{"id":5595,"title":"Marine Stock Throughput Policy Proposal Form & Questionnaire","purpose":"proposal","insurer":{"slug":"zurich-kotak-general-insurance","name":"Zurich Kotak General Insurance Company (India) Limited"},"source_pdf":"https://cms.zurichkotak.com/uploads/Proposal_form_Marine_STP_64f0523c75.pdf","sha256":"b6becfb871dabac5f46168102dba71fafea41ece6af798cd4d6d7b24356ed63a","pages":4,"collected":"2026-10-17","instructions":{"about":"This form is used by proposers or owners to apply for Marine Stock Throughput insurance coverage. The proposer fills it to provide details about themselves, the risk to be insured, and other relevant information.","notes":["Fill the form in BLOCK LETTERS.","Fields marked with * are mandatory.","Liability of the company starts only after acceptance of proposal and receipt of premium.","Provide all information fully, accurately and correctly.","Attach additional sheets if needed and indicate question number.","Use original documents where required.","The form includes sections for proposer, intermediary, and agent signatures.","The statutory warning about prohibition of rebates is included.","List of named locations to be provided as annexure."],"title":"Marine Stock Throughput Policy Proposal Form & Questionnaire","submit":{"to":"","how":"","address":""},"purpose":"proposal","sections":[{"title":"Proposer / Owner’s Details","fields":[{"help":"Enter full name of the proposer","type":"text","label":"Proposer’s Name*","options":[],"required":true,"pdf_field":""},{"help":"Describe the trade or business of the proposer","type":"text","label":"Proposer's Trade or Business*","options":[],"required":true,"pdf_field":""},{"help":"Number of years in the trade or business","type":"number","label":"Years in Trade / Business","options":[],"required":false,"pdf_field":""},{"help":"Enter address line 1","type":"text","label":"Registered Office Address / Permanent Address* - Address (Line 1)","options":[],"required":true,"pdf_field":""},{"help":"Enter address line 2","type":"text","label":"Registered Office Address / Permanent Address* - Address (Line 2)","options":[],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Is the Communication Address same as the Registered Office Address/ Permanent Address?*","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Enter contact phone number","type":"phone","label":"Contact No.","options":[],"required":false,"pdf_field":""},{"help":"Enter email address","type":"email","label":"Email ID","options":[],"required":false,"pdf_field":""},{"help":"Select if you have an existing policy with the insurer","type":"yes-no","label":"Any existing policy from Us","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Enter existing policy number if applicable","type":"text","label":"If ‘Yes’, Policy No.","options":[],"required":false,"pdf_field":""},{"help":"Enter CKYC identifier if applicable","type":"text","label":"For Corporate customers / Firms, please share below details: CKYC Identifier / Number (Generated by CERSAI):","options":[],"required":false,"pdf_field":""},{"help":"Enter PAN number","type":"text","label":"PAN*:","options":[],"required":true,"pdf_field":""},{"help":"Enter name of authorised signatory","type":"text","label":"Please share the below details for the Authorised Signatory: Name:","options":[],"required":false,"pdf_field":""},{"help":"Enter designation of authorised signatory","type":"text","label":"Designation:","options":[],"required":false,"pdf_field":""},{"help":"Enter CKYC identifier of authorised signatory if applicable","type":"text","label":"CKYC Identifier / Number (Generated by CERSAI):","options":[],"required":false,"pdf_field":""},{"help":"Enter bank name for hypothecation details","type":"text","label":"Hypothecation Details: Bank Name:","options":[],"required":false,"pdf_field":""},{"help":"Enter paid up capital amount","type":"amount","label":"Paid up Capital of the firm","options":[],"required":false,"pdf_field":""},{"help":"Enter insurance start date","type":"date","label":"Period of Insurance: From","options":[],"required":false,"pdf_field":""},{"help":"Enter GSTIN number","type":"text","label":"GSTIN:","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Risk Details","fields":[{"help":"Describe the cargo or merchandise to be insured","type":"text","label":"Subject matter/Cargo/Merchandise to be insured:","options":[],"required":true,"pdf_field":""},{"help":"Tick if the cargo is new","type":"checkbox","label":"New","options":["New"],"required":false,"pdf_field":""},{"help":"Tick if the cargo is used or secondhand","type":"checkbox","label":"Used / Secondhand","options":["Used / Secondhand"],"required":false,"pdf_field":""},{"help":"Tick if the cargo is reconditioned","type":"checkbox","label":"Reconditioned","options":["Reconditioned"],"required":false,"pdf_field":""},{"help":"Provide full description of all materials to be insured","type":"text","label":"Description (Please give full description of all materials to be covered)","options":[],"required":true,"pdf_field":""},{"help":"Select all applicable shipment methods","type":"checkbox","label":"Method of Shipment (Please tick whichever applicable)","options":["Sea","Air","Rail","Road","Post","Courier","Others (Please specify)"],"required":true,"pdf_field":""},{"help":"Describe packing details including primary and secondary packing","type":"text","label":"Packing details (Please give details of primary packing and secondary packing, Also please state if the same is customary packing):","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"Insurance and Coverage Details","fields":[{"help":"Enter total value of cargo or merchandise","type":"amount","label":"Value of the Cargo / Merchandise","options":[],"required":true,"pdf_field":""},{"help":"Enter limit per sending if applicable","type":"amount","label":"Limit per sending","options":[],"required":false,"pdf_field":""},{"help":"Enter limit per location if applicable","type":"amount","label":"Limit per location","options":[],"required":false,"pdf_field":""},{"help":"Select Yes or No","type":"yes-no","label":"Are you willing to cover Duty (for Import Consignment)?","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Enter amount of duty to be covered if applicable","type":"amount","label":"If yes, please specify the amount.","options":[],"required":false,"pdf_field":""},{"help":"Specify sale terms","type":"text","label":"Sale Terms (FOB / CIF / Others (Please specify))","options":[],"required":false,"pdf_field":""},{"help":"Specify any special letter of credit terms","type":"text","label":"Any Special L/C terms?","options":[],"required":false,"pdf_field":""},{"help":"Select insuring terms required","type":"choice","label":"Insuring Terms required:","options":["All Risks","Named Perils / Basic Cover","War & SRCC","SRCC"],"required":true,"pdf_field":""},{"help":"Provide details of any extensions required","type":"text","label":"Extension if any. Please give details.","options":[],"required":false,"pdf_field":""},{"help":"Select Yes or No and provide details if Yes","type":"yes-no","label":"Has any other insurer refused to accept this insurance or imposed conditions to accept the same. If YES, give details.","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Provide any other relevant information","type":"text","label":"Any other information for the proposed Insurance Policy:","options":[],"required":false,"pdf_field":""},{"help":"Enter insurance start date","type":"date","label":"Period of Insurance From","options":[],"required":true,"pdf_field":""},{"help":"Select declaration periodicity","type":"choice","label":"Periodicity of declaration","options":["Weekly","Fortnightly","Monthly","Others (other than specific policy)"],"required":false,"pdf_field":""},{"help":"Enter voluntary excess amount if opting","type":"amount","label":"Would you like to opt for a Voluntary excess? If yes please specify the amount","options":[],"required":false,"pdf_field":""},{"help":"Select voyage type","type":"choice","label":"Voyage:","options":["Export","Import","Specific","Inland"],"required":false,"pdf_field":""},{"help":"Provide details of limits for static risks","type":"text","label":"Limits (Static Risks) : Named (Details to be provided as per annexure attached) & Unnamed location","options":[],"required":false,"pdf_field":""},{"help":"Select declaration frequency","type":"choice","label":"Declaration: Monthly/ Quarterly","options":["Monthly","Quarterly"],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Previous Insurance Particulars & Claims Experience","fields":[{"help":"Enter year of insurance or claim","type":"number","label":"Year","options":[],"required":false,"pdf_field":""},{"help":"Enter premium paid for the year","type":"amount","label":"Premium Paid","options":[],"required":false,"pdf_field":""},{"help":"Enter claims received amount","type":"amount","label":"Claims Received (1)","options":[],"required":false,"pdf_field":""},{"help":"Enter outstanding claims amount","type":"amount","label":"Outstanding (2)","options":[],"required":false,"pdf_field":""},{"help":"Enter total claims amount","type":"amount","label":"Total (1+2)","options":[],"required":false,"pdf_field":""},{"help":"Describe cause of loss","type":"text","label":"Cause of Loss","options":[],"required":false,"pdf_field":""},{"help":"Enter number of claims","type":"number","label":"No. of Claims","options":[],"required":false,"pdf_field":""},{"help":"Enter insuring conditions","type":"text","label":"Insuring Conditions","options":[],"required":false,"pdf_field":""},{"help":"Enter insurer name","type":"text","label":"Insurer","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Open Policy Details","fields":[{"help":"Enter total value for open policy","type":"amount","label":"Total Value","options":[],"required":false,"pdf_field":""},{"help":"Specify mode of operation","type":"text","label":"Mode (Specify Domestic/Overseas or Both)","options":[],"required":false,"pdf_field":""},{"help":"Provide details of incoming materials","type":"text","label":"Full details of incoming materials","options":[],"required":false,"pdf_field":""},{"help":"Provide details of outgoing materials","type":"text","label":"Full details of outgoing materials","options":[],"required":false,"pdf_field":""},{"help":"Provide details of inter-depot movements","type":"text","label":"Full details of inter-depo movements","options":[],"required":false,"pdf_field":""},{"help":"Enter expected domestic sales turnover","type":"amount","label":"Total Sales turnover expected: Domestic","options":[],"required":false,"pdf_field":""},{"help":"Enter expected export sales turnover","type":"amount","label":"Exports","options":[],"required":false,"pdf_field":""},{"help":"Specify the period for sales turnover","type":"text","label":"for the full year. (Please specify the period reckoned)","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Bank Details and Payment Details","fields":[{"help":"Enter cheque or demand draft number","type":"text","label":"Cheque / D.D #","options":[],"required":false,"pdf_field":""},{"help":"Enter name of payee","type":"text","label":"Drawn To","options":[],"required":false,"pdf_field":""},{"help":"Enter bank and branch name","type":"text","label":"Bank and Branch Name","options":[],"required":false,"pdf_field":""},{"help":"Enter transaction reference number for card payment","type":"text","label":"For Credit / Debit Card - Transaction Reference No.","options":[],"required":false,"pdf_field":""},{"help":"Enter IFSC or MICR code","type":"text","label":"IFSC/MICR Code","options":[],"required":false,"pdf_field":""},{"help":"Enter amount drawn","type":"amount","label":"Drawn Amount","options":[],"required":false,"pdf_field":""},{"help":"Enter transaction date","type":"date","label":"Transaction Date","options":[],"required":false,"pdf_field":""},{"help":"Tick if cancelled cheque of other bank is submitted","type":"checkbox","label":"Details as per premium cheque to be used for electronic fund transfer; Cancelled cheque submitted of other bank","options":["Cancelled cheque submitted of other bank"],"required":false,"pdf_field":""},{"help":"Enter bank account number","type":"text","label":"Account Number","options":[],"required":false,"pdf_field":""},{"help":"Enter bank name","type":"text","label":"Bank Name","options":[],"required":false,"pdf_field":""},{"help":"Enter account holder name","type":"text","label":"Account Holder name","options":[],"required":false,"pdf_field":""},{"help":"Enter IFSC or MICR code again if needed","type":"text","label":"IFSC/MICR Code","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"},{"title":"Vernacular Declaration","fields":[{"help":"Sign or affix thumb impression","type":"signature","label":"Signature / Thumb impression of Proposer*","options":[],"required":true,"pdf_field":""},{"help":"Intermediary or sales person to sign","type":"signature","label":"Signature of Intermediary / Sales person*","options":[],"required":true,"pdf_field":""},{"help":"Enter place of signing","type":"text","label":"Place*","options":[],"required":true,"pdf_field":""},{"help":"Enter date of signing","type":"date","label":"Date*","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer and intermediary"},{"title":"Declaration for Agent","fields":[{"help":"Agent to sign and stamp","type":"signature","label":"Signature & Stamp as applicable of the Insurance Advisor / Specified person of Corporate Agent/Authorised Employee of Broker/ Sales person*","options":[],"required":true,"pdf_field":""},{"help":"Proposer to sign or affix thumb impression","type":"signature","label":"Signature / Thumb impression of Proposer","options":[],"required":true,"pdf_field":""},{"help":"Enter place of signing","type":"text","label":"Place*","options":[],"required":true,"pdf_field":""},{"help":"Enter date of signing","type":"date","label":"Date*","options":[],"required":true,"pdf_field":""}],"filled_by":"agent"},{"title":"Declaration","fields":[{"help":"Agree to the declaration","type":"checkbox","label":"I / We hereby declare that the statements made by me / us in this Proposal Form and Questionnaire are to the best of my / our knowledge and belief, complete and true, and I / We hereby agree that this proposal forms and questionnaire the basis and is part of any policy issued in connection with the above risk(s).","options":[],"required":true,"pdf_field":""},{"help":"Agree to the terms of liability","type":"checkbox","label":"It is agreed that Zurich Kotak General Insurance Company (India) Limited. is liable in accordance with the terms of the policy only and that the Insured will not lodge any other claims of whatever nature.","options":[],"required":true,"pdf_field":""},{"help":"Agree to confidentiality","type":"checkbox","label":"Zurich Kotak General Insurance Company (India) Limited. undertakes to deal with this information in strict confidence.","options":[],"required":true,"pdf_field":""},{"help":"Consent to receive communications by email","type":"checkbox","label":"Protect and contribute in conserving the environment, all your policy and service related communication would be sent in soft copy to the email id mentioned in the proposal form and it is valid for all regulatory /policy servicing requirements.","options":[],"required":false,"pdf_field":""},{"help":"Option to receive physical copy of policy","type":"checkbox","label":"I / We would still want to receive a physical copy of the policy.","options":[],"required":false,"pdf_field":""},{"help":"Consent for KYC verification","type":"checkbox","label":"I / We hereby give my/our consent to the Company to verify and obtain my/our identity/address proof through Central KYC Registry or Goods and Service Tax Portal or Ministry Of Corporate Affairs Portal or National Securities Depository Limited portal for the purpose of undertaking KYC.","options":[],"required":true,"pdf_field":""}],"filled_by":"proposer"},{"title":"AML Declaration and Organisation Details","fields":[{"help":"Confirm source of premium payment","type":"checkbox","label":"I / We hereby confirm that all premiums have been/will be paid from bonafide sources and no premiums have been /will be paid out of proceeds of crime related to any of the offence listed in Prevention of Money Laundering Act,2002.","options":[],"required":true,"pdf_field":""},{"help":"Acknowledge company's right to verify source of funds","type":"checkbox","label":"I / We understand that the Company has the right to call for document to establish sources of funds.","options":[],"required":true,"pdf_field":""},{"help":"Acknowledge cancellation rights for money laundering offences","type":"checkbox","label":"The Insurance Company has right to cancel the insurance contract in case I am/have been found guilty by any competent court of law under any of the statutes, directly or indirectly governing the prevention of money laundering in India.","options":[],"required":true,"pdf_field":""},{"help":"Select type of organisation","type":"choice","label":"In case of entity, Type of Organisation making the payment:","options":["Limited Company","International Organisation","Section 25 Company","Non-Government Organisation (NGO)","Government Organisation","Co-operatives","Trust","Partnership","Society","Others"],"required":false,"pdf_field":""},{"help":"Select if associated with a PEP","type":"yes-no","label":"Are You or any of the proposed applicants or close relatives is/are associated to Politically Exposed Person (PEP)?*","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Select if you are a non-profit organization","type":"yes-no","label":"Are you a Non-Profit Organization?*(only in case of an entity)","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Enter EIA number if applicable","type":"text","label":"If Yes, please quote EIA Number","options":[],"required":false,"pdf_field":""},{"help":"Select if you want an EIA account created","type":"yes-no","label":"If No, do you want Us to create an EIA account for you","options":["Yes","No"],"required":false,"pdf_field":""},{"help":"Enter email registered with Insurance Repository","type":"email","label":"Email id (Registered with Insurance Repository)","options":[],"required":true,"pdf_field":""},{"help":"Note about address override","type":"info","label":"Your address details as mentioned in the EIA account shall override the address provided in this application for Insurance.","options":[],"required":false,"pdf_field":""},{"help":"Select if you have an EIA account","type":"yes-no","label":"Do you have an EIA Account","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Instruction to fill Insurance Repository form if Yes","type":"info","label":"(If Yes, please fill up Insurance Repository Application form)","options":[],"required":false,"pdf_field":""},{"help":"Enter name of Insurance Repository","type":"text","label":"Please mention name of Insurance Repository:","options":[],"required":false,"pdf_field":""}],"filled_by":"proposer"}],"deadlines":[],"applies_to":"Marine Stock Throughput insurance policies","attachments":["Additional sheets if more space is needed to answer questions","Annexure with details of Named Locations","Cancelled cheque for electronic fund transfer if applicable","Insurance Repository Application form if EIA account exists"],"declarations":["Statements made in the proposal form are true, complete and form the basis of the policy.","The insurer's liability is only as per the policy terms and no other claims will be lodged.","Information provided will be treated in strict confidence.","Consent to receive policy and service communications by email unless physical copy requested.","Consent to KYC verification through specified government portals.","Premiums paid are from bonafide sources and not from proceeds of crime.","The insurer may cancel the contract if found guilty under money laundering laws.","Declarations regarding association with Politically Exposed Persons and non-profit status."],"dropped_labels":17},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"customer-care","channel":"email","value":"care@zurichkotak.com","label":"Email Address","level":null,"hours":null,"applies_to":"all","source_url":"https://www.zurichkotak.com/customer-support/grievance-redressal-process","quote":"in\nToll Number (INDIA And Overseas)\n+91-22-69417220\nToll Free Number\n1800 2120\nWhatsApp Number\n7998879988\nEmail Address\ncare@zurichkotak.com\nOur WhatsApp number cannot be used for calls. This is chat only number.\nAccessibility\nZoom in page\nZoom out page\nIncrea","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"1800 2120","label":"Toll Free Number","level":null,"hours":null,"applies_to":"all","source_url":"https://www.zurichkotak.com/customer-support/grievance-redressal-process","quote":"age claims\nCustomer support\nGrievance redressal\nLogin\nToll Number (INDIA And Overseas)\n+91-22-69417220\nToll Free Number\n1800 2120\nWhatsApp Number\n7998879988\nEmail Address\ncare@zurichkotak.com\nOur WhatsApp number cannot be used for calls. This is cha","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"phone","value":"+91-22-69417220","label":"Toll Number (INDIA And Overseas)","level":null,"hours":"IST 8 am to 8 pm","applies_to":"all","source_url":"https://www.zurichkotak.com/customer-support/grievance-redressal-process","quote":"Download policy\nManage policy\nManage claims\nCustomer support\nGrievance redressal\nLogin\nToll Number (INDIA And Overseas)\n+91-22-69417220\nToll Free Number\n1800 2120\nWhatsApp Number\n7998879988\nEmail Address\ncare@zurichkotak.com\nOur WhatsApp number cannot be","fetched_at":"2026-10-20"},{"purpose":"customer-care","channel":"whatsapp","value":"7998879988","label":"WhatsApp Number","level":null,"hours":null,"applies_to":"all","source_url":"https://www.zurichkotak.com/customer-support/grievance-redressal-process","quote":"t\nGrievance redressal\nLogin\nToll Number (INDIA And Overseas)\n+91-22-69417220\nToll Free Number\n1800 2120\nWhatsApp Number\n7998879988\nEmail Address\ncare@zurichkotak.com\nOur WhatsApp number cannot be used for calls. This is chat only number.\nAccessibilit","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"grievanceofficer@zurichkotak.com","label":"Grievance Officer","level":1,"hours":null,"applies_to":"all","source_url":"https://cms.zurichkotak.com/uploads/Policy_Wordings_CPI_dc7b416cf1.pdf","quote":"om .\nIn case the I nsured is not satisfied with the response, I nsured may contact the Grievance Officer of the ZKGI at grievanceofficer@zurichkotak.com . In case if the I nsured is not satisfied with the solution the\nGrievance Officer has provided, | I nsured | can write","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"address","value":"Unit no. 401, 4th Floor, Silver Metropolis, Jai Coach Compound, Off Western Express Highway, Goregaon (East) Mumbai- 400063. Maharashtra, India.","label":"Registered & Corporate Office","level":null,"hours":null,"applies_to":"all","source_url":"https://www.zurichkotak.com/","quote":"ker\nHealth portability\nResearch & Reports\nCorrespondence Address\nZurich Kotak General Insurance Company (India) Limited\nUnit no. 401, 4th Floor, Silver Metropolis,\nJai Coach Compound, Off Western Express Highway,\nGoregaon (East) Mumbai- 400063. Maharashtra, India.\nConnect with us\n: 022 - 69417220 (Toll number)\n: 1800 2120 (Toll free)\n+91-22-69417220 (IST 8 am to 8 pm)\nwww.zurichkot","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"email","value":"care@zurichkotak.com","label":"Customer Care Email","level":null,"hours":null,"applies_to":"all","source_url":"https://cms.zurichkotak.com/uploads/Policy_Wordings_CPI_dc7b416cf1.pdf","quote":"may contact the respective branch office of the ZKGI or may call toll free number 1800 2120 or may write an e - mail at care@zurichkotak.com .\nIn case the I nsured is not satisfied with the response, I nsured may contact the Grievance Officer of the ZKGI at gr","fetched_at":"2026-10-20"},{"purpose":"grievance","channel":"url","value":"www.zurichkotak.com","label":"Grievance Redressal Process","level":null,"hours":null,"applies_to":"all","source_url":"https://cms.zurichkotak.com/uploads/Policy_Wordings_CPI_dc7b416cf1.pdf","quote":"nder.\nThe details of the Insurance Ombudsman/ complete Grievance Redressal Process is also available at ZKGI’s website: www.zurichkotak.com\nThe updated details of Insurance Ombudsman offices are also available on the website of | Council for\nInsurance Ombudsm","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/zurich-kotak-general-insurance/5595-marine-stock-throughput-policy-proposal-form-and-questionnaire"}