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  • Claim Form

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    biddut.kundo
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    American Life Insurance Company Limited is located in the MetLife Building in Dhaka, Bangladesh and provides group medical insurance. This claim form is for The Hongkong and Shanghai Banking Corporation Limited policy and is for a maternity claim submitted by employee Biddut Kundo for Adity Saha and his wife. The total claim amount is 1,10,593 Bangladeshi Taka.

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    American Life Insurance Company Limited is located in the MetLife Building in Dhaka, Bangladesh and provides group medical insurance. This claim form is for The Hongkong and Shanghai Banking Corporation Limited policy and is for a maternity claim submitted by employee Biddut Kundo for Adity Saha and his wife. The total claim amount is 1,10,593 Bangladeshi Taka.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    22 views1 page

    Claim Form

    Uploaded by

    biddut.kundo
    American Life Insurance Company Limited is located in the MetLife Building in Dhaka, Bangladesh and provides group medical insurance. This claim form is for The Hongkong and Shanghai Banking Corporation Limited policy and is for a maternity claim submitted by employee Biddut Kundo for Adity Saha and his wife. The total claim amount is 1,10,593 Bangladeshi Taka.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    American Life Insurance Company

    Limited
    MetLife Building, 18-20 Motijheel, C/A Dilkusha
    Rd, Dhaka 1000
    T: (880-2) 9561791
    F: (880-2) 9558682
    Web: www.metlife.com.bd

    Group Medical Claim Form

    This is filled in by the Claimant during online claim submission

    Group Policy Number: 38333

    Group Policy Name: The Hongkong and Shanghai Banking Corporation Limited.

    Certificate Number: 44037997

    Employee Name: BIDDUT KUNDO

    Patient Name: Adity Saha & Wife

    Product Type: Maternity

    Nature Of Sickness: Maternity

    Total Claim Amount: 110593

    American Life Insurance Company is incorporated in the USA as a Limited Company

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