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Proposal Form for Reliance Commercial Vehicles Package ...

An ISO 9001:2015 Certified CompanyIRDAI Registration No. 103. Reliance General Insurance Company Limited. Registered & Corporate Office: 6th Floor, Oberoi Commerz, International Business Park, Oberoi Garden City, Off. Western Express Highway, Goregaon (E), Mumbai-400063. Corporate Identity Number U66603MH2000 PLC128300. Reliance Commercial Vehicles Package Policy UIN: IRDAN103RP0012V02100001. Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License. RGI/MCOM/CO/MOT-04/CVPP-MOTOR TRADE/PF/Ver. Form for Reliance Commercial Vehicles Package Policy(Other than Motor Trade Internal Risks Policy)1. This Proposal is for A new Policy Renewal of Policy Endorsement Others (Please specify) _____2a. Proposer's Full Name Mr. Mrs. Ms. Address Address for Communication Address where Vehicle is Normally Kept and Used Flat/Building/Door/Block No.

Details of Hire Purchase / Hypothecation / Lease 44. Please state if the vehicle is under Hire purchase Lease Agreement Hypothecation Agreement If so, give name and address of concerned parties. 45. Full Name M/s 46. Address

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  Lease, Purchase, Hypothecation, Hier, Hire purchase, Hire purchase lease

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