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TATA New Satisfaction Voucher

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Hemendrasinh Rathod
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7K views1 page

TATA New Satisfaction Voucher

Uploaded by

Hemendrasinh Rathod
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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SATISFACTION VOUCHER

To,
Tata AIG General Insurance Co. Ltd,
401, Vishwakarma Arcade,
Majura Gate, Ring Road.
Surat - 395001

Damages in accident on ___________ to my vehicle no._______________ insured


with Tata-AIG General Insurance Co. Ltd. under Policy no. _______________ have
been repaired to my satisfaction by Eminent Autocar Pvt.Ltd. For the services so
rendered, the payment may be directly released to them. Such a payment will
constitute full and final discharge of the liability of the company under my Claim No.
______________ under the aforesaid policy.

Incase, the Insurance Company, for any reason whatsoever, fails to make complete
payment or any part thereof, I shall be liable to make payment to repairer to the
extent of the sum of money specified in the repair invoice.

NAME & SIGNATURE OF INSURED: STAMP & SIGNATURE OF GARAGE:


(Please affix office rubber stamp for company-owned vehicles)

PLACE :
DATE :

TATA AIG General Insurance Company Ltd.


HO - Ahura Centre, 4th floor, Mahakali Caves Road, Andheri (E),Mumbai – 400093.

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