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Get In Bajaj Allianz Proposal Form
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How to fill out the IN Bajaj Allianz Proposal Form online
Completing the IN Bajaj Allianz Proposal Form online can be a straightforward process if you follow the steps outlined in this guide. This document is essential for employers seeking workmen's compensation insurance under the Indian Workmen's Compensation Act 1923.
Follow the steps to successfully complete the proposal form
- Click ‘Get Form’ button to obtain the proposal form and open it in the editor.
- Begin by filling in the proposer’s details. Provide the proposer’s full name, complete business address, and contact details, including the telephone number and mobile number.
- Specify the trade or occupation of the proposer and provide particulars of the work performed by employees.
- Indicate the period of insurance by entering the dates in the format (dd/mm/yy) for both the start and end dates.
- Report the total number of employees, categorizing them based on their earnings. Include employees drawing monthly wages up to and over Rs 2000, specifying the number in various job roles.
- State the estimated annual salaries, wages, and other earnings for all listed employees.
- Choose whether to insure your liability under the Indian Workmen's Compensation Act for the workmen of contractors, providing contractor names and estimated contract amounts when applicable.
- Answer all questions regarding your business premises, including whether they are classified as a factory under the Factory Act, and whether proper safety measures are in place.
- Review the declaration section to ensure all provided information is accurate. Sign and date the form appropriately.
- Once all sections are completed, save changes, and choose to download or print the form for your records or to share it as necessary.
Start completing your IN Bajaj Allianz Proposal Form online now!
Related links form
A proposal form in insurance is a document that outlines your personal and financial details when applying for a policy. It serves as the basis for your insurance contract with Bajaj Allianz. Accurately filling out the proposal form is crucial, as it directly impacts the terms of your coverage.
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