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Get India UIIC Motor Insurance Proposal Form - Commercial/Miscellaneous Type-vehicles

R s Name PAN Number : Address for Correspondence Telephone & Fax Number E-mail Address HPA/Hypothecation Type of Policy Required Package Liability Period of Insurance From To Details of Vehicle Downloaded from www.insureatclick.com-Broker : Loyal Insurance Brokers Ltd. Regn.N o. Eng.No.& Chassis No. Year of Make Value of the Vehicle: Invoice Electric/ Value Electronic Accessories History of Vehicle: Previous Type of Policy No cover Usage of the Vehicle: Nature of Permit Private C.

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