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    Discharge Voucher

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    Anonymous S0H8cqgnfi
    The document is a claim settlement form from The Oriental Insurance Company for an approved insurance claim. It details the payment of Rs. [amount] to the customer in full and final settlement for the loss of their [property/vehicle] that occurred on [date]. The customer provides their signature and bank account details to receive direct payment for the approved net claim amount under their insurance policy number for the specified period.

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    © All Rights Reserved
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    Discharge Voucher

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    Anonymous S0H8cqgnfi
    1K views1 page
    The document is a claim settlement form from The Oriental Insurance Company for an approved insurance claim. It details the payment of Rs. [amount] to the customer in full and final settlement for the loss of their [property/vehicle] that occurred on [date]. The customer provides their signature and bank account details to receive direct payment for the approved net claim amount under their insurance policy number for the specified period.

    Original Description:

    Oriental Insurance

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    The document is a claim settlement form from The Oriental Insurance Company for an approved insurance claim. It details the payment of Rs. [amount] to the customer in full and final settlement for the loss of their [property/vehicle] that occurred on [date]. The customer provides their signature and bank account details to receive direct payment for the approved net claim amount under their insurance policy number for the specified period.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    1K views1 page

    Discharge Voucher

    Uploaded by

    Anonymous S0H8cqgnfi
    The document is a claim settlement form from The Oriental Insurance Company for an approved insurance claim. It details the payment of Rs. [amount] to the customer in full and final settlement for the loss of their [property/vehicle] that occurred on [date]. The customer provides their signature and bank account details to receive direct payment for the approved net claim amount under their insurance policy number for the specified period.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    The Oriental Insurance Company Limited

    Branch Office:The Mall, Nahan Distt.Sirmour(HP)


    Ph. No. 01702-222686
    Deptt.-------------- Claim. No:------------------------------

    In connection of approval of my/our claim I/We hereby accept from “The Oriental
    Insurance Company Ltd.”the sum of Rs.______________(Rupees
    _________________________________only approved net claim amount in full and final
    settlement of my/our claim for the loss of ______________________ (Property) which occurred on
    _____________(Date of loss)covered under the policy No. ___________for the period from
    _________________________To__________________________

    Motor Deptt: Vehicle No.-------------------Make -------------------------


    Marine Deptt:AWB/RR/BLNo. & Date-------------- Vessel --------------
    Misc. Deptt.: -----------------------
    Description of Property.

    I/We hereby voluntarily give discharge receipt to the company in Full& Final settlement of
    all my/our claims present/or future arising directly/or indirectly in respect of the said
    loss/accident. I/we here by surrogate all my/our rights and remedies to the company in respect of
    the above loss/damaged article/property.

    Rs._____________________

    Signature________________

    Counter Signature of the Financer Name__________________


    (In case of Total Loss) with rubber stamp

    Address______________________
    Witness:-
    _____________________________
    Signature:
    ______________________________
    Full Name & Address: Name as per Bank account:
    Bank Account No:
    Bank IFSC.NEFT Code:
    Bank MICR Code:
    Bank Name & Branch:
    “Please Note”
    In view of the Revised guidelines of Ministry of Finance, we shall make the claim payment
    only by way of Direct Transfer to your above said bank account. And shall not hold “The
    Oriental Insurance Co, Ltd.” responsible for any Wrong payment made due to Mistake in
    particulars submitted or for the reasons of incomplete or incorrect information.
    Kindly attach your Blank cancelled cheque or Photo copy there of bearing Bank
    IFSC/MICR Code, Complete Bank Account No.& your Name in Bank.

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