{"id":2851,"title":"Digit Aviation Insurance Policy for Pilots 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/others/proposal-form-digit-aviation-insurance-policy-for-pilots.pdf","sha256":"399a045db8a6d7d96e563d012838230ba298769dfcbcc9d1d1b4b8b2e148dc00","pages":3,"collected":"2026-10-17","instructions":{"about":"This form is used by pilots or groups (associations/federations) to apply for aviation insurance coverage. The proposer fills it to provide personal, risk, and coverage details for insurance underwriting.","notes":["This proposal is the basis of the insurance policy issued.","Liability of the Company starts only after proposal acceptance and premium payment.","If insufficient space, attach separate signed sheet.","Use the helpline 1800-258-5956 or email hello@godigit.com for queries.","The form includes a section for partner use only which is for office use.","The Insurance Act 1938 Section 41 regarding prohibition of rebates is noted on the form."],"title":"Digit Aviation Insurance Policy for Pilots Proposal Form","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Personal Details","fields":[{"help":"","type":"text","label":"Proposer Name","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Registered Address","options":[],"required":true,"pdf_field":""},{"help":"","type":"number","label":"Pin code","options":[],"required":true,"pdf_field":""},{"help":"Enter mobile number","type":"phone","label":"a) Mobile No","options":[],"required":true,"pdf_field":""},{"help":"Enter email address","type":"email","label":"b) Email Id","options":[],"required":true,"pdf_field":""},{"help":"Permanent Account Number","type":"text","label":"PAN Number","options":[],"required":true,"pdf_field":""},{"help":"Aadhaar number","type":"text","label":"UIDAI NO","options":[],"required":false,"pdf_field":""},{"help":"Format: DD/MM/YYYY","type":"date","label":"Date of Birth   DD/ MM/ YYYY","options":[],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Gender           Male /            Female /           Others","options":["Male","Female","Others"],"required":true,"pdf_field":""},{"help":"Goods and Services Tax details if applicable","type":"text","label":"GST details (if applicable)","options":[],"required":false,"pdf_field":""},{"help":"Name of Association/Federation/Group Manager","type":"text","label":"In case Policy is taken by Association / Federation / on Group Basis a) Please provide detail of Association/ Federation / Group Manager","options":[],"required":false,"pdf_field":""},{"help":"Name of contact person","type":"text","label":"Contact Person details of Association / Federation / Group Name","options":[],"required":false,"pdf_field":""},{"help":"Contact number of contact person","type":"phone","label":"Contact Number","options":[],"required":false,"pdf_field":""},{"help":"Email of contact person","type":"email","label":"Email Id","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Risk Period","fields":[{"help":"Start date of policy coverage","type":"date","label":"Policy From DDMMYYYY 00:01 Midnight","options":[],"required":true,"pdf_field":""},{"help":"End date of policy coverage","type":"date","label":"To DDMMYYYY 23:59 Midnight","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Coverage Details","fields":[{"help":"Tick if opting for this coverage","type":"checkbox","label":"Section I: Loss of License Insurance","options":["Opted"],"required":false,"pdf_field":""},{"help":"Tick if opting for this coverage","type":"checkbox","label":"Section II: Personal Accident","options":["Opted"],"required":false,"pdf_field":""},{"help":"Enter sum insured amount in Indian Rupees","type":"amount","label":"Sum Insured (In INR)","options":[],"required":false,"pdf_field":""},{"help":"Any specific details related to coverage","type":"text","label":"Specific Details","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Details of Pilot for Whom Coverage is Required","fields":[{"help":"","type":"text","label":"Name of Pilot","options":[],"required":true,"pdf_field":""},{"help":"","type":"number","label":"Age of Pilot","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Designation of Pilot","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Type of Aircraft Flown","options":[],"required":true,"pdf_field":""},{"help":"Total flying experience during day time","type":"number","label":"Flying Experience Total Day","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Type of License Presently Held","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Current License Number","options":[],"required":true,"pdf_field":""},{"help":"Format: DD/MM/YYYY","type":"date","label":"Date of Expiry of License","options":[],"required":true,"pdf_field":""},{"help":"","type":"amount","label":"Current Annual Salary of the Pilot","options":[],"required":true,"pdf_field":""},{"help":"Name and relationship of nominee","type":"text","label":"Nominee Name with Relationship","options":[],"required":true,"pdf_field":""},{"help":"Date of next medical examination","type":"date","label":"Next Medical Date","options":[],"required":false,"pdf_field":""},{"help":"Date of last medical examination","type":"date","label":"Last Medical Carried out on","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"Annual Salary","options":[],"required":false,"pdf_field":""},{"help":"","type":"amount","label":"Present net monthly Salary","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Company / Airline Name","fields":[{"help":"","type":"text","label":"Company / Airline Name","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Nominee Details","fields":[{"help":"","type":"text","label":"Insured Person Name","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Name of Nominee","options":[],"required":false,"pdf_field":""},{"help":"","type":"number","label":"Age of Nominee","options":[],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"Gender","options":["Male","Female","Others"],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Relationship with Insured","options":[],"required":false,"pdf_field":""},{"help":"Percentage of sum insured assigned to nominee","type":"number","label":"Percentage of SI","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Risk Details","fields":[{"help":"Deductible amount or details","type":"text","label":"Deductible","options":[],"required":false,"pdf_field":""},{"help":"Additional information for underwriting","type":"text","label":"Any other information relevant for coverage?","options":[],"required":false,"pdf_field":""},{"help":"Details of previous claims if any","type":"text","label":"In Past, have you claimed for insurance claims for similar coverage provided in this policy? If so, state particulars.","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Insured Bank Account Details","fields":[{"help":"Name of bank for refund/claim payments","type":"text","label":"Bank Name","options":[],"required":true,"pdf_field":""},{"help":"Bank branch name","type":"text","label":"Branch","options":[],"required":true,"pdf_field":""},{"help":"Account number for payments","type":"text","label":"Bank Account Number","options":[],"required":true,"pdf_field":""},{"help":"Bank IFSC code","type":"text","label":"IFSC Code","options":[],"required":true,"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":true,"pdf_field":""},{"help":"Bank name from which payment is made","type":"text","label":"Bank Name","options":[],"required":true,"pdf_field":""},{"help":"Date of payment","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Total premium amount paid","type":"amount","label":"Amount (Including applicable taxes)","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declaration","fields":[{"help":"Date of signing declaration","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Sign the form","type":"signature","label":"Signature of the Proposer","options":[],"required":true,"pdf_field":""},{"help":"Place of signing","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"help":"Print your name","type":"text","label":"Name of the Proposer","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":"Date of declaration","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Place of declaration","type":"text","label":"Place","options":[],"required":true,"pdf_field":""},{"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":""}],"filled_by":"person filling form on behalf of proposer"}],"deadlines":[],"applies_to":"Digit Aviation Insurance Policy for Pilots","attachments":["KYC document","Separate sheet duly signed or affixed with thumb impression if insufficient space"],"declarations":["The statements and particulars given in this Proposal form are complete, true and accurate.","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 or payment mode specified.","All statutory provisions relating to the business proposed for insurance are complied with.","Notify in writing any changes in facts or matters stated in this Proposal before risk acceptance and during the risk period.","Authorize the Company to share information for underwriting and claims settlement with government or regulatory authorities.","Consent to receive hard copy of policy and related documents is requested."],"dropped_labels":2},"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/2851-digit-aviation-insurance-policy-for-pilots-proposal-form"}