CLAIMS

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VALUABLE PROFESSIONAL SUPPORT WITH INSURANCE CLAIMS

Section A - Insurance Policy Information
Insured Name
Class Of Insurance	Select Class Marine Cargo Goods In Transit Freight Forwarder’s Liability Erection All Risk Contractor’s All Risk Fire And Burglary Motor Hospitalization And Surgical Travel Group Personal Accident
Policy Number
Insurer	Select Insurer CHUBB Insurance Malaysia Berhad RHB Insurance Berhad Tokio Marine Insurance Berhad Zurich Insurance Malaysia Berhad QBE Insurance Berhad AXA Affin Insurance Berhad
Section B - Client Information
Company Name
Name (person-in-charge)
Contact (person-in-charge)
Email (person-in-charge)
Section C - Claim Information
Description of Loss
Estimate OF Loss
Date of Loss
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