Livestock Sheep/Goat Insurance Policy

Insured Period Details
Start date*
End date*
Sheep/Goat Details
Sr. No. *
Ear Tag No / Id No *
Name of Owner *
Beneficiary Gender *
Animal Type*
Age – Years *
Age - Months *
Color *
Date of Purchase *
Sum Insured*
Market Value*
Central Govt Sponsored Scheme
Beneficiary Address *
Breed *
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 *
Your Branch Office
OICL Office State *
City/Town *
Branch/Office *
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.
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 payment of the premium chargeable.
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.
I declare that I consent to the company seeking medical information from any doctor or hospital who/which at anytime has attended on person to be insured/proposer or from any past or present employer concerning anything which affects the physical or mental health of the person to be insured/proposer and seeking information from any insurer to whom an application for insurance on the person to be insured/proposer has been made for the purpose of underwriting the proposal and/or claim settlement.
I authorize the company to share information pertaining to my proposal including the medical records of the insured/proposer 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.
"This eartag doesn't belong to this office code"
"No branch details found on this EAR Tag"
"This eartag doesn't belong to this Agent office"
"This eartag doesn't belong to this Development Officer office"
"This eartag doesn't belong to this Broker office"
Market Value should be greater than SumInsured
Age should be minimum 4 months and Maximum 7 years
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.