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The New India Assurance Co. Ltd. Referral slip for examination and investigation for reinsurance health checkup (A) Referred by BR / D.O.: Code To, Agency Code: / Dr. Agent Contact No.: Referring
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How to fill out form new india assuarance

01
Step 1: Obtain the Form - Visit the nearest New India Assurance office or website to obtain the form for New India Assurance.
02
Step 2: Read the Instructions - Carefully read the instructions provided in the form to understand the requirements and guidelines for filling it out.
03
Step 3: Provide Personal Information - Fill out the form with accurate personal information such as full name, contact details, address, and date of birth.
04
Step 4: Specify the Policy Type - Indicate the type of policy you are applying for and provide all the necessary details related to it.
05
Step 5: Complete Policyholder Details - If you are the policyholder, fill in your details including occupation, marital status, nominee details, etc.
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Step 6: Provide Previous Insurance Information - If applicable, provide details of any previous insurance policy you had with New India Assurance or any other insurer.
07
Step 7: Mention Coverage and Premium Details - Specify the coverage and premium amount you wish to opt for in the form.
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Step 8: Complete Medical History - Fill in the required medical history details accurately, including any pre-existing conditions or medical treatments undergone.
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Step 9: Declare Other Relevant Information - Declare any other relevant information as requested in the form, such as travel history, lifestyle habits, etc.
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Step 10: Review and Submit - Review all the filled-in details, ensuring their accuracy, and then submit the form either in person or as instructed by the New India Assurance office or website.

Who needs form new india assuarance?

01
Individuals seeking insurance coverage for their lives, health, properties, or vehicles may need to fill out the form for New India Assurance.
02
Business owners or entities looking for insurance options to protect their assets or interests can also benefit from filling out the form.
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People who have previously held insurance policies and wish to switch to New India Assurance or add additional coverage may need to fill out the form.
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Anyone who wants to avail the services and benefits offered by New India Assurance through their insurance products can do so by filling out the form.
05
Customers who wish to renew their existing New India Assurance policies may need to fill out the form for the renewal process.
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