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EVEREST INSURANCE COMPANY LTD. Head Office Hattisar Kathmandu P. O. Box 10675 Nepal Tel 4444717 4425758 Fax 977 - 1 - 4444366 E-mail info eic.com.np web everestinsurance. Com FIDELITY GURANTEE INSURANCE CLAIM FORM Name Address of the Insured Telephone Policy No Sum Insured a Estimated annual carrying b Single carrying Limit Loss Happened / Discovered Place of Loss and Date Nature of Loss with details Loss Amount Staffs involved in the Event / Designation / Citizenship/Status Permanent or...
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