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  • United India Insurance Co. LTD: Claim Disbursement Voucher

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    venkatesh imandi
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    This document is a claim disbursement voucher from United India Insurance Company Limited. It states that the insured, Mr.____, has received Rs.____ (Rupees____) in full satisfaction of an insurance claim under Policy No. 051982 for a vehicle accident that occurred on ____. The payment was made by bank cheque/NEFT to Bank____, Branch____, Account No.____ on date____. It provides bank details including NEFT/IFSC code for the transaction.

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    Claim voucher

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    Claim voucher

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    This document is a claim disbursement voucher from United India Insurance Company Limited. It states that the insured, Mr.____, has received Rs.____ (Rupees____) in full satisfaction of an insurance claim under Policy No. 051982 for a vehicle accident that occurred on ____. The payment was made by bank cheque/NEFT to Bank____, Branch____, Account No.____ on date____. It provides bank details including NEFT/IFSC code for the transaction.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    50 views2 pages

    United India Insurance Co. LTD: Claim Disbursement Voucher

    Uploaded by

    venkatesh imandi
    This document is a claim disbursement voucher from United India Insurance Company Limited. It states that the insured, Mr.____, has received Rs.____ (Rupees____) in full satisfaction of an insurance claim under Policy No. 051982 for a vehicle accident that occurred on ____. The payment was made by bank cheque/NEFT to Bank____, Branch____, Account No.____ on date____. It provides bank details including NEFT/IFSC code for the transaction.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    UNITED INDIA INSURANCE CO.

    LTD.
    (A Government of India Undertaking)
    Micro Office-Bellampally,
    D.No:28-3-66/2, Opp: Railway Under Ground Bridge,Caltex Area
    Bellampally – 504 251, Dist. Mancherial (TELANGANA)
    Phone: 08735223318.

    CLAIM DISBURSEMENT VOUCHER

    Received this…………day of ……………2019 from United India Insurance

    Company Limited the Sum of Rs…………………… (Rupees…………….………..

    …………….................................................................................................................Only)

    Which I agree to accept in full satisfaction and discharge of the claim under

    Policy No.051982 Claim No.051982

    (Vehicle No. )

    In respect of Mr.

    Which occurred on…………………….

    AFFIX
    REVENUE
    STAMP

    Name of Bank Rs :

    Branch Cheque/ NEFT :

    Account No.
    Dated :

    Page 1 of 2
    Regd. & Head Office : 24, Whites Road, Chennai. Visit us at www.uiic.co.in
    rÉÑlÉÉCOåûQû CÇÌQûrÉÉ ClzrÉÔUålxÉ MÇümÉlÉÏ ÍsÉÍqÉOåûQû
    UNITED INDIA INSURANCE CO. LTD.
    Continuation Sheet

    NEFT / IFSC Code

    Page 2 of 2
    AÉmÉ WûqÉ xÉå ÌWÇûSÏ qÉå mÉ§É urÉuÉWûÉU MüU xÉMüiÉå Wæû |
    Regd. & Head Office : 24, Whites Road, Chennai. Visit us at www.uiic.co.in

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