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All Risks Claim Form

This document is a claim form for the All Risks Benefit under IGI Insurance Limited's Window Takaful Operations. It requires the participant to provide personal details, information about the loss, and any relevant police notifications. The form must be completed and returned to the Operator immediately, and it includes a declaration of the truthfulness of the provided information.

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abdullahmbashir3
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2 views1 page

All Risks Claim Form

This document is a claim form for the All Risks Benefit under IGI Insurance Limited's Window Takaful Operations. It requires the participant to provide personal details, information about the loss, and any relevant police notifications. The form must be completed and returned to the Operator immediately, and it includes a declaration of the truthfulness of the provided information.

Uploaded by

abdullahmbashir3
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Registered Office:

7th Floor, The Forum,


Suite No. 701-713, G-20, Block-9,
Khayaban-e-Jami, Clifton,
Karachi-75600, Pakistan.
UAN : (+92-21) 111-308-308
Fax : (+92-21) 35301706
Email: [Link]@[Link]

Karachi Lahore Islamabad Faisalabad Multan Sialkot Gujranwala Peshawar

IGI INSURANCE LIMITED


WINDOW TAKAFUL OPERATIONS

ALL RISKS BENEFIT CLAIM FORM


This form should be completed and returned to the Operator immediately
(The Operator does not admit liability be the issue of this form)

Benefit Claim No. ________________________

1. Name of Participant ___________________________________________________________________


2. Address ____________________________________________________________________________
3. PMD Number __________________________ Date of Loss _________________________________
4. Cause of Loss _______________________________________________________________________
5. If by Theft :
a) Time and date _____________________________________________________________________
b) How committed ___________________________________________________________________
c) Have Police been notified ___________________________________________________________
d) If so, when and where ______________________________________________________________
e) State result of police Investigation, if any _______________________________________________
6. Are you covered against the present loss under any other Takaful/Insurance policy? ________________
___________________________________________________________________________________

I/We declare that the foregoing statement are true to the best of my/our knowledge and belief that the articles
and property described on the other side hereof were lost/stolen or damaged under the circumstances above
described, and that such articles and property belong to the persons named, no other person having any interest
therein whether as Owner, Mortgagee or otherwise.

Date ____________ Signature of Authorized Officials _________________________

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