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Click ‘Get Form’ to open the bharti axa motor claim form 2022 in the editor.
Begin by filling in your Policy Number and Name of Plan in BLOCK LETTERS. Ensure accuracy as this information is crucial for processing your claim.
Provide your contact details, including both mobile and landline numbers. Remember, the mobile number is mandatory for communication purposes.
Indicate whether you are a US Citizen or tax resident by selecting 'Yes' or 'No'. If 'Yes', include your TIN.
In the Declaration section, enter your full name as the Assignor and confirm that you have read the instructions provided.
Fill in the Assignee's details, including their name, relationship to you, and contact information. This section is vital for ensuring proper assignment of the policy.
Complete any additional sections regarding consideration received for the assignment and ensure all signatures are affixed where required.

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