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NOMINATION FORM FOR THE GROUP PERSONAL ACCIDENT POLICY

1 message

Samidha Ovhal <samidhao@oilmax.in> Tue, Sep 3, 2019 at 3:29 PM


To: psjangra01@gmail.com

NOMINATION FORM FOR THE GROUP PERSONAL ACCIDENT POLICY


   
 

SR.NO NAME OF THE NOMINEE RELATION DATE OF BIRTH GENDER CONTACT DETAILS OF THE NOMINEE  

             

             

     

  I HEREBY DECLARE THAT THE ABOVE INFORMATION IS TRUE TO THE BEST OF MY KNOWLEDGE

   

  NAME OF THE EMPLOYEE  

   

   

  SIGNATURE OF THE EMPLOYEE  

   

  COMPANY ASIAN OILFIELD SERVICES LTD  

Thanks and regards,


Samidha Ovhal

Front Office Executive


Oilmax Energy Pvt Ltd

Ground Floor, Omkar Esquare  |  Chunabhatti Signal  |  Eastern Express Highway  |  Sion (East)  |  Mumbai - 400 022.
Mob : +91 9152009778

Tel : +91 22 4244 1143


 

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