Livestock Cattle Insurance Policy

Insured Period Details
Start date*
End date*
Cattle Details
Ear Tag No/ Id No *
Name of Beneficiary *
Beneficiary Gender *
Scheme*
Animal Type*
Age-Years *
Age-Months *
Color *
Date of Purchase *
Sum Insured*
Market value*
Central Govt Sponsored Scheme
Beneficiary Address *
Breed *
Origin*
Purpose*
Other Description
Upload Livestock picture(optional)
Health Certificate Details
Upload Health Certificate *
Date of Veterinary Certificate *
Registration No *
Certificate No *
TAC Color *
Name of Veterinary Doctor *
Address of Veterinary Doctor *
Identification Marks *
Add on covers
Transit Cover *
PTD Cover *
Select Your Branch Office
OICL Office State *
City/Town *
Branch/Office *
Declaration
1. I hereby declare, on my behalf and on behalf of all persons proposed to be insured, that the above statements, answers and/or particulars given by me are true and complete in all respects to the best of my knowledge and that I am authorized to propose on behalf of these other persons.
2. I understand that the information provided by me will form the basis of the insurance policy, is subject to the Board approved underwriting policy of the insurance company and that the policy will come into force only after full receipt of the premium chargeable.
3. I further declare that I will notify in writing any change occurring in the occupation or general health of the life to be insured/proposer after the proposal has been submitted but before communication of the risk acceptance by the company.
4. I declare and consent to the company seeking medical information from any doctor or from a hospital who at any time has attended on the life to be insured/proposer or from any past or present employer concerning anything which affects the physical or mental health of the life to be assured/proposer and seeking information from any insurance company to which an application for insurance on the life to be assured/proposer has been made for the purpose of underwriting the proposal and/or claim settlement.
5. I authorize the company to share information pertaining to my proposal including the medical records for the sole purpose of proposal underwriting and/or claims settlement and with any Governmental and/or Regulatory authority.
Pre Existing Diseases
Since you are suffering from Pre Existing Disease(PED), you are requested to contact the nearest OICL office for policy issuance.
Please select a role to continue
Whether any agent is involved for this proposal?
* If 'NO' is selected, the policy will be issued under code of Development Officer without an Agent.
Please select a role to continue
Continue Direct
* If 'Yes' is selected, the policy will be issued under code of BDE without an Agent and Broker.
If LoV is NULL, kindly check BDE maping in INLIAS
Notification
"This eartag doesn't belong to this office code"
Notification
"This eartag office doesn't belong to this Agent office"
Notification
Market Value should be greater than SumInsured