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  1. nationalinsurance.nic.co.in › sites › defaultMOTOR INSURANCE CLAIM FORM

    understand that the company reserves the right of verification of facts and documents relating to policy and the claim. Date _____Place _____ Signature of the Insured _____ N.B. Please attach a photocopy of your blank / cancelled cheque for NEFT purpose. National Insurance Company Limited,

  2. National Insurance Company Limited. We are pleased to inform that our customers may lodge the Motor OD Claim through SMS facility w.e.f. 26/01/2021. They have to send SMS "MOTORODCLAIM (POLICYNUMBER)" to 56767556 (e.g MOTORODCLAIM 900210312010012548) from their registered mobile number (RMN).

  3. GUIDANCE FOR FILLING CLAIM FORM – PART A (To be filled in by the insured) DATA ELEMENT DESCRIPTION FORMAT. SECTION A - DETAILS OF PRIMARY INSURED. a) Policy No. Enter the policy number As allotted by the insurance company. b) SI. No/ Certificate No. Enter the social insurance number or the certificate number of social health insurance scheme.

  4. National Insurance Company Limited. Regd. Office 3, Middleton Street, Post Box 9229, Kolkata 700 071 CIN - U10200WB1906GOI001713 IRDA Regn. No. - 58. Version: 08/2013. d) Bank BranchEnter the bank branch name Name of the Bank Branch in full. Read declaration carefully and mention date (in dd:mm:yy format), place (open text) and sign.

  5. Premises No.18-0374, Plot No. CBD-81, New Town, Kolkata-700156. Telephone: 03322022100. CIN - U10200WB1906GOI001713

  6. NATIONAL INSURANCE COMPANY LIMITED (Regd. Office : 3, Middleton Street, Calcutta – 700 071) MOTOR CLAIM FORM • Issue of this form is not to be taken as an admission of liability. • To avoid unnecessary delay, correspondence and trouble, this form should be returned within 7 days of its issue to the Policy Issuing

  7. National Insurance Company Limited CIN - U10200WB1906GOI001713 IRDAI Regn. No. - 58 EMI Protect Add-on Claim Form 1. Policy Number : 2. Insured’sDetails

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