20-06-2014, 12:33 PM
Bajaj Allianz General Insurance Company Ltd.
Bajaj Allianz.pdf (Size: 28.22 KB / Downloads: 21)
ARUN AGARWAL,
We wish to inform you that the contract under policy number 'OG-12-1725-1801-00001655' has been finalized based on the information and
declaration given by you, the transcript whereof is mentioned below. You are requested to reconfirm the same. In case of any disagreement or
objection or any changes with respect to information mentioned below, we request you to please revert back within a period of 15 days from
date of your receipt of this, failing which it will be deemed that you are satisfied with the correctness of the details mentioned below. Kindly note
that as the contents and declarations contained in this transcript is the basis on which we have issued the policy to you, we advise you to please
ensure that you have provided/disclosed and or not withheld any material facts/information and declarations, as Policy becomes Void ab initio if
material facts are not provided/disclosed and or withheld and in such case no claim, if any, will be considered by us apart from forfeiture of the
premium.