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First Motor Insurance
MotorType 1 Chudtem
Motor type 1 One lite
Second Motor Insurance
Motor type 2+ chudtem 2
Motor type 2+chudtem 1- Flood
Motor type 2+ chudtem 2-Flood
Motor Type 2+ Short term Coverage 90 Day
Motor type2+Short term Coverage 180 day
Third Motor Insurance
Motor type 3
Personal Accident
Happy PA Care in Car
Micro
Travel Insurance
Travel Protect International Travel Insurance
Health Insurance
Cancer
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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
*
Only jpg, gif, png, pdf or tiff files are allowed!
JPG,GIF,PNG,PDF,TIFF
Image(s) Accident
*
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JPG,GIF,PNG,PDF,TIFF
Attached Receipt
*
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JPG,GIF,PNG,PDF,TIFF
Memo
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Note * File attachment is needed
Please enter the letters in the image above
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