You will be now re-directed to a third-party site to make the payment
You are about to access a third party site, the accuracy or completeness of the information,
materials, services or the reliability of any service, advice, opinion, statement or other information
displayed or distributed through it, Generali Central Insurance Company Limited (Co. Ltd.) (“GCICL”) does
not warrant. You shall access this site solely for purposes of payment of your insurance premium
amount and you understand and acknowledge that availing of any services offered on the site, sharing
of information with third party or any reliance on any opinion, advice, statement, memorandum, or
information made available by you on the site shall be at your sole risk. GCICL and its affiliates,
subsidiaries, employees, officers, directors and agents, expressly disclaim any liability for any
deficiency in the services offered by third party whose site you are about to access. Neither GCICL
nor any of its affiliates nor their directors, officers and employees will be liable to or have any
responsibility of any kind for any loss that you incur in the event of any deficiency in the services
of third party to whom the site belongs, failure or disruption of the site of third party , or
resulting from the act or omission of any other party involved in making this site or the data
contained therein available to you, or from any other cause relating to your access to, inability to
access, or use of the site or these materials.
I hereby confirm that I am the proposer having insurable interest with the insured and the owner of
the credit card / debit card / Internet banking account or any other online payment method, through
which I am paying the policy premium.
You may have to fill in an authorization form to receive Claim/ Refund payments if any directly into
your bank account through NEFT if the sum assured is more than Rs. 25,000/-
AML guidelines:
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 offences listed under the
Prevention of Money Laundering Act, 2002. I understand that the Company has the right to call for
further documents to establish sources of funds. I understand that 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.
Section 41 of Insurance Act 1938 (Prohibition of rebates):
Statutory warning - 1. "No person shall allow or offer to allow either directly or indirectly as an
inducement to any person to take out or renew or continue an insurance in respect of any kind of risk
relating to lives or property in India, any rebate of the whole or part of the commission payable or
any rebate of premium shown on the policy, nor shall any person taking out or renewing or continuing a
policy accept any rebate, except such rebate as may be allowed in accordance with the published
prospectus or tables of the insurers". 2. If any person fails to comply with sub regulation (1) above,
he shall be liable to payment of a fine which may extend to rupees five hundred.
64VB:
Commencement of risk cover under the policy is subject to receipt and realisation of payable premium
by Generali Central Insurance Company Limited (Co. Ltd.)
Personal Declaration & Consent:
I hereby confirm that I am the proposer having insurable interest with the insured and the owner of
the credit card / debit card / Internet banking account or any other online payment method, through
which I am paying the policy premium
I hereby give my consent to use and store my data subject to privacy policy.
