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PERIODIC DISCLOSURES FORM NL23Reinsurance Risk ConcentrationName of the Insurer : ICICI Lombard General Insurance Company Limited Registration No. 115 dated August 03, 2001, IN: L67200MH2000PLC129408

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Write the name of the insurance company that provides coverage for the policy in the designated space

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What is name of form insurer?

The name of the form insurer is the document used to identify the insurance provider.

Who is required to file name of form insurer?

Insurance companies and providers are required to file the name of the form insurer.

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The name of form insurer can be filled out by providing the necessary information about the insurance provider.

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The purpose of the name of form insurer is to accurately identify the insurance provider.

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The name, address, and contact information of the insurance provider must be reported on the name of form insurer.

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