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MOTOR PROPOSAL FORM - :: AMC

THE ORIENTAL insurance COMPANY LIMITED DO 21, ORIENTAL BUILDING , 3RD FLOOR, ABOVE LIC OF INDIA, FLORA FOUNTAIN MUMBAI 400 001 TEL-022- 22853324 , 22024773 FAX NO. 022-22043700 E-MAIL- PRIVATE CAR ABRIDGED PROPOSAL form FOR ASSOCIATION OF MEDICAL CONSULTANTS (MUMBAI) AMC TEL 022-2683 6019 TELE FAX NO. 022-2682 1109 NOTE- THE ISSUE OF THE PROPOSAL form IS NOT TO BE TAKEN AS AN ADMISSION OF LIABILITY, PLEASE ASK FOR THE POLICY. We wish to have MOTOR Policy- PACKAGE the details of vehicle are as under. 1. Vehicle Details DATE- Regn.

o.i.c. the oriental insurance company limited m.c. do 21, oriental building , 3rd floor, above lic of india, flora fountain mumbai 400 001 tel-022- 22853324 , …

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