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I hereby declare, on my behalf and on behalf of all persons proposed to be insured, that the herein statements, answers and/or particulars given by me are true and complete in all respects to the best of my knowledge and that I am authorised to propose on behalf of these other persons.

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Policy Details

Insured name: John

Policy start date: 01/06/2018

Policy expiry date: 01/06/2019

DOB:

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Address: Flat no. 404, Green building, Opp shantinagar, Dadar West, Mumbai-400005, Maharashtra.

Personal Details

Mobile no: +919678896655

Email ID: john.anderson@gmail.com

Thank You for choosing Bajaj Allianz General Insurance for your Insurance needs. We have received your payment.
The receipt number is 123456789 and the reference ID is 123456789

Your policy issuance is in process and we will contact you soon. For any queries, please call us at 020-66495000 or mail us at bagichelp@bajajallianz.co.in .

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Email ID: websales@bajajallianz.com

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