{"id":2848,"title":"Digit Top-Up Policy 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/health/proposal-form-digit-top-up-policy.pdf","sha256":"50eaf7700f75eb0ab11cf8108ee76fec7e27186a8473f9b14dab63b51949f97c","pages":5,"collected":"2026-10-17","instructions":{"about":"This form is used by individuals (proposers) to apply for a Digit Top-Up insurance policy by providing personal, health, nominee, and plan details.","notes":["If insufficient space, attach a separate signed sheet or thumb impression.","If hard copy of policy is required, provide consent; else documents will be shared electronically.","Use DD/MM/YYYY or DD/MM/YY date formats as specified.","Submit clear and legible KYC documents as per IRDAI norms.","Instalment payments via ECS or NACH require three instalments at policy inception.","Use block letters where applicable.","Original documents may be required for verification."],"title":"Digit Top-Up Policy Proposal Form","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Proposer Details","fields":[{"help":"","type":"text","label":"Name of the Proposer","options":[],"required":true,"pdf_field":""},{"help":"Use DD/MM/YY format","type":"date","label":"Date of Birth (DD/MM/YY)","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Address of the Proposer","options":[],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Marital Status Single / Married","options":["Single","Married"],"required":true,"pdf_field":""},{"help":"","type":"phone","label":"Mobile No","options":[],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Occupation Salaried / Self Employed / Professional / Others","options":["Salaried","Self Employed","Professional","Others"],"required":true,"pdf_field":""},{"help":"Provide PAN, Aadhar or other government ID","type":"text","label":"PAN Number /AADHAR / Government ID Proof","options":[],"required":true,"pdf_field":""},{"help":"Use DD/MM/YYYY format","type":"date","label":"First Policy Inception Date DD/MM/YYYY","options":[],"required":false,"pdf_field":""},{"help":"","type":"email","label":"Email ID","options":[],"required":false,"pdf_field":""},{"help":"Start date of insurance period","type":"date","label":"*Period of Insurance From DDMMYYYY 00:00 Midnight","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"ABHA Number","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Partner Code and Name","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Partner Contact and Email ID","options":[],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"Policy Type Fresh/Renewal/Roll-Over /Migration/Portability","options":["Fresh","Renewal","Roll-Over","Migration","Portability"],"required":true,"pdf_field":""},{"help":"","type":"text","label":"ABHA ID (If Applicable)","options":[],"required":false,"pdf_field":""},{"help":"Describe family members","type":"text","label":"Family Composition","options":[],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"*Period of Insurance: 1 Year 2 Years 3 Years.","options":["1 Year","2 Years","3 Years"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Details of Persons to be Insured","fields":[{"help":"Fill details for up to 5 members","type":"table","label":"Member No. Full Name Relationship with Proposer Date of Birth (DD/MM/YY) Age Gender (M/F/TG) Height Weight Occupation ABHA ID","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Plan Details","fields":[{"help":"Select sum insured, deductible and plan for each member","type":"table","label":"S.No. Member Name Sum Insured Floater Sum Insured Deductible Plan opted","options":["Sum Insured options: 3L,5L,7.5L,10L,15L,20L,25L,40L,50L,90L,95L,1Cr","Deductible options: 1L,2L,3L,5L,10L,15L,20L,25L,30L","Plan options: Silver Top Up, Gold Super Top Up, Diamond Super Top Up, Platinum Super Top Up, Flex Plan"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Base Covers (Applicable in case of Flex Plan)","fields":[{"help":"","type":"choice","label":"Deductible Type: Per claim/Aggregate basis","options":["Per claim","Aggregate basis"],"required":true,"pdf_field":""},{"help":"Indicate Yes or No for each coverage","type":"table","label":"Coverages Opted (Yes/No) Limits Specific Terms and Conditions","options":["Hospitalization Cover","Long Hospitalization cash benefit","Organ Donor Expenses","Home (Domiciliary) Hospitalization","Emergency Air Ambulance","Personal Accident","Critical Illness Benefit","Network Hospital Discount","AYUSH Hospitalization (Mandatory In-Built cover in Section-1 Hospitalization Cover)"],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Optional Covers (Applicable for all the Plans)","fields":[{"help":"Indicate Yes or No for each optional cover","type":"table","label":"Coverage Name Opted (Yes/No) Limits Specific Terms and Conditions","options":["Consumables Cover","Bariatric Surgery Limit Booster (20% / 100% of Sum Insured)","Psychiatric Illness Sub-Limit (5% / 10% of Sum Insured)"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Other Features (Applicable in case of Flex Plan)","fields":[{"help":"Select applicable limits for each feature","type":"table","label":"Features Limits Opted Specific Terms and Conditions","options":["Cumulative Bonus (0%/5%/10%/50% max upto 100%)","Co-Payment (0%/5%/10%)","Specific Disease Waiting Period (2 Years/1 year/9/6/3/0 months)","Pre-existing Disease Waiting Period (3/2 years/1 year/9/6/3/0 months)"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Existing Insurance Policy Details","fields":[{"help":"","type":"yes-no","label":"Do You have or had any retail Policy with Go Digit: Yes/No","options":[],"required":true,"pdf_field":""},{"help":"","type":"yes-no","label":"Are you enrolled in any of the corporate GMC policy: Yes/No","options":[],"required":true,"pdf_field":""},{"help":"Provide details for up to 6 policies","type":"table","label":"Existing Insurance Policy Member Number Do you have any other Health Insurance Policy Number Policy Sum Insured Name of the Insurer Period of Insurance Claims Receivable/Received Details of Life Insurance (If any)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Medical History","fields":[{"help":"Tick Yes or No for each question and specify member numbers and diagnosis duration","type":"table","label":"Medical History / Habits Yes/No Please Tick the “Member Number“ who had/having mentioned Medical History/Habits Diagnosis Since (In Years)","options":["Are you taking any medicines, prescribed or otherwise?","Any history of consultation or hospitalization (including day care) in last 4 years (other than uneventful maternity/delivery in case of female customer)","Any diagnostic tests like Blood/ECG/ECHO/CT or MRI Scan etc., in last 4 years other than preventive health check up with normal reports","Do you have undiagnosed symptoms like chest pain, weakness, weight loss, dizziness, joint pain, change in bowel habit, difficulty in breathing, pain in abdomen, bleeding/pain while passing stools?","Have you or any member of your family proposed to be insured, suffered or suffering from any disease/ailment/adverse medical condition of any kind especially Heart/Stroke/Cancer/Renal disorder/Joint/Gastrointestinal disease/Respiratory /neurological / endocrine / blood related disorder","Is there any other information relating to your health that has not been prompted by the questions listed above?","Was any proposal for life, health, hospital daily cash or critical illness insurance declined, deferred, withdrawn or accepted with modified terms","Do you Smoke tobacco","Do you Chew tobacco","Do you Consume Alcohol"],"required":true,"pdf_field":""},{"help":"Provide details for each member with Yes answers","type":"table","label":"Additional details with respect to the questions answered “Yes” in the above table: Member Number Details of Illness with Symptoms Date of Last Consultation Treatment Details with Treating Doctor Details Result of the Treatment (Ongoing/Complete Recovery/ Recurrent or like to Recur)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Nominee Details","fields":[{"help":"Provide nominee details for each insured person","type":"table","label":"Name of Insured Person Name of Nominee Mobile number of Nominee E-mail Id of Nominee Present Address of the Nominee Permanent Address of Nominee (Not required, if same as present address) Relationship of Nominee with Insured Person Details of authorized person (If Nominee is minor) Percentage of claim amount","options":[],"required":true,"pdf_field":""},{"help":"Provide bank details for nominee","type":"table","label":"Details of Bank Account of Nominee i. Bank a/c no. ii. IFSC code iii. Branch iv. Bank Name","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Customer Bank Account Details","fields":[{"help":"","type":"text","label":"Bank Account No.","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Branch","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"IFSC Code","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Bank Name","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"GST & Premium Payment Details","fields":[{"help":"","type":"text","label":"GST State Code","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"GSTIN","options":[],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"Premium Payment Term: Yearly / Half Yearly / Quarterly / Monthly","options":["Yearly","Half Yearly","Quarterly","Monthly"],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Premium payment mode: Cash/Cheque/ DD/Card/ECS","options":["Cash","Cheque","DD","Card","ECS"],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Cheque No/NEFT Ref No","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Bank Name","options":[],"required":false,"pdf_field":""},{"help":"","type":"date","label":"Date","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"Amount (Including applicable taxes)","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declaration & Warranty","fields":[{"help":"","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"","type":"signature","label":"Signature of the Proposer","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Place","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Vernacular Declaration","fields":[{"help":"","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"","type":"signature","label":"Signature (on behalf of the Proposer)","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Name & Relationship with Proposer","options":[],"required":true,"pdf_field":""}],"filled_by":"person filling on behalf of proposer"}],"deadlines":[],"applies_to":"Digit Top-Up Policy proposals","attachments":["KYC documents as per IRDAI norms (Identity proof and Address proof)","Recent passport size photograph (not more than 6 months old)","Separate sheet if insufficient space for information"],"declarations":["The proposer declares all information is true and complete to the best of their knowledge.","The policy will be issued only after full payment of premium.","The proposer will notify any change in occupation or health after submission but before acceptance.","The proposer consents to the insurer seeking medical and insurance information for underwriting and claims.","The insurer may share proposal and medical information with government or regulatory authorities."],"dropped_labels":1},"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 & Andaman","level":null,"hours":null,"applies_to":"all","source_url":"https://www.godigit.com/claims","quote":"here\nDetails of Nodal Officers\nAndhra Pradesh , Telangana , Tamil Nadu & Andaman\nAdish Kanna\nadish.kanna@godigit.com\nDelhi-NCR\nHemant Kumar\nhemant.kumar@godigit.com\nGujarat\nSandeepkumar Tiwari\nsandeepkumar.tiwari@godigit.com\nChhattisgar","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"hemant.kumar@godigit.com","label":"Nodal Officer Delhi-NCR","level":null,"hours":null,"applies_to":"all","source_url":"https://www.godigit.com/claims","quote":"l Officers\nAndhra Pradesh , Telangana , Tamil Nadu & Andaman\nAdish Kanna\nadish.kanna@godigit.com\nDelhi-NCR\nHemant Kumar\nhemant.kumar@godigit.com\nGujarat\nSandeepkumar Tiwari\nsandeepkumar.tiwari@godigit.com\nChhattisgarh & Bihar\nSudhir Tiwari\nsudhir.tiwari@godigit.co","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"sandeepkumar.tiwari@godigit.com","label":"Nodal Officer Gujarat","level":null,"hours":null,"applies_to":"all","source_url":"https://www.godigit.com/claims","quote":"Andaman\nAdish Kanna\nadish.kanna@godigit.com\nDelhi-NCR\nHemant Kumar\nhemant.kumar@godigit.com\nGujarat\nSandeepkumar Tiwari\nsandeepkumar.tiwari@godigit.com\nChhattisgarh & Bihar\nSudhir Tiwari\nsudhir.tiwari@godigit.com\nKarnataka & Kerala\nSasi Jayaram\nSasi.Jayaram@godigit.com\nM","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"sudhir.tiwari@godigit.com","label":"Nodal Officer Chhattisgarh & Bihar","level":null,"hours":null,"applies_to":"all","source_url":"https://www.godigit.com/claims","quote":"hemant.kumar@godigit.com\nGujarat\nSandeepkumar Tiwari\nsandeepkumar.tiwari@godigit.com\nChhattisgarh & Bihar\nSudhir Tiwari\nsudhir.tiwari@godigit.com\nKarnataka & Kerala\nSasi Jayaram\nSasi.Jayaram@godigit.com\nMumbai\nYogesh R Yarde\nyogesh.yarde@godigit.com\nPunjab, Himacha","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"Sasi.Jayaram@godigit.com","label":"Nodal Officer Karnataka & Kerala","level":null,"hours":null,"applies_to":"all","source_url":"https://www.godigit.com/claims","quote":"epkumar.tiwari@godigit.com\nChhattisgarh & Bihar\nSudhir Tiwari\nsudhir.tiwari@godigit.com\nKarnataka & Kerala\nSasi Jayaram\nSasi.Jayaram@godigit.com\nMumbai\nYogesh R Yarde\nyogesh.yarde@godigit.com\nPunjab, Himachal Pradesh, Haryana (Except Gurgaon), Jammu & Kashmir\nHart","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"yogesh.yarde@godigit.com","label":"Nodal Officer Mumbai","level":null,"hours":null,"applies_to":"all","source_url":"https://www.godigit.com/claims","quote":"Sudhir Tiwari\nsudhir.tiwari@godigit.com\nKarnataka & Kerala\nSasi Jayaram\nSasi.Jayaram@godigit.com\nMumbai\nYogesh R Yarde\nyogesh.yarde@godigit.com\nPunjab, Himachal Pradesh, Haryana (Except Gurgaon), Jammu & Kashmir\nHartej Singh\nhartej.singh@godigit.com\nRajasthan, Ma","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"hartej.singh@godigit.com","label":"Nodal Officer Punjab, Himachal Pradesh, Haryana (Except Gurgaon), Jammu & Kashmir","level":null,"hours":null,"applies_to":"all","source_url":"https://www.godigit.com/claims","quote":"ogesh R Yarde\nyogesh.yarde@godigit.com\nPunjab, Himachal Pradesh, Haryana (Except Gurgaon), Jammu & Kashmir\nHartej Singh\nhartej.singh@godigit.com\nRajasthan, Madhya Pradesh\nVipin Tyagi\nvipin.tyagi@godigit.com\nRest of Maharashtra (except Mumbai), Goa\nAshwin Deokar\nas","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"vipin.tyagi@godigit.com","label":"Nodal Officer Rajasthan, Madhya Pradesh","level":null,"hours":null,"applies_to":"all","source_url":"https://www.godigit.com/claims","quote":", Haryana (Except Gurgaon), Jammu & Kashmir\nHartej Singh\nhartej.singh@godigit.com\nRajasthan, Madhya Pradesh\nVipin Tyagi\nvipin.tyagi@godigit.com\nRest of Maharashtra (except Mumbai), Goa\nAshwin Deokar\nashwin.deokar@godigit.com\nUttar Pradesh and Uttarakhand\nRahul Tr","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"ashwin.deokar@godigit.com","label":"Nodal Officer Rest of Maharashtra (except Mumbai), Goa","level":null,"hours":null,"applies_to":"all","source_url":"https://www.godigit.com/claims","quote":"om\nRajasthan, Madhya Pradesh\nVipin Tyagi\nvipin.tyagi@godigit.com\nRest of Maharashtra (except Mumbai), Goa\nAshwin Deokar\nashwin.deokar@godigit.com\nUttar Pradesh and Uttarakhand\nRahul Tripathi\nrahul.tripathi@godigit.com\nWest Bengal, Jharkhand, Odisha and North East\nA","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"rahul.tripathi@godigit.com","label":"Nodal Officer Uttar Pradesh and Uttarakhand","level":null,"hours":null,"applies_to":"all","source_url":"https://www.godigit.com/claims","quote":"f Maharashtra (except Mumbai), Goa\nAshwin Deokar\nashwin.deokar@godigit.com\nUttar Pradesh and Uttarakhand\nRahul Tripathi\nrahul.tripathi@godigit.com\nWest Bengal, Jharkhand, Odisha and North East\nAshwani Kumar Chouhan\nashwani.chouhan@godigit.com\nNodal Officers Detail p","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"ashwani.chouhan@godigit.com","label":"Nodal Officer West Bengal, Jharkhand, Odisha and North East","level":null,"hours":null,"applies_to":"all","source_url":"https://www.godigit.com/claims","quote":"tarakhand\nRahul Tripathi\nrahul.tripathi@godigit.com\nWest Bengal, Jharkhand, Odisha and North East\nAshwani Kumar Chouhan\nashwani.chouhan@godigit.com\nNodal Officers Detail pertaining to Third Party Motor Accidents Claims\nState\nNodal Officer\nEmail ID\nGeneric Email Id\nHi","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"phone","value":"1800-258-5956","label":"Motor helpline for complaints","level":null,"hours":"24/7","applies_to":"motor","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":"grievance","channel":"phone","value":"1800-258-4242","label":"Health helpline for complaints","level":null,"hours":"24/7","applies_to":"health","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"}],"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/go-digit-general-insurance/2848-digit-top-up-policy-proposal-form"}