[suman]

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Hii sir, I Wants to get the Motor Claim Form of the New India Assurance Company Will you Please Provide It ?

[Vishal Kotkar]

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