","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Wheels 3 Wheel/4 Wheel","options":["3 Wheel","4 Wheel"],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Goods Type Hazardous / Non-Hazardous","options":["Hazardous","Non-Hazardous"],"required":null,"pdf_field":""},{"help":"Year vehicle was manufactured","type":"number","label":"Year of Manufacture","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Permit Type Private Carrier/Public Carrier","options":["Private Carrier","Public Carrier"],"required":null,"pdf_field":""},{"help":"Value of CNG/LPG kit insured","type":"amount","label":"CNG / LPG Kit IDV (Rs.)","options":[],"required":true,"pdf_field":""},{"help":"Trailer registration number if applicable","type":"text","label":"Trailer registration No","options":[],"required":true,"pdf_field":""},{"help":"Gross Vehicle Weight or cubic capacity","type":"text","label":"GVW/ Cubic Capacity","options":[],"required":null,"pdf_field":""},{"help":"Insured Declared Value of trailer","type":"amount","label":"Trailer IDV (Rs.)","options":[],"required":true,"pdf_field":""},{"help":"Details of vehicle financing if any","type":"text","label":"Finance Details","options":[],"required":true,"pdf_field":""},{"help":"Maximum seating capacity including driver and cleaner","type":"number","label":"Max. Licensed Seating Capacity Including Driver and Cleaner","options":[],"required":null,"pdf_field":""},{"help":"Total Insured Declared Value","type":"amount","label":"Total IDV (Rs.)","options":[],"required":null,"pdf_field":""},{"help":"Vehicle manufacturer","type":"text","label":"Make","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Vehicle modified for Physically challenged","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Type of vehicle usage or body type","type":"text","label":"Vehicle Usage/Body Type","options":[],"required":true,"pdf_field":""},{"help":"Vehicle model","type":"text","label":"Model","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Carriage Type Stage Carriage /Contract Carriage /Private Service Vehicle","options":["Stage Carriage","Contract Carriage","Private Service Vehicle"],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Insurance Coverage Period and Optional Covers","fields":[{"help":"Enter start and end date and time for coverage (1 to 5 years)","type":"date","label":"Period of Insurance for Section I: Loss Of or Damage to the Vehicle Insured","options":[],"required":null,"pdf_field":""},{"help":"Enter start and end date and time for coverage (1 to 5 years)","type":"date","label":"Period of Insurance for Section II: Liability to Third Parties","options":[],"required":null,"pdf_field":""},{"help":"Enter start and end date and time for coverage (1 to 5 years)","type":"date","label":"Period of Insurance for Section III: Towing Disabled Vehicle","options":[],"required":null,"pdf_field":""},{"help":"Enter start and end date and time for coverage (1 to 5 years)","type":"date","label":"Period of Insurance for Section IV Personal Accident Cover for Owner-Driver","options":[],"required":null,"pdf_field":""},{"help":"Enter start and end date and time for each optional cover (1 to 5 years)","type":"date","label":"Period of Insurance for Optional Covers","options":[],"required":null,"pdf_field":""},{"help":"Tick if you want this cover","type":"checkbox","label":"Optional Cover 1: Consumable Cover","options":["opt in"],"required":null,"pdf_field":""},{"help":"Tick if you want this cover","type":"checkbox","label":"Optional Cover 2: Parts Depreciation Protect","options":["opt in"],"required":null,"pdf_field":""},{"help":"Tick if you want this cover","type":"checkbox","label":"Optional Cover 3: Engine and Gearbox Protect","options":["opt in"],"required":null,"pdf_field":""},{"help":"Tick if you want this cover","type":"checkbox","label":"Optional Cover 4: Breakdown Assistance","options":["opt in"],"required":null,"pdf_field":""},{"help":"Tick if you want this cover","type":"checkbox","label":"Optional Cover 5: Loss of Revenue","options":["opt in"],"required":null,"pdf_field":""},{"help":"Tick if you want this cover","type":"checkbox","label":"Optional Cover 6: Debris Removal Expenses","options":["opt in"],"required":null,"pdf_field":""},{"help":"Tick if you want this cover","type":"checkbox","label":"Optional Cover 7: Additional Towing Expenses","options":["opt in"],"required":null,"pdf_field":""},{"help":"Tick if you want this cover","type":"checkbox","label":"Optional Cover 8: EMI Protection Cover","options":["opt in"],"required":null,"pdf_field":""},{"help":"You can opt for either this or Optional Cover 23, not both","type":"checkbox","label":"Optional Cover 9: Return to Invoice","options":["opt in"],"required":true,"pdf_field":""},{"help":"Tick if you want this cover","type":"checkbox","label":"Optional Cover 10: Key & Lock Replacement","options":["opt in"],"required":null,"pdf_field":""},{"help":"Tick if you want this cover","type":"checkbox","label":"Optional Cover 11: Tyre Protect","options":["opt in"],"required":null,"pdf_field":""},{"help":"Tick if you want this cover","type":"checkbox","label":"Optional Cover 12: Pay as you drive","options":["opt in"],"required":null,"pdf_field":""},{"help":"Tick if you want this cover","type":"checkbox","label":"Optional Cover 13: EV Shield","options":["opt in"],"required":null,"pdf_field":""},{"help":"Tick if you want this discount","type":"checkbox","label":"Optional Cover 14: Preferred Garage Discount","options":["opt in"],"required":null,"pdf_field":""},{"help":"Tick if you want this cover","type":"checkbox","label":"Optional Cover 15: NCB Protector","options":["opt in"],"required":null,"pdf_field":""},{"help":"Tick if you want this cover","type":"checkbox","label":"Optional Cover 16: Accidental Hospitalization Cover","options":["opt in"],"required":null,"pdf_field":""},{"help":"Tick if you want this cover","type":"checkbox","label":"Optional Cover 17: Daily Hospital Cash Cover","options":["opt in"],"required":null,"pdf_field":""},{"help":"Tick if you want this benefit","type":"checkbox","label":"Optional Cover 18: Good Driver Benefit","options":["opt in"],"required":null,"pdf_field":""},{"help":"Tick if you want this cover","type":"checkbox","label":"Optional Cover 19: Legal Assistance Cover","options":["opt in"],"required":null,"pdf_field":""},{"help":"Tick if you want this cover","type":"checkbox","label":"Optional Cover 20: NCB Scaler","options":["opt in"],"required":null,"pdf_field":""},{"help":"Tick if you want this cover","type":"checkbox","label":"Optional Cover 21: Jack Protection Cover","options":["opt in"],"required":null,"pdf_field":""},{"help":"Tick if you want this cover","type":"checkbox","label":"Optional Cover 22: Loss to Personal Belongings","options":["opt in"],"required":null,"pdf_field":""},{"help":"You can opt for either this or Optional Cover 9, not both","type":"checkbox","label":"Optional Cover 23: New Vehicle Replacement","options":["opt in"],"required":true,"pdf_field":""},{"help":"Specify if any","type":"text","label":"Voluntary Deductible /Additional Excess","options":[],"required":true,"pdf_field":""},{"help":"Specify endorsement if any","type":"text","label":"Endorsement opted IMT 23/24 or other","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Optional Cover Details","fields":[{"help":"Select Yes or No","type":"yes-no","label":"Optional Cover 1: Consumable Cover","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Optional Cover 2: Parts Depreciation Protect","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Enter maximum claims allowed per policy year","type":"number","label":"Maximum No. of claims in a Policy Year","options":[],"required":null,"pdf_field":""},{"help":"Enter maximum claims allowed per policy period","type":"number","label":"Maximum No. of claim in a policy period","options":[],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Optional Cover 3: Engine and Gear Box Protect","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Optional Cover 4: Breakdown Assistance","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Maximum kilometers limit","type":"number","label":"Limit (In KMs)","options":[],"required":null,"pdf_field":""},{"help":"Maximum amount limit in INR","type":"amount","label":"Maximum KM limit under Towing Facility (in INR)","options":[],"required":null,"pdf_field":""},{"help":"Maximum amount limit in INR","type":"amount","label":"Maximum amount limit under Towing Facility (in INR)","options":[],"required":null,"pdf_field":""},{"help":"Maximum amount limit in INR","type":"amount","label":"Maximum amount limit under Taxi Benefit (in INR)","options":[],"required":null,"pdf_field":""},{"help":"Maximum amount limit in INR","type":"amount","label":"Maximum amount limit under accommodation benefit (in INR)","options":[],"required":null,"pdf_field":""},{"help":"Maximum claims allowed per policy year","type":"number","label":"Maximum Number of Claims in a Policy Year","options":[],"required":null,"pdf_field":""},{"help":"Maximum claims allowed per policy period","type":"number","label":"Maximum number of claims in a policy period","options":[],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Optional Cover 5: Loss of Revenue","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Choose maximum days of cover","type":"choice","label":"Maximum number of Days of Cover","options":["3 days","5 days","7 days","10 days","15 days","20 days","30 days","45 days","60 days","75 days","90 days"],"required":null,"pdf_field":""},{"help":"Enter amount between Rs. 1000 and Rs. 50,000 in multiples of 1000","type":"amount","label":"Per day Benefit Amount","options":[],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Optional Cover 6: Debris Removal Expenses","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Enter amount between Rs. 5,000 and Rs. 50,000 in multiples of Rs. 5,000","type":"amount","label":"Sum Insured Options","options":[],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Optional Cover 7: Additional Towing Expenses","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Enter amount between Rs. 5,000 and Rs. 50,000 in multiples of Rs. 5,000","type":"amount","label":"Sum Insured Options","options":[],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Optional Cover 8: EMI Protection Cover","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Choose number of EMIs","type":"choice","label":"Number of EMI Options","options":["1 EMI","2 EMI’s","3 EMI’s"],"required":null,"pdf_field":""},{"help":"Choose time excess option","type":"choice","label":"Time Excess Options","options":["5 days","10 days","15 days","20 days","25 days","30 days","35 days","40 days","45 days","50 days","55 days","60 days"],"required":null,"pdf_field":""},{"help":"Enter EMI amount in rupees","type":"amount","label":"EMI Amount","options":[],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Optional Cover 9: Return to Invoice","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Choose co-payment option","type":"choice","label":"Co-Payment Options","options":["0%","5%","10%","15%","20%","25%","30%"],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Optional Cover 10: Key & Lock Replacement","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Optional Cover 11: Tyre Protect","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Enter make and model of tyre 1","type":"text","label":"Tyre1 Make & Model","options":[],"required":null,"pdf_field":""},{"help":"Enter make and model of tyre 2","type":"text","label":"Tyre2 Make & Model","options":[],"required":null,"pdf_field":""},{"help":"Enter make and model of tyre 3","type":"text","label":"Tyre3 Make & Model","options":[],"required":null,"pdf_field":""},{"help":"Enter make and model of tyre 4","type":"text","label":"Tyre4 Make & Model","options":[],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Optional Cover 12: Pay as you drive","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Enter kilometers plan","type":"number","label":"Plan kms","options":[],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Optional Cover 13: EV Shield","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Enter sum insured amount","type":"amount","label":"Sum Insured (In INR)","options":[],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Loss or damage to electrical panel for vehicle charging point","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Loss or damage to vehicle charger including charging cable","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Assistance Services Specific to EV","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Enter maximum claims allowed per policy period","type":"number","label":"Maximum No. of claim in a policy period","options":[],"required":null,"pdf_field":""},{"help":"Enter maximum claims allowed per policy year","type":"number","label":"Maximum No. of claim in a policy year","options":[],"required":null,"pdf_field":""},{"help":"Enter co-pay percentage or amount","type":"text","label":"Co – Pay","options":[],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Optional Cover 14: Preferred Garage Discount","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Optional Cover 15: NCB Protector","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Enter claim count","type":"number","label":"Claim Count in a Policy Year","options":[],"required":null,"pdf_field":""},{"help":"Enter claim count","type":"number","label":"Claim Count in a policy period","options":[],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Optional Cover 16: Accidental Hospitalization Cover","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Enter sum insured amount","type":"amount","label":"Sum Insured (INR)","options":[],"required":null,"pdf_field":""},{"help":"Enter co-pay amount or percentage","type":"text","label":"Co-pay","options":[],"required":null,"pdf_field":""},{"help":"Enter maximum limit","type":"amount","label":"Maximum Limit for Ambulance Cover per Hospitalization (INR)","options":[],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Any other Occupant Cover","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Choose basis","type":"choice","label":"Basis of Occupant Cover","options":["Named Basis","Unnamed Basis"],"required":null,"pdf_field":""},{"help":"Enter occupant name if named basis","type":"text","label":"Name of Occupant (If Named Basis)","options":[],"required":null,"pdf_field":""},{"help":"Enter maximum claims allowed per policy year","type":"number","label":"Maximum No. of claim in a policy Year","options":[],"required":null,"pdf_field":""},{"help":"Enter maximum claims allowed per policy period","type":"number","label":"Maximum No. of claim in a policy period","options":[],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Optional Cover 17: Daily Hospital Cash Cover","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Enter daily cash allowance","type":"amount","label":"Per day Daily Cash Allowance (INR)","options":[],"required":null,"pdf_field":""},{"help":"Enter maximum days covered","type":"number","label":"Maximum Number of days cover","options":[],"required":null,"pdf_field":""},{"help":"Enter time excess","type":"text","label":"Time Excess","options":[],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Any other Occupant Cover","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Choose basis","type":"choice","label":"Basis of Occupant Cover","options":["Named Basis","Unnamed Basis"],"required":null,"pdf_field":""},{"help":"Enter occupant name if named basis","type":"text","label":"Name of Occupant (If Named Basis)","options":[],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Optional Cover 18: Good Driver Benefit","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Choose benefit type","type":"choice","label":"Benefit","options":["Premium Discount","IDV Booster"],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Optional Cover 19: Legal Assistance Cover","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Choose plan","type":"choice","label":"Plan","options":["Basic Plan","Standard Plan"],"required":null,"pdf_field":""},{"help":"Enter sum insured","type":"amount","label":"Sum Insured (₹)","options":[],"required":null,"pdf_field":""},{"help":"Enter maximum claims allowed per policy period","type":"number","label":"Maximum No. can claim in a policy period","options":[],"required":null,"pdf_field":""},{"help":"Enter maximum claims allowed per policy year","type":"number","label":"Maximum No. of claim in a Policy Year","options":[],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Optional Cover 20: NCB Scaler","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Optional Cover 21: Jack Protection Cover","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Enter number of jacks installed","type":"number","label":"Number of Jack Installed","options":[],"required":null,"pdf_field":""},{"help":"Enter deductible amount","type":"amount","label":"Deductible Amount ₹","options":[],"required":null,"pdf_field":""},{"help":"Enter maximum claims allowed per policy period","type":"number","label":"Maximum No. of claim in a policy period","options":[],"required":null,"pdf_field":""},{"help":"Enter maximum claims allowed per policy year","type":"number","label":"Maximum Number of in a Policy Year","options":[],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Optional Cover 22: Loss to Personal Belongings","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Enter amount between Rs. 500 to Rs. 150000 in multiples of 500","type":"amount","label":"Sum Insured (Rs)","options":[],"required":null,"pdf_field":""},{"help":"Enter maximum claims allowed per policy period","type":"number","label":"Maximum No. of claim in a policy period","options":[],"required":null,"pdf_field":""},{"help":"Enter maximum claims allowed per policy year","type":"number","label":"Maximum No. of claim in a policy Year","options":[],"required":null,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Optional Cover 23: New Vehicle Replacement","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Choose cover type","type":"choice","label":"Cover","options":["Comprehensive (Includes Theft)","Standard (Excludes Theft)"],"required":null,"pdf_field":""},{"help":"Choose co-payment option","type":"choice","label":"Co-Payment Options","options":["0%","5%","10%","15%","20%","25%","30%"],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Previous Insurer Details","fields":[{"help":"Name of previous insurer","type":"text","label":"Company Name","options":[],"required":null,"pdf_field":""},{"help":"Previous policy number","type":"text","label":"Policy No","options":[],"required":null,"pdf_field":""},{"help":"Expiry date of previous policy","type":"date","label":"Policy Expiry Date","options":[],"required":null,"pdf_field":""},{"help":"No Claim Bonus percentage","type":"number","label":"NCB %","options":[],"required":null,"pdf_field":""},{"help":"Number of claims and total claim amount in previous policy","type":"text","label":"No of claims & claim amount","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Nominee Details for Personal Accident Cover","fields":[{"help":"Nominee's name","type":"text","label":"Name","options":[],"required":null,"pdf_field":""},{"help":"Relation to proposer","type":"text","label":"Relation","options":[],"required":null,"pdf_field":""},{"help":"Nominee's age","type":"number","label":"Age","options":[],"required":null,"pdf_field":""},{"help":"Name of appointee if nominee is minor","type":"text","label":"Appointee Name","options":[],"required":null,"pdf_field":""},{"help":"Relation of appointee to nominee","type":"text","label":"Appointee relation","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Customer Bank Account Details","fields":[{"help":"Bank account number for refunds","type":"text","label":"Bank Account No.","options":[],"required":null,"pdf_field":""},{"help":"Bank branch name","type":"text","label":"Branch","options":[],"required":null,"pdf_field":""},{"help":"Bank IFSC code","type":"text","label":"IFSC Code","options":[],"required":null,"pdf_field":""},{"help":"Name of bank","type":"text","label":"Bank Name","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Premium Payment Details","fields":[{"help":"Cheque number or NEFT reference number","type":"text","label":"Cheque No/NEFT Ref No","options":[],"required":null,"pdf_field":""},{"help":"Bank name from which payment is made","type":"text","label":"Bank Name","options":[],"required":null,"pdf_field":""},{"help":"Date of payment","type":"date","label":"Date","options":[],"required":null,"pdf_field":""},{"help":"Total amount paid including taxes","type":"amount","label":"Amount (Including applicable taxes)","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declaration","fields":[{"help":"Sign to confirm declaration","type":"signature","label":"Signature of the Proposer","options":[],"required":true,"pdf_field":""},{"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":""}],"filled_by":"proposer"},{"title":"Declaration from Person filling the form if proposer unable to sign or signs in vernacular","fields":[{"help":"Signature of person filling form","type":"signature","label":"Signature (on behalf of the Proposer)","options":[],"required":true,"pdf_field":""},{"help":"Name and relation to proposer","type":"text","label":"Name & Relationship with Proposer","options":[],"required":true,"pdf_field":""},{"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":""}],"filled_by":"person filling form"}],"deadlines":[],"applies_to":"Commercial vehicle insurance proposals","attachments":["Separate sheet if insufficient space for information","Copy of expiring policy for NCB declaration"],"declarations":["The statements and particulars given in this Proposal form are complete, true and accurate.","The insurance company will not be liable if any statements or particulars are incorrect, misleading or fraudulent.","Refunds and claims will be paid to the bank account specified by the proposer.","The proposer holds a valid Pollution Under Control (PUC) Certificate and Fitness Certificate at policy start and will maintain them.","The No Claim Bonus (NCB) declared is correct and no claims have arisen in the expiring policy period.","In case of break in insurance, own damage cover will commence only after satisfactory vehicle inspection report.","The proposer will notify in writing any changes in details after submission but before risk acceptance.","The company is authorized to share proposal information for underwriting and claims settlement with government or regulatory authorities.","The proposer agrees not to receive hard copy of the policy and related documents."],"dropped_labels":12},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"customer-care","channel":"email","value":"hello@godigit.com","label":"Customer Happiness Team Email","level":null,"hours":null,"applies_to":"all","source_url":"https://www.godigit.com/claim/grievance-redressal-procedure","quote":"d App\n37K+ Reviews\nRated App\n7K+ Reviews\nDownload Digit App\nSelect Preferred Language\n×\nLogin\nDigit General\n70260 61234\nhello@godigit.com\naccount_circle\nMy Policy\nLogout\n70260 61234\nhello@godigit.com\nOur WhatsApp number cannot be used for calls. This is a c","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"1800-258-5956","label":"Customer Support Phone","level":null,"hours":"24/7","applies_to":"all","source_url":"https://www.godigit.com/claim/grievance-redressal-procedure","quote":"ppiness team through any of the following options.\nEmail us at\nhello@godigit.com\n(Response in 3 days)\nCall us at\nMotor: 1800-258-5956\nHealth: 1800-258-4242\n(Available 24/7).\nChat with our expert on\n7026061234\n(All days, 09 am to 10 pm)\nTo read the Digit","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"1800-258-4242","label":"Customer Support Phone","level":null,"hours":"24/7","applies_to":"all","source_url":"https://www.godigit.com/claim/grievance-redressal-procedure","quote":"ny of the following options.\nEmail us at\nhello@godigit.com\n(Response in 3 days)\nCall us at\nMotor: 1800-258-5956\nHealth: 1800-258-4242\n(Available 24/7).\nChat with our expert on\n7026061234\n(All days, 09 am to 10 pm)\nTo read the Digit Protection of Policyh","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"7026061234","label":"Chat with expert phone","level":null,"hours":"09 am to 10 pm","applies_to":"all","source_url":"https://www.godigit.com/claim/grievance-redressal-procedure","quote":"om\n(Response in 3 days)\nCall us at\nMotor: 1800-258-5956\nHealth: 1800-258-4242\n(Available 24/7).\nChat with our expert on\n7026061234\n(All days, 09 am to 10 pm)\nTo read the Digit Protection of Policyholder Interest\r\n                      Policy –\nClick","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru 560095","label":"Grievance Redressal Officer Address","level":null,"hours":null,"applies_to":"all","source_url":"https://www.godigit.com/claims","quote":"y Policy\nCIN: L66010PN2016PLC167410, IRDAI Reg. No. 158.\nGo Digit General Insurance Limited | Corporate Office Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru 560095 | Registered Office Address: 1 to 6 floors, Ananta One (AR One), Pride Hotel Lane, Narveer Tanaji Wadi, Shivaji Nagar,","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"grievance@godigit.com","label":"Grievance team email","level":null,"hours":null,"applies_to":"all","source_url":"https://www.godigit.com/claim/grievance-redressal-procedure","quote":"Team will review your complaint and provide you with a\r\n                        resolution within 14 days.\nEmail us at\ngrievance@godigit.com\nSubmit your Grievance\nClick Here\nEmail at\ncomplaints@irdai.gov.in\nRegister your complaint online at\nhttps://bimabharosa","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"adish.kanna@godigit.com","label":"Nodal Officer Andhra Pradesh, Telangana, Tamil Nadu & 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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/go-digit-general-insurance/2845-digit-commercial-vehicle-insurance-proposal-form"}