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First Motor Insurance
MotorType 1 Chudtem
Motor type 1 One lite
EV Car Insurance Type 1
Second Motor Insurance
Motor type 2+ chudtem 2
Motor type 2+chudtem 1- Flood
Motor type 2+ chudtem 2-Flood
Third Motor Insurance
Motor type 3
Personal Accident
Happy PA Care in Car
Travel Insurance
Travel Protect International Travel Insurance
Health Insurance
Cancer
Other
Happy Home
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eClaim Type ›
eClaim Personal Accident(PA)/Travel Accident(TA)
eClaim Personal Accident(PA)/Travel Accident(TA)
Online personal / travel claims / motor in life, body and medical section request
Assured information
* For your benefit, please input information follow by car book registration
Name
*
:
Surname
*
:
Mobile
*
:
Telephone
:
Policy No.
*
:
Email
*
:
Date
*
:
Details
:
Description
:
Documentation
ID Card
*
JPG,GIF,PNG,PDF,TIFF
Image(s) Accident
*
JPG,GIF,PNG,PDF,TIFF
Attached Receipt
*
JPG,GIF,PNG,PDF,TIFF
Memo
JPG,GIF,PNG,PDF,TIFF
Note * File attachment is needed
Please enter the letters in the image above
*
:
โปรดรอเจ้าหน้าที่ของบริษัทฯ ติดต่อกลับเพื่อขอเอกสารฉบับจริงจากท่านอีกครั้ง