Policy Details
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Customer Details
+91
Incident Details – Tell us when & where did it happen
:
Help us out with a few details about the incident
Loss Class
Vehicle Damage
Cause of loss
Own Damage
Third Party Details
Was there any third party involved in the accident?
What kind of loss happened to the third party?
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Driver details
Who was driving the car at the time of the incident?
+91
Service Advisor Details
We’ll send the self-inspection link at this number
+91
Cost
₹
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Repairer Details
Repairer Name
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Address
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Mobile Number
+91 {{motorCliamCtrl.mobileFirstFive}} {{motorCliamCtrl .mobileSecondFive}}
Email ID
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Vehicle Details
Policy-holder Name
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Vehicle Registration Number
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Car Make Model
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