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CLAIM FORM PART A TO BE FILLED BY THE INSURED(To be Filled in block letters)The issue of this Form is not to be taken as an admission of liability DETAILS OF PRIMARY INSURED: b) SL. No/ Certificate
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Primary insured details refer to the personal information of the primary individual covered under an insurance policy, including name, contact information, and policy details.
The policyholder or the person responsible for managing the insurance policy is required to file the details of the primary insured.
Details of the primary insured can be filled out by providing accurate and up-to-date information about the individual, as required by the insurance provider or policy.
The purpose of collecting details of the primary insured is to ensure that the correct individual is covered under the insurance policy and to facilitate communication and claims processing.
Information such as name, address, date of birth, contact information, policy number, and any other relevant personal details of the primary insured must be reported.
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