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  • Claim Form A Bengali PDF

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    Sivaramakrishna Davuluri
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    Claim-Form-A-Bengali.pdf

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    15 views5 pages

    Claim Form A Bengali PDF

    Uploaded by

    Sivaramakrishna Davuluri

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 5
    [SHRIRAM LIFE INSURANCE COMNPANY LRATED 7 SHRIRAM DEATH CLAIM FORM “A” YOUR PARTNER FOR PROSPERITY Fy aa as A" mann @ Sara one Divisional office: ion of Claim with Documents does not assure admission of liability. oagi afions x 8 a ST CST TEST TES HAT FAT Please read the INSTRUCTIONS mentioned below before filling up form. aera rea a EE eH TE PATINA AS CER + Al fields are mandatory. ASE os aM aT aPMETITEL + The claimant should be the person as nominated by the Me assured. OR are wine Ae Ne ae Renae ate Roce aerate ee + The payment shall be subject to the terms and conditions of the poly. afi PAR 3 Sra Caises SAaKT eA AEH + The company reins the right to call for additonal evidence to process the claim. wie stharea osc afer an saa sites ceria accu + Al aterations/corectons made, need to be countersigned by the daimant. adie afrede remo ostr, oT TA ae fous ae TA + 11 the Insured ded ouside Ieia and was erematee or bured abroad, please provide bural/crematon permit alone with names and addresses. of two people not related to the deceased, present at the burial/creaton. Serena erator ake gE Aer ae EIT TR AT a GSAT NOT STE Bt Ne A TAS aa, oe eRe eo Bohs Rom axa Batra am 3 (Bern se Sean eole apoE am waren In connection with Claim under Policy No. for Sum Insured of Rs aa Gta oe axon OS Ae a oP on the life of. 4 aire the claimant under the Policy make the following statement skis, ah 8 fea ator Toe, FeTeE

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