/

~~;:rwi;'ll~;~ cti;q;:r) fwft:f~~

'I] NATIONAL INSURANCE COMPANY LlM~TED

(ti ;;fr. 'liTll1<?'lf: 3, f+rre\'2'; ~lc, 'li<?'liffiT -700 071.)
(Regd. Office: 3, Middleton Street, Calcutta-jOO 071)

\ifTU'liat 'liTll1<?,lf/ISSUING OFFICE

G"FH ~.

Claim No, •...... ·........•.•••

Glen >rq?f -llxT;:r fq~JlT le/oim Form-Morine Deporfmenf

fqqxUT IDe f0 i/s
1. '1Tf<?'~fr~. Of fG";riq)/Policy No & Date

2. qT+rT 51+rrurcpr/'Ofl11"UTT
cpr W'1lfT +r<?'51f<:flff

Cert.
~l§r.rT of fG"'ft'fi
Of
DeclaratIOn !nsurance/
No, & Date )'. Please<li-t
B'<?,iif
Originals enclose
I

3. G"lirG"P:'fiT 'fT+r. q WT/Name & Address of Claimant

4. 1:ffGG"Ti:f~H'fiT II ~f<:f 'fiT '3"\'~l$l"'fi~T ~. <:fT

W'1lfT fC'f, I ..;/ 'fit I

'1~q'fi
Consignor
o
. '1'tfq fer
Consignee 0 <fr+rm r<:'f>
Insured 0
Please tick
whether.
IJ[
-
to specify nature of Claimant

5. qT+rT~<:ffqcf1:f-C1T"! (~'fi'3 q::if'f Of q-i!;;:;rr'liT~. ~fQ:<:f)

Subject matter insured
(including gross weight & No. of packages)

6 qTl1~rr <:Tf."T/Sum Insured

7. '1r<:<rQ:if
/lfpn/Transit/Voyage

8 q'tr-rur 'fTe (qf(<rQ:il <rTQ:"'fiT "Tl1) 't~ WTG"/f<r+rR

f<r'3 (f<r11Ff <rTQ:'fi 'liT "m) :ST'fi <:tr"TG
/'3GT'f '1'f
(i:f~", 'fiT "n=r) ~1SITT<r fG"t'fi (~qITT \ifT '3T'1 " Q:T
'3"~ 'fiTC ~) '~'TITT l1T'3 if; qf(OfQ:'i 'fiT '1'3 ~f<rGT 'fiT
B'<?'i" 'fot)
Consgt Note (Name of Transport Carrier) /Rly.
Receipt/Airway Bill (Name of Air Carrier)/Postal
Receipt/Bill of Lading (Name of Vessel) 1\'0. & dt.
(Please strike out whichever is not applicable)
(Please enclose original Contract of Carriage)

9. <T(To!j""<ITif '1<: <rrfl'f<:f q'tqur if; ::.TFTl'fif'foTf(Tf<I

(i:fm'l' [f<:T 'iT-nur if; ~G"~ ii, ~'11:fT~TcfT<:UT
'3"cnTq- 'fir,
f(Tf<r <r f-Tf<r1:fr'fiT, ::ifq l'fT<-;~Tl1T 51'tfr<: if; f('ilJ; ::ifTCfT
F,

'fiT ;O\'~€f 'fit I W'FH '14"'fi <f'1 ~ f"f<fGe 'fot I .

Date of arrival of insured consignment at desti-
nation (in case of shipment by vessel. please
mention General Landing Date & Date (s) on
which goods went out of Customs' Charge.
Please state separately)

10. q-if;;;rr 'fir <rTQ:"lfr.r fF<rf<:f/l1T'3 if; ::.TFTl1'fif; ~111l'

External condition of Packages/Goods on arrival

11. '1'tcrur 'foTfrr'foHrT ferf<I (~l!;; <rn: "T'lT <:UTif; ~G"~ ii

ferf<I :ST'fo
/ Q:<rr"{ ~i ~
frr'fimr 'f:'T fcTf<r Q:Tilr~)
frr'fimr ii 1tu 'foTf<rwq 'fiT<:UTlffG" 'fiT{ Q:T<:fT;o~l$l"
'litl'
Date of c learence of consignment (in case of
overseas shipment, the date should be date of
clearance from Docks/Airport,). Specific reason
(s) for delay in clearance, jf any

12. 'fliT CfTQ:'fiT

~ <r<:rferer~ qur f'31l'T 'fliT ?
lTfG"'fQ:T<:fTW'1ITT'foT<:UT
~ I
Whether examined delivery taken from Carriers 7
if not, reasons- please
13. li:Tf,,/~fu 'liT Cf'!f,,/Description of Loss/D,amlj~ •.
14. li:Tf" 'liT ~~H .'1' faf~ /Plar;:e anq Bate 9f Loss
15. li:Tfi'f'liT 'liT\'lT/Cause of Loss
16. li:Tf" 'liT 3fT'li<'H/ Estimate 9f Loss

17. 'flfT G'R'l:T<: ;r li:Tf"/ &ffa- 'liT ~f'fif ~'f"r G'T<r/3f'1'9T

erTli:'liTl'li"2:1'~ 3fI1T'la'l:T<:T3fT:;::/3f~<rT 3l"1'.fqa-T1'.fcr~T
~ fqcrf~ O1rf~'li G'!«! f'li1'.fT.('b"'11'.f!gO:. tpf olf<r~H 'liT
51fa<rt ~<?il" 'li?:) 1'.f,~ ,,~1
a-T 'b"cr1'.fT~ 'f; 'liHur
f"f<t~C' 'li?: I
Has Claimant givell prope,r Notice of Loss/
Damage and/or IT)ade monetary Claim against
Carriers Customs, Bailees and/or other Third
Parties. (Please ellclosecopies of (:o,rrespon-
dence exchanged), If not, please sta1e reasons
thereof.

18. <r'1<;;;a- 'liiifT6 'liT 3f!'li<'i'l <r 'li<lTS' m<rCTTrt'r'i\cr'li

~U~a- ~ ~~'liT 9;flsC'
Estimate of Salvage available and confirmation
that the Salvage i:, being carefully preserved

19. fC'ccrfar1'.fT,mG' 'liT'{ ir

REMARKS, if any
fe:'lT'li 19 'l:R'l:T<: of; ~FfT~ <: cr 'liP:rT~lf
Date 19 " . Signature & Office Stamp of

'lYe: 1. ~~ e:TerT!!lr~'liT ;;rr<:T'fi<:oT~T <rTI1T'lim31T[T<:T e:Tf1'.f\'Cf'liT "fer'li<:ar ffFTT ,,([1 ;;rTll:lTTI

NOTE 1. The Issue of this claim Form does not imply admission of liablity onth~ parr of the In;urers

2. 'fPr q;~~ <rnrT crrfua-r 'f; at<11Tcr~'{f~a- '9Pr <ftq-ur 'f; f~, '1r.;]; 'l:T 3,'1fuf<:'fcr ;;rl"f'PHT 'liT 'Ii 'n~
For tea Consignments covered under I TEA CROP INSURANCE POLICY, tha additional details overleaf are
completed.

3. '1T.;];G'T'Ii ff~~uf Wl'i'f! ;;rT <rrrrr ~f'fe:! 'liT artaf<:'li +fPT ffR! ;;rmT ~, 'liT art<: !:1'.fFf3fT'lifrta- f'f.1:
G'R'l:P::T ~ m'l:" ~ fo!; ~ ~ij- mq'l;jHT'i\cf'li era' <r ~ fli:a- ~'i31'1'1T 3ff~1;f'li'a-T3,"T'liT '[U 'F?: I
Attention is drawn to the IMPORTANT NO liCE overleaf which forms an integral part of the Insurance c(
ments are u,rged to study this carefully and to compiy with their requirE ments in their own interest.

4. 1'.ffu-f'li~T ~tr.,if; <rm<: ~ f~ ,,~Rq<fTca- .,@ ~ crT '!>"'11.\!'1'fT'1<: fkr<r\'lT 'l:Tf3Tt:!;cr ;:J'(r G'Tcr!srcr"f ;
~<?il" 'li?: I
!f Itle space is not sufficient for reply to any question. please give details on a slip to be attached to the C

f;rq fqCf<:ur 'f;<r~ 'ff!f l:fi:m .ftffT q-ff~~T ~ 31'a-1fa-~<:f~a- '"I'm q~qur if; '~"'1J; li:Tf'l:lfi' GrTt:!;
Following details should be completed only for TEA consignments covered under TEA CROP IN SURA

<rrrT'ff /'fT ~ rtTl1

20 Name of Garden (s)

iif,I't'"l'f <rT;;['li ('f;T) ~, (31T-) C[f,gi<f;

21. Garden Invoice (s) No (s) & Date

'1~qur 'f; fcPIi\it 'liT IT+nfera- 'li<:;r crTi'i 'l:~T"'Tt 'TTl1 q crit
22. Name and Address of Brokers who effected Sales
of the Consignment
'l:<'iF'lT iH<:T '1~ur 'liT f;r<:Telur fcrf:q
23. Date of Inspection of th.e consigment by Brokers

(~,!:<:,qT,{ ::fr+r<:ur ~ ~~1f-il, ;;[li:T+fr ~.'I, li:T, G'~T"'T 'f; ll'l1TurQ"f 'liT ll'fcr1:(T, f'l'?fi1:f't'"l'i'fTtt', llffa-[ ~!f, <rTl
'i<'!fi<f;;r ~ ~oter -il G<'fT<1T[f<:T fcrferCfff ll'ffTfllTa-cr!<:ftfi<rtf srmur'1"f er/1:11+f1l6T'{ <:llf<rf<'fT~ ll'l1fUf'1ll' 'liT ~~
(Copies of Brokers' Certificate, Sale Advices, Account Sal,es, Insurance Survey Report wherevl
Wharfingers Certificate and/or Warehouse Keepers' Certificate du Iy certified by Brokers in rasp
tion in case of overseas shipments, should be attached)
 ~~~uT ~~T/IMPORT ANT NOTICE
~Tf.f <IT&Tm "li lfTlf~ iT srf'JlilfT f;;ffi"li fu<T 'liq-i'fT 00 ~T
Procedure In the event of loss or Damage for which the Comp.any may be liable
For Ocean ShIpments For Inland Despatches

lJ~'rrUl:f rr~~ i f~ ~l<r 5ll'fur <# f~

ar) lf~ <fmT 'lif ~CT ~mf f'li <rmn1T<:'li 'liT ~ ar!:TTrr ar) lf~ <ffm ofT ?ITCi' ~l<ft f<!; 'ffll"T!:TT<:'li'!iT '3"<!"liar!:Tf<ra,'frt
amen"'f lJ~i 'ffmqfCflfT ~. '3"f'i'fCf~'f ~ o1f<f~T~ <rmr lJ'lif 'ff<::f~4"fcfl:IT * ;jNCf ~q ~ Glf~T<:: 'li<:;;T
'!i<:;;r 'i'fTf~~ I "iTf~ I
A) It is a condition of insurance that the Assured shall act with A. It is a condition of Insurance that the Assured shall act with
reasonable despatch in all circumstances within their control reasonable despatch in all circumstances within their control,

<r) lf~ <rTll"T!:TT<:'li

arh '3"i1"lilJ;~eT 'liT ~eT ~mTf<!; 1f lJ'liT or) lf~ <ff+rr~rn:<l>aril: :a-;:rif;!:;~cT 'l>T~cT ~mf f<!; 1f tT'liT
mlffi"t * QTfrr '!iT '!ill" 'li-0 lfT c~ "li ~~l!lf ~ ffqT *
ll"1ll"<'11 ~rf.r '!iT 'l1ll" 'll-0 ,n CT<,>;rif; ~~. ?r qcrT
<];f~q 'li<;r "li f<oo; f<!; <rTi:['!iT, ar'!f~T lfT arrl:f <r~ W'ffl!'i'f(f ",<:if if; fc?l:!: f", GfT~'lir, arm<lCTGH:TlIT
crmlf 'Tar "li f'f~;[ lJ'liT arfer'liT<: '3"Rq q~ 1I '];<::f&Tq 3fi'<r crcfl<r If&T "li fq~;[ tf'lif arfero'iT<:'3"R-q q.~ ~
~ ;;rrn- ~ arh ;j;:~ J:fltTlr * "'TlfT;;rmr ~J ~ f~ {t~ <J<ferq <:l¥ ;;rT~~' if; f<'>1:!:
itlI ~~lr"orl:!: ;;rreT ~. ;;rT
'liGll" ToTI:!: ;;rreT ~;;rT f<r~';{'lT ~T, f<fl11'l'fq:<rmTm"fi fcr~';{'lT ~T I
8, It is the duty of the Assured and Iheir Agents in all caSes to
3fT<:'3"rr"lil:!:~cT ;j) f,-;i!:; 3j-T<r11l:f'li
QfffT ~ :-
take such measures as may be reasonable lor the purpose of
B) It is the duty of the Assured and their Agents, in all cases, averting Or minimising a loss and to ensure that all rights
to take such measures as may be reasonable for the pur- against Carriers, Bailees or other Third f'arties are properly
pose of averting or minimising a loss and to ensure that all preserved and exercised.
rights against Carriers, Bailees or other Third Parties are
properly preserved and exercised. In particular. the Assu_ f'f11Tlifq: <rmrerT<:'l1l:fT '3"<lif;!:;~c ,n <R:fliffu "li f<'>!:;
red or their Agents are required :_ 3fT'f11l:f'l1QfffT ~ :-
In particular, the Assured or tl1eir Agents:Consignees must.,
1. f"'~T 'Ill" 2"1:!:<i"li;;r if; 1';7,if <fr~'liT, 'fm arf!:T'limlfT
l:fr aY;:l:farTll"m~r<::T'f-: arrfcrolGf ~T'fT I
1. f'fi;:Qf .•ffq'f<::f~qf(flfT :q: f'fi:f.'<:ur ~ fi-m ~f'ferT';l;uT
,. To claim immediately On the Carriers, Port Authoriries
or other Bailees for any missing packages. ff'Tfq * '3"<I'li1"f~ If<f q~~l <# ~<ier * fri
fi?furq f<r<:T!:T'1'>T-e~'li<: <fT~T 'l>T~q1ic <:ti't~ ~f
2. am<: "'Tt QTf'f 'H arfu ~q1ic ~T aT err~T ,IT ar;:l:f
;;rT<f I
arl1T'fa~T<:T if; >rf(ffc,[er iiHT ~fo:r lJcferur if; 1';;;1:!:
1, Under no circumstances, give cle. n receipts to the
arR1;"l f'f>lfT;;rTl:!:ij~f {tit treTarur if; ~"t<R 'fTlff '1"t Carriers in re.pect of packages which an offered to them
f"'~T cr~f(fC('f1 QTf'1 lfT arf(f if; fcoiT "fiQ'I>Tl:fT for de.livery in a doubtful condition, exc~pt under Wrillsn
protest:
3Tll"r'1Cf~p:r 'f<: ~T'fT f'l>'H ;;rri[
2. To apply immediately for surVE ry by carriers or other
if any loss or damage be appa_
2 'f?tt q.~;;r;;r) <fTQ<:TqT<: n ~1fu q-~q f~l1fijT QT ifT
Bailees' AEpresentative
rent and claim on the Carriers or other Bailees for any
i~B" ~ g!:; fGl«~ iZT 'fiT 'T1Q"'T B- quferCf
actual loss or damage lound at such survery. f;:rq<:ur fuifr ;;rT<l- arT"I; er fenr~ QR ",r J:fll"rur'T'f
3. 6flT<:: P.L1T1lT 'li't'1<: iifD f'1'>l:fT ;;rffif ~ (1"T if~ 3fT"I;/<rT arC''f(fT 'l>T ;rmur'T'f <rr~"'T ~ ;rTCq f"'lfT
'];f.-Tf1if'<fCff9i"l:fT'3'n~ f", ~rr"li f;;rrir~r"l; 3Tfer'l>Hr ;;rT!:; I lff~ GffQif> 'ffifarq f;:rq<.:ur ~ it ~epT<:'Ii'(
gHr 'Ii'~;H 3fh ;mif; ~TB" '1'>T;;rf'i'f '1'>T;;rr~ I efT lJ~/ql<:rl:f <! [f<:T JTqur <f; llTll"~ * q.~;;r '!iT
ff~fu o~r mf crf,!arT ~ orr't iT '3"'f'rifcrfcc'fUfT
l:ff~ 'li'irr-( qrfmll:q l:fr ci
~I!, l:fT'1l1 gl:!: ,fTB" ;j) 'ti':?r l'i~rr, 1':.,f(,;'f<.:Tor", lJT 'f'tqur -rrTc ~ 'f"0liT.<r
':Trq ITr '1Tl1"1;<rG~CfR;;r B' qPrfij fr arr1:Tlfr ~fB" ;j)
lJT'T QTm ~ ijT f«i'no] ~B"R 9i"-TijG1;trf-: erlf<::Cf
;rfq * 'lif ;;rr;:rf '<fTfQ:riI
2. Take exa!Tlined delivery from the Carriers of any packa-
f<r.<rT;;rrIT, In aq;:rq1 '1Q1H if; f:;n; ll"l1T1f;(2:rrr ges which are outwardly demaged or appear to have
'If 3Tf.-Tl:ffl1ijtftB" '1'>T<:l9no-;:rT;;rT<l- been tampered with and obtain a Certilicate of Damage
and/or Shortage from the Carriers: il the Carriers
3. When delivery is made by Contai",r. to ensure that the should refuse to grant examined delivery, suitable rem-
Container and its seals are exc:min£d immediately b'v arks as to the condition of the packages and the con-
their responsible ollicial. tents thereof should be made in the Railway Slation
If the Container is delivered damagEd or with SEals Delivery Book or on the negotiable copy of the Consign-
broken or missing Or with seals othfr than as stated in ment Note in the case of despatches by ~oad/Aircra1t:
the Shipping documents, to clause Ihe delivery rec,ipt
accordingly and retain ali defective Or irregular seals for 3. 'l>Tt q.~;;r ;;rT <f~U ijT<: 'f"l; 3f'C-eT ~T,,;q * ~r, 'f<:
subsequent identification.
f'1'>ry;'1"1:!:<r;;r;:r'l>f Cl,,;;rr *
'1'>ll"~T err ~cB'c 'f<:ff~1q
4. f<!;;:ifT <fr '1f<:ff'T fulll * fwf. fi7,fl9q kiter '1'>T fqij<:Uf J:lTCiJ f'll<rT ;;rT<f <r4"T iff~ Gf'jf"f * "'*
'(];r:sor.<.:FTEc mf~ <;"T ;;rT<t ;;r~f q~<j;~~f<r!:4T9;rrr J:lll"TPmr ~T ;;ri<:fT ~ ijT crT~'1'>1I arC''f<:rT'1'>TJ:1ll"Tur'i'1
n-~fCf ~ ~T I ;r]Ccf "', f"'ifT ;;rT<l-I
4, In nD circumstances, except under written protest, to 3. Take weigh'ment/Examined delivery Ilf any packages
give clean receipts where goods are in doubtful condition. which are in an outwardly sound condition, but deficient
in . weight, as c0!Tlpared with the booked weight and
5. l.:ff1; fr:rcn:ur ~ tTJ:flf Qlfi11:fr ~TfCf"'1<c '1QT q:T qT obtain a Certificate or" Shortage from Cnrriers, if
P.fo<':\Jf ;j) (j°r'! fq;crT if; ,,10<: <fTq:'f>
-1' ifr 3fi'<r deficiency in ,;veight is proved,

.,rJ:fr'1CTGHr <r.Tf;7,fiirij 1;;'f if t!:.'<f'1TGT "'fliT I

6, To give notice in writing to the Carriers or other Bailees 4. qTQ'llT ~ f~;[ ~T~ '1'>[<[<f'Tr q':sf''!i(1"'fr<rci't trfQ:G
'i'1 ~PJ 'l>T;;rr<i' I
'within 3 days of deli·very if the loss or damage was not
apparent at the time of taking delivery. 4. Issue notices of claim against, the Car-iers by Registered
Post A/D ..
rrTc: 'f'tfl'ffcr ifT ~'1~ 1J;~cT '1'>TifQ "'~~lJT "'T ;;rTijT~
rrTc : 'Ii''f'1T '1'>[~qT ';{cr;:rqTQTlfT'f<: f"'lJf 'liT G~ 1I
f'l> if f;:r",mr 'ii ;:f~<:<TTQ'f<: I1fff J:lTfer'1'>TU~
crfi'('1'>T,~ll"Rij~HT ifr 31;:l:ftf<ifcm '!GT<r 'nn '1'>T
fcrf;:rl:fll"T?r ~'fl:t '1'>T3f'f'Tq '1><:1~ I
Note :~ The consignees Or their Agenls are recommended to
t'l<lH WrT I ~r
The Company's liability shall .uccp-ed anc not in any way
-- make themselves lamiliar with the Regulations of superseds that of the Carriers, Bailees or olher third parties
the Port Authorities at the port of discharge, concerned.
 <rT'fT 'fiT 51'~~Tf <rT919iT ll'it~Tf
DOCUMENTATION OF- CLAIMS DOCUMENTATION OF CLAIMS

~T'fT '1<: !/fTsr 'liTl:f'fT~T 'fi~ ~ ~~~T ~ <Ii'f~ ~Tql '1<: ~Tsr 9iT;:f'f~T 'F<:;r ~ ~~ ~
<fmnTT<:'f> <rT ,,;;<Ii' ~~eT 'fiT\l:Rcr fiti<rT ~TcfT ~ f'fi <rT11Tl:l"T<:'f>
lTT \3Crof, ~~eT 'liT \l:f'9(1' f'lilfT
~+rT ,,'1<');l:l" ~T<rP ~ffi'.~;;rT 'fiT ~ 'li~T +rT <'5'T1!- ~r. ij"+rT,,'1<')ol:l"~TlT'li ~fCfT~;;rl 'liT ;;r~ 'li~
~f~(1' 31fcffiGf 51'~~;cr'Ii'( I
To enable claims to be dealt with promptly. the Assured or
arf~"1'Gf Sl ~¥ 'li'(l
To enable claims to be dealt with promptly,
their Agents are advised to submit all available supporting their Agents are advised to submit all availa
documents without delay, including where applicable. documents without delay including where ap
1. 11<'5'.
cr'if~T liT <rT11T~ 11T1lT
<r-f 1 . 11<'5'cr'ifulifT <rT<1"T11T
51"
11T1lT<r-f
O~riginal Policy or Certificate of insurance:
0';i9ioal Policy or Certificate of Insuranci
2. <T+r<:Ur f'ff~6c.aTaIT 31T<:/lTT ~e 'l'Tc <Ii' ~T~ lJ:<'5'
'l'T+r<:UrGf~ lTT 5I"fu 2. 31~i <fT~ 31T<: qf'ti'lf /<f'SfTf fc
11<'5'srfulfT >Tfuf<'5'frr
Original or copy or Shipping invoice, together with
Shipping Specification andlor Weight Notes: O~riginals or copies of the Supply Invoice
weight Specifications:
3. lJ:<'5'~R fow; 31T<:/lTTa;.:lT q~'li ~fcr<n 3. <rT~ \fTT~ 'fiT rr<:"!iTl=lf <iT 31rl1
Original Bill of Lading and/or other Contract of Carriage:
arfqCf<:Ur >T'1T1lT<r-f
'liT <rT~T 'fiT lJ:<'5
4. ri~1lf f~Ti l':fT ~Tf.r lTT ~fCf <Ii'fcrfCfT<:'f>T~ 31C''1CfT
>T11T1lT'1"f
crm- a;.:lT GfCf~~T ~Tl\'lT The negotiable or other copy of the C;
Survey Reportor other documentary evidence to show and/or the original of the Carriers Cert
the extent of tile loss or damage: delivery or Certificate of bamage and/or

5. <'5'~R, ~T ~rr<: ~e ,,:te, atf<:'f11'l'CfolT '1<: fc:e'11lfT 4. ~Tf.r lTT l\'ffer <Ii'f0t.\ ij"~~1lf f<:'iTe: lfT
\I:'<fT ij"Te-<r
Landing Account and Weight Notes, Remarks Lists at Survey Report or any other documenta
final destination: loss or damage.

6. ~Tf,; 'iT ~ftT 'liT ztlfcrT of, ij"atc:r if qT~'F 3fh arrlf 5. ""<tfmr <fl'fi q';;rT91<:ur<:~1<rCf~r 5flcer
rr~T<Ii' ij"~q-;;'T'i:fT<:'liT 31RFT-5f~R ,,?"B- gt:!: wlfr "!'1ml <r-fl'i:fr<: oF a1
Correspondence exchanged with the Carriers and other
parties regardil:,g their liability fonhe loss or damages: 5ff<:llfTij"f~er <rr~'liT 3fT<:arrlT('[erTlT '11
7. f<rO?'51fcrfGc iffi'!' 51'ferlTTif 'fiT \l:'9rrT 'liT srferllT
Copies of Notices of Claim against 1
Triplicate copy of Bill of Entry. other Third porties together with the
Registration Receipts and receipted fJ
copies of all subs.€quent corresponde,
with them:
6_ ~T'fT f<f<'5'
Claim Bill.

crTir'FT 'f; f*{f ~FfT 'f; f-;;ll ~f::jilfT

PROCEDURE FOR' CLAIMS AGAINST CARRIERS

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In the event of la,s of 01 damage to the.interest in,ured whilst in the custody of the Carriers, a proper notice of c
deteils of the consignment, full booking particulars' the nature and extent of loss/damage and the amount of com:
COP I ES of the relatil'e supply invoice and the Carriers Certificate of Non-delivery or Certificate of Damage and/or She
issued against

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(a. ~The General Mahagers or Chief Commercial SuperintEndents of the Fail",·ay Administrations on which th
,., destination stations lie within 6 months frcm the date of booking. in terms of SEctions 788 and 140 of the Ir
(Amendment) Act. 1961 : or
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(b) The Oy"r.ers of the inland Vessels or the Road Carriers concerr,Ed (bOOking. and destincticn offices) within 6 m
'I date of booking, in terms of Section 10 of the Carriers' Act 1865 or

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(c) The Ai r Carriers ccncerned within 7 days fro';; the cate of delivery of the gOOds at destination or. in the caSe c
within 14 days frcm the date of booking, in terms of Rlile 26(2) Chapter III o(the Indian Carriage by Air Act: or
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(d) The Postal Authorities concerned within 6 months from the date of booking.

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Notices of claim as nbove should be served by the actual owners of the goods (Consigners or Consignees as the ca
notices should speci-iy that they are also being served on behalf of the Insurer i.e. National Insurance Co. Ltd.
The Postal Registration Receipts and receipted A/D Cards relative to such notices of claim. also any official ackn
replies from the Carliers should be carefully preserved.

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The originals of the Carriers' Receipt or Certificate of No.n-deiivery Oi Oertificate of Damage and/or Shortage must
de red tc the Cfurien without prior roference ta the Company,

Form No. M-t2-MRPP-2.000~2/93.