Oriental Insurance Company — BIKE CLAIM

Address:

Gautam Buddha Nagar, Uttar Pradesh

SIR
MAI AMARKANT TIWARI S/O SHRI JAGDISH TIWARI R/O VILLAGE GIJHORE SECTOR 53 NOIDA G.B NAGAR U.P
MERI BIKE NO UP-16-K 8114 JO KI 10/01/2011 KI RAAT KO GAZHIABAD KI PARKING ME KHADI KI THI JAHA ACHANAK PARKING ME AAG LAG GAYI WAHA PER AUR KAE MOTORCYCILEN JAL GAYI MAI JAB 12/01/2011 KO VAPAS AAYA TO WAHA MERI BHI BIKE PURI TERAH JAL CHUKI THI JISKI MAINE FIR KARAYE TATHA SABHI DOCOMENT SARVYOR KO DIYE SURVAYOR NE PHOTO BHI LE 2 MONTH SE BHI ZYADA HO GAYA ABHI TAK KOI KARYWAYI NAHI HUE
MUJHE ANT ME MAJBURI BAS CONSUMAR COURT KA SAHARA LENA PAD RAHA HAI.. KRIPYA UCHIT KARWAI KARE .....
THANKYOU POLICY NO.272500/31/2010/5599
DATE 8/01/2011 TO MIDNIGHT 7/01/2012

AMARKANT TIWARI
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