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New India Assurance Company Claim Form |
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Re: new india assurance company claim form
As you Asking for the Motor Claim Form of the New India Assurance Company the Application form Contains the Following Fields that Are As Follow Policy No:.……………………………….......... ............... …. Period of Insurance:…./…./…….to….../…. /…… Insured Name: ………………………………………… ………………………………………… ….. Tel Nos:………………………….. Res:…………………………. G.S.M :………………………………. Regn:No:…………………………………Veh icle Make:………………………….Model:…… ……….. Engine No.:………………………………… Chassis No :………………………………………… ……. Was the vehicle in proper working condition:………………………………… …………………………. For what purpose was the vehicle being used at the time of accident:………………………………… ……………………………………… Full details of damages:…………………………………… ………………………………………… …… Estimated cost of repairs:…………………………………… ………………………………………… ….. When and where the damaged vehicle can beinspected:……… Motor Claim Form of the New India Assurance Company |
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