| Docket No:
*
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| No.of Pkgs Delivered:
*
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No.of Pkgs Booked: |
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| Actual Weight Delivered:
*
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Actual Weight Booked: |
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| Invoice Number:
*
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Booking date: |
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| Invoice Date:
*
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Booking Stn.: |
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| Contents as per Invoice:
*
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Delivery Stn.: |
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| Remarks given on POD:
*
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Actl. Delivery Date: |
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| Nature of loss:
*
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Decl. cargo value: |
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| Claim Registered by: |
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Risk Coverage: |
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| Email ID:
*
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| Mobile Number:
*
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| Insurance Policy No: |
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| Insurance policy expiry date: |
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| Insurer Name: |
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| Survey Requirement:
*
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| Assessed Loss Amount (INR):
*
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| Salvage Amount (INR):
*
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| Net Loss Amt(INR):
*
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| Loss description:
*
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| Observation Note (OBN) in favor of:
*
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| Address:
*
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| Remarks if any: |
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| Upload File(pdf):
*
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* We reserve the right to call for any further documentation as may
be required on a case to case basis
Note:Need to Submit Hard Copy Documents for Final
Claim Settlement
Documentation Required (As Applicable)
- Claim Letter Download
- Invoice of Material
- Material - Declaration Download
- Repair Bills
- NOC - for Payment of Claim Receiver Download
- Bank Details - Match to Dockets
- Damage Photos
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