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  • United India Insurance LTD - NCB Claim Form

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    Venu Gudla
    151 views1 page
    This 3 sentence summary provides the key details from the document: The document is a declaration from United India Insurance Ltd regarding the no-claim bonus on a vehicle insurance policy, where the insured signs to acknowledge that the no-claim bonus declaration is correct based on the claims history during the current policy period and any incorrect declaration will result in forfeiture of benefits under the policy.

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    Original Title

    United India Insurance Ltd- Ncb Claim Form

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    This 3 sentence summary provides the key details from the document: The document is a declaration from United India Insurance Ltd regarding the no-claim bonus on a vehicle insurance policy, where the insured signs to acknowledge that the no-claim bonus declaration is correct based on the claims history during the current policy period and any incorrect declaration will result in forfeiture of benefits under the policy.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    151 views1 page

    United India Insurance LTD - NCB Claim Form

    Uploaded by

    Venu Gudla
    This 3 sentence summary provides the key details from the document: The document is a declaration from United India Insurance Ltd regarding the no-claim bonus on a vehicle insurance policy, where the insured signs to acknowledge that the no-claim bonus declaration is correct based on the claims history during the current policy period and any incorrect declaration will result in forfeiture of benefits under the policy.

    Copyright:

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

    UNITED INDIA INSURANCE LTD

    CITY BRANCH OFFICE NO, 1


    JOS TRUST BUILDING
    CHITTOR ROAD
    ERNAKULAM
    .
    NAME OF INSURED :
    VEHICLE NO. :
    POLICY NO. :
    PERIOD OF INSURANCE :
    DECLARATION
    ..
    I /we e!"#$e %&#% %&e $#%e '( NCB !"#)*e +, *e/-. ). !'$$e!% #/ %&#% '/ !"#)* &#. #$).e/ )/ %&e
    e01)$)/2 1'")!, 1e$)'3!'1, '( %&e 1'")!, e/!"'.e 4. I/we -/e$%#5e %&#% )( %&). e!"#$#%)'/
    ). ('-/ %' +e )/!'$$e!%, #"" +e/e()%. -/e$ %&e 1'")!, )/ $e.1e!% '( .e!%)'/ 1 '( %&e 1'")!, w)""
    .%#/ ('$(e)%e.

    SIGNATURE

    N#*e #/ #$e..:
    P"#!e:
    D#%e:

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