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Get How To Fill New India Assurance Claim Form

Im Number CLAIM FORM Issuance of this form does not amount to admission of any liability of under the policy on the part of the insurers Please give the following information correctly and completely to enable us process your claim promptly. If the claim is under Personal Accident Insurance, please complete a Personal Accident Claim Form. All dates to be entered as Date / Month / Year 1. Name of the Insured: (in whose name policy is issued) SURNAME INITIALS 2. Details of the Insured person :.

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