{"id":2860,"title":"Digit Extra Secure Cover – 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-extra-secure-cover.pdf","sha256":"0b365eca75541e50bcf93fa2d48a96af3da1227d3913f2fc74ff5a1c0d7a1279","pages":9,"collected":"2026-10-17","instructions":{"about":"This form is used by a person proposing to purchase the Digit Extra Secure Cover insurance policy for their vehicle. The proposer fills it to provide personal, vehicle, and coverage details to obtain insurance.","notes":["If insufficient space is available, attach a separate signed sheet.","Contact agent or call 1800-258-5956 or email hello@godigit.com for help.","Use accurate and complete information to avoid policy avoidance.","The form includes sections for multiple optional coverages; tick and fill details for those opted.","Declarations must be signed and dated by the proposer.","If proposer cannot sign, a person filling the form must certify the contents have been explained and understood.","The form is for proposal only; office use fields are excluded here."],"title":"Digit Extra Secure Cover – 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":true,"pdf_field":""},{"help":"If yes, provide policy number","type":"choice","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":null,"pdf_field":""},{"help":"Enter date of birth 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":null,"pdf_field":""},{"help":"Aadhaar number","type":"text","label":"UIDAI NO","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"GST Number","options":[],"required":false,"pdf_field":""},{"help":"","type":"choice","label":"Profession","options":["Business","Govt Job","Doctor","Lawyer","IT professional","Office work","Field Job"],"required":null,"pdf_field":""},{"help":"Year of issue of driving license","type":"number","label":"Driving license issue year","options":[],"required":null,"pdf_field":""},{"help":"Full present address with PIN code","type":"text","label":"Present Address","options":[],"required":true,"pdf_field":""},{"help":"Enter mobile phone number","type":"phone","label":"Mobile No","options":[],"required":true,"pdf_field":""},{"help":"Enter email address","type":"email","label":"Email Id","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Vehicle Details","fields":[{"help":"","type":"text","label":"Registration No","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Make","options":[],"required":true,"pdf_field":""},{"help":"","type":"date","label":"Date of Registration","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Model","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Chassis No","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Vehicle variant (sub type)","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Engine No","options":[],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Fuel Type Petrol/ CNG/ Diesel/ Electric","options":["Petrol","CNG","Diesel","Electric"],"required":true,"pdf_field":""},{"help":"","type":"number","label":"Year of Manufacture","options":[],"required":true,"pdf_field":""},{"help":"","type":"choice","label":"Vehicle Type Private Car / TW / Commercial Vehicle","options":["Private Car","TW","Commercial Vehicle"],"required":true,"pdf_field":""},{"help":"","type":"text","label":"*Colour","options":[],"required":null,"pdf_field":""},{"help":"","type":"number","label":"Wheels","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"*Trailer registration No","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Permit Type (In case of commercial vehicle) Private Carrier/Public Carrier","options":["Private Carrier","Public Carrier"],"required":null,"pdf_field":""},{"help":"","type":"number","label":"Cubic Capacity/GVW (for Goods Carrying Vehicle","options":[],"required":false,"pdf_field":""},{"help":"","type":"number","label":"GVW (In case of commercial vehicle)","options":[],"required":false,"pdf_field":""},{"help":"","type":"number","label":"*KM (Odometer) reading","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Carriage Type (In case of commercial vehicle) Stage Carriage /Contract Carriage /Private Service Vehicle","options":["Stage Carriage","Contract Carriage","Private Service Vehicle"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"*Finance Details","options":[],"required":null,"pdf_field":""},{"help":"","type":"choice","label":"Goods Type (In case of commercial vehicle) Hazardous / Non-Hazardous","options":["Hazardous","Non-Hazardous"],"required":null,"pdf_field":""},{"help":"","type":"number","label":"Max. Licensed Seating Capacity","options":[],"required":false,"pdf_field":""},{"help":"","type":"yes-no","label":"*Vehicle modified for Physically challenged","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"*Vehicle Usage/Body Type","options":[],"required":null,"pdf_field":""},{"help":"Insured Declared Value","type":"amount","label":"Vehicle IDV","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Risk Coverage Period and Sections Selection","fields":[{"help":"Select coverage sections and specify sum insured and period from-to","type":"table","label":"Period of Insurance for below mentioned sections (Period of Insurance can be 1 to 10 years for respective Sections) Please tick if you want to opt for the section","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Section Coverage Details","fields":[{"help":"Fill all details related to extended warranty and vehicle purchase","type":"text","label":"Section 1: Digit Motor extended warranty Yes / No PlanType Plan A Plan B Date of sale/Delivery Ex Showroom Price Warranty provided on the vehicle by the manufacturer In Mileage (Kilometers / Hour) In Month / Years Manufacturer Warranty Expiry Date Will the vehicle be used for personal purpose or commercial purpose? Personal / Commercial Any Parts of the vehicle specifically to be covered (if applicable) Sum Insured (in INR) Kilometers covered under Extended Warranty Deductible Opted (1% to 10% of Sum Insured) In case Plan B is opted, please provide following additional details: Date of Purchase of the Vehicle Present kilometer / hour reading Waiting Period Number of past owner (s) of the vehicle Second Owner Third Owner or above In case of Vehicle is Electric Vehicle, please provide following additional details: Battery state of health provided by vehicle Manufacturer Battery Type Fixed Swappable Any other Details","options":[],"required":null,"pdf_field":""},{"help":"Select plan and provide sum insured and claim limits","type":"text","label":"Section 2: Legal Assistance Cover Yes / No Plan: Basic Plan/Standard Plan Sum Insured Maximum No. of claim in a Policy Year Any other Details","options":[],"required":null,"pdf_field":""},{"help":"Choose plan, allowance, days, and additional cover options","type":"text","label":"Section 3: Daily Conveyance Benefit Yes/No Plan: Standard / Comprehensive Per Day Allowance (Rs.) (100 to 3000 in multiples of 100) Maximum Number of days Cover (3/4/5/7/10/15/30 days) Time excess Opted (0/1/2/3/4/5 days) Plan Opted Additional Coverages Provided under this Section: Non-Accidental Loss or Damage to Vehicle: Yes / No Any other Details","options":[],"required":null,"pdf_field":""},{"help":"Provide coverage and co-pay details for hospitalization","type":"text","label":"Section 4: Accidental Hospitalization Cover Yes/No Sum Insured Co-pay opted Maximum Limit for Ambulance Cover per Hospitalization Any other Occupant Cover: Yes/No Basis of Occupant Cover: Named Basis / Unnamed Basis Name of Occupant (If Named Basis) Maximum Number of times you can claim in a policy year Accidental Medical Expense cover for Pet: Yes / No Maximum limit for Accidental Medical Expenses cover for Pet during policy year Road Accident Hospitalization cover: Yes/No Any other Details","options":[],"required":null,"pdf_field":""},{"help":"Fill daily cash cover details and occupant cover options","type":"text","label":"Section 5: Daily Hospital Cash Cover Yes/No Per day Daily Cash Allowance Maximum Number of days cover Time Excess Any other Occupant Cover: Yes/No Basis of Occupant Cover: Named Basis / Unnamed Basis Name of Occupant (If Named Basis) Additional Coverages Provided under this Section: Hospitalisation due to Road Accident: Yes / No Any other Details","options":[],"required":null,"pdf_field":""},{"help":"Provide EMI protection details and options","type":"text","label":"Section 6: Vehicle EMI Protection Cover Yes/No Number of EMI Options Time Excess Options EMI Amount Additional Coverages Provided under this Section: Non-Accidental Loss or Damage to Vehicle: Yes / No Any other Details","options":[],"required":null,"pdf_field":""},{"help":"Fill loss of revenue coverage details","type":"text","label":"Section 7: Loss of Revenue Yes/No Time Excess Options Maximum number of Days of Cover Per day Benefit Amount Additional Coverages: Non-Accidental Loss or Damage to Vehicle: Yes / No Any other Details","options":[],"required":null,"pdf_field":""},{"help":"Select plan and provide limits for towing, taxi, accommodation","type":"text","label":"Section 8: Breakdown Assistance Yes/No Plans – Basic / Standard / Comprehensive /Platinum Limit (In KMs) Maximum KM limit under Towing Facility (in INR) Maximum amount limit under Towing Facility (in INR) Maximum amount limit under Taxi Benefit (in INR) Maximum amount limit under accommodation benefit (in INR) Maximum Number of Claims in a Policy Year Any other Details","options":[],"required":null,"pdf_field":""},{"help":"Provide sum insured for additional towing expenses","type":"text","label":"Section 9: Additional Towing Expenses Yes/No Sum Insured Options Any other Details","options":[],"required":null,"pdf_field":""},{"help":"Fill sum insured and claim limits for personal belongings","type":"text","label":"Section 10: Loss to Personal Belongings Yes/No Sum Insured Maximum Number of times you can claim in a policy year Any other Details","options":[],"required":null,"pdf_field":""},{"help":"Provide tyre details and coverage","type":"text","label":"Section 11: Tyre Protect Yes/No Maximum No. of Fitted Tyres Covered Tyre1 Make & Model Serial Number Tyre2 Make & Model Serial Number Tyre3 Make & Model Serial Number Tyre4 Make & Model Serial Number Tyre5 Make & Model Serial Number Any other Details","options":[],"required":null,"pdf_field":""},{"help":"Fill rim protection details","type":"text","label":"Section 12: Rim Protect Yes/No Maximum No. of wheel rims of the vehicle covered Sum Insured Rim Details Any other Details","options":[],"required":null,"pdf_field":""},{"help":"Provide loan shield coverage and EMI amount","type":"text","label":"Section 13: Vehicle Loan Shield Yes/No Sum Insured EMI Amount Any other Details","options":[],"required":null,"pdf_field":""},{"help":"Select sum insured and claim limits for key and lock cover","type":"text","label":"Section 14: Key & Lock Protect Yes/No Sum Insured Options Maximum Number of times you can claim in a policy Year Any other Details","options":[],"required":null,"pdf_field":""},{"help":"Provide engine and gearbox protection details","type":"text","label":"Section 15: Engine and Gear Box Protect Yes/No Maximum Number of times you can claim in a policy Year Any other Details","options":[],"required":null,"pdf_field":""},{"help":"Fill EV charging station coverage details","type":"text","label":"Section 16: EV Home Charging Station Cover Yes/No Sum Insured Maximum Number of in a Policy Year Any other Details","options":[],"required":null,"pdf_field":""},{"help":"Provide jack protection details","type":"text","label":"Section 17: Jack Protection Cover Yes/No Number of Jack Installed Deductible Amount Maximum Number of claim in a Policy Year Any other Details","options":[],"required":null,"pdf_field":""},{"help":"Fill debris removal coverage details","type":"text","label":"Section 18: Debris Removal Expenses Yes/No Sum Insured Options Additional Coverages: Non-Accidental Loss or Damage to Vehicle: Yes / No Any other Details","options":[],"required":null,"pdf_field":""},{"help":"Provide fuel adulteration coverage and related options","type":"text","label":"Section 19: Fuel Adulteration Yes/No Sum Insured Additional Coverages Provided under this Section: Repair of Engine: Yes/No Reimbursement cost of Fuel: Yes/No Reimbursement of Testing Cost of Fuel: Yes/No Towing of Vehicle to Nearest Repair Shop: Yes/No Towing Distance (in Kms)/ Towing Amount (in INR) Fuel Assistance: Yes/No Transportation cost of driver and co-passengers: Yes/No Transportation Distance (in Kms) Maximum Number of claim in a Policy Year Any other Details","options":[],"required":null,"pdf_field":""},{"help":"List driving accessories opted with yes/no and sum insured","type":"table","label":"Section 21: Driving Accessories Cover Yes/No Name of Driving Accessories Opted Sum Insured Helmets Yes/No Helmet Security Guard Yes/No Elbow/Shin/Knee Guards Yes/No Riding Jackets Yes/No Rider Boots Yes/No Riding Gloves Yes/No Protective Eyewear Yes/No Goggles Yes/No Mask Yes/No Body Armour Yes/No Rain Wear Yes/No Action Cam Mount/Hook Yes/No Mobile Holder Yes/No Helmet Bluetooth Yes/No Bike Stickers Yes/No Any other Driving Accessories Yes/No Maximum number of claims in a Policy year Deductible Amount Any other Details","options":[],"required":null,"pdf_field":""},{"help":"Fill cyber risk coverage details","type":"text","label":"Section 23: Vehicle cyber risk cover Yes/No Sum Insured Deductible/Excess Amount Any other Details","options":[],"required":null,"pdf_field":""},{"help":"Provide residual value insurance details","type":"text","label":"Section 24: Residual Value Insurance Yes/ No Guaranteed resale Value of the vehicle Coverage Terms Return condition of the vehicle Waiting Period Additional details","options":[],"required":null,"pdf_field":""},{"help":"Select smart assistance services required","type":"text","label":"Section 25: Smart Assistance Services Yes/No Details of services: To be opted Assistance for home building/ property repair and maintenance services Assistance for booking home appliances repair and maintenance services Assistance for booking Electrician, Plumber, Carpenter services Assistance for booking Pest control services Assistance for booking cab / vehicle Any other assistance Any other Details","options":[],"required":null,"pdf_field":""}],"filled_by":"proposer"},{"title":"Nominee Details","fields":[{"help":"","type":"text","label":"Name of Nominee","options":[],"required":true,"pdf_field":""},{"help":"","type":"phone","label":"Mobile number of Nominee","options":[],"required":false,"pdf_field":""},{"help":"","type":"email","label":"E-mail Id of Nominee","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Present Address of the Nominee","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Permanent Address of Nominee (Not required, if same as present address)","options":[],"required":false,"pdf_field":""},{"help":"","type":"text","label":"Relationship of Nominee with Insured Person","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Details of authorized person (If Nominee is minor)","options":[],"required":false,"pdf_field":""},{"help":"Percentage share of claim amount for nominee","type":"number","label":"Percentage of claim amount","options":[],"required":true,"pdf_field":""},{"help":"Provide bank account number, IFSC code, branch, and bank name","type":"text","label":"Details of Bank Account of Nominee","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Additional Details","fields":[{"help":"Indicate if any other relevant information is to be provided","type":"yes-no","label":"Any other information relevant to the Risk/ policy (If Any, please provide details) Yes / No","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide past claims details if any","type":"text","label":"Please provide the claims history (if any) Coverage Number of claims made Cause of Loss Total Claimed Amount (in INR)","options":[],"required":false,"pdf_field":""},{"help":"Provide details of other insurance policies if any","type":"text","label":"Details of any other existing insurance policy covering the same risk as covered under this policy (including details of Motor Insurance Policy Details (If any)) Company Name Policy No Policy Expiry Date","options":[],"required":false,"pdf_field":""},{"help":"Attach vehicle purchase invoice copy","type":"attachment","label":"Please attach Invoice copy of the Vehicle","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":"Premium Payment Details","fields":[{"help":"","type":"text","label":"Cheque No/NEFT Ref No","options":[],"required":true,"pdf_field":""},{"help":"","type":"text","label":"Bank Name","options":[],"required":true,"pdf_field":""},{"help":"","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"","type":"amount","label":"Amount (Including applicable taxes)","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Declarations and Signature","fields":[{"help":"Date of signing","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":"To be filled by person assisting proposer if proposer cannot sign","type":"text","label":"Declaration from Person filling the form in case proposer is unable to sign or signs in vernacular: Date Place Signature (on behalf of the Proposer) Name & Relationship with Proposer","options":[],"required":false,"pdf_field":""},{"help":"Indicate if you want a hard copy of policy documents","type":"choice","label":"I/We hereby agree and undertake that I/we are agreeable not to receive the hard copy of the Policy and related documents. Please mention specifically if you want to receive a hard copy. ___ Yes/ ___ No","options":["Yes","No"],"required":true,"pdf_field":""}],"filled_by":"proposer"}],"deadlines":[],"applies_to":"Digit Extra Secure Cover vehicle insurance policy proposal","attachments":["Invoice copy of the Vehicle"],"declarations":["The statements and particulars given in this Proposal form are complete, true and accurate and non-disclosure may void the policy.","Refunds and claims will be paid to the bank account specified by the proposer.","The No Claim Bonus claimed is correct and no claim has arisen in the expiring policy period.","The proposer holds a valid Pollution Under Control (PUC) Certificate at policy start and will maintain it during the policy period.","In case of break in insurance, own damage cover starts only after satisfactory vehicle inspection report is received.","The proposer will notify any changes in details after submission but before risk acceptance.","The company is authorized to share proposal information including medical records for underwriting and claims settlement.","The proposer agrees not to receive hard copy of policy documents unless specifically 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/2860-digit-extra-secure-cover-proposal-form"}