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Get India Care Health Insurance Nationalized Electronic Funds Transfer 2023-2024

(to be filled by Proposer/Insured only) Intermediary Code (to be filled by Intermediary only) I in the capacity of (Please tick one) Proposer Insured Claimant Hospital Agent Broker request you to transfer the payment(s) directly to my Bank account, details of which are mentioned below: Particulars of Bank Account Account Holder's Name : Bank : Account Number : (Please mention the comple.

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