| 10th November 2016 11:25 AM | |
| shikha | Re: New India Assurance Company Limited Motor Vehicle Claim Form Few things that are to be filled-in in the Application Form for Motor Vehicle Claim Form of New India Assurance Company Limited are as follows: Claim No.: Date & Time of Initmation Policy No. / Cover Note No. Period of insurance Name of the Insured & Address, e-mail ID & Mobile No. Reporting Branch/Divisional Office Details of Accident / Theft Date: FIR No. & Date Time: Charges u/s: Place: Police Station: In case other Vehicle(s) is/are involved/ responsible, specify vehicle No(s).: Policy details of that Vehicle(s) Name of the Complainant, who lodged the FIR: For what purpose was the vehicle being used at the material time? Brief particulars of the accident FIR: Specify the reasons for delayed FIR or not lodging an FIR. Details of other Insurance Policy, if any: Policy No.: Period of insurance THE INSURED VEHICLE PARTICULARS Regd. No. Make Year Engine No. Chasis No. Cubic / Carrying Capacity For Private Vehicle: Whether Occupant(s) / Pillion - Rider(s) was / were carried at the material time of accident? Give name and addresses, contact Tel. No. of passangers/other witnesses if any New India Assurance Company Limited Motor Vehicle Claim Form   |
| 10th November 2016 10:39 AM | |
| Unregistered | New India Assurance Company Limited Motor Vehicle Claim Form Can you tell me about the things to be filled-in in the Application Form for Motor Vehicle Claim Form of New India Assurance Company Limited? |
