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Claim Registration Form
Full Name
Enter Mobile Number :
Enter Email ID:
Enter Address
Policy No
Select Device :
iPhone
SmartPhone
Laptop
iPad/Tablet
SmartWatch
Television
Fridge
Other Product
Nature Of Claim :
Damage
Theft
Other Issue
Claim Description :
NOTE:
In case of Damage- Attach pics of damaged device with displaying IMEI No./Serial No. on the screen.
In case of Theft/Robbery- Attach Stamped FIR Copy , 1 valid Govt. ID proof and a cancelled cheque.
Select image(s) to upload:
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