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PROPOSALFORM INDIVIDUALACCIDENTPOLICYRegisteredandCorporateOffice:Office No.103,1stFloor,AckrutiStar, MIDCCentralRoad, Adhere(East),Mumbai400093,Maharashtra. Tel.:02241659800/900,Email:contactus@universalsompo.com
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It is a long proposal form for Janta Personal Accident Insurance.
Applicants who are applying for Janta Personal Accident Insurance are required to file this form.
The form must be filled out with accurate personal and insurance information as requested.
The purpose of this form is to gather necessary information from applicants for Janta Personal Accident Insurance.
Applicants must report personal details, accident history, medical information, and other relevant insurance details on the form.
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