Trouble Solving and Comments      

            

               

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Trouble Solving and Comments   

Trouble Solving and Comments

We're very keen to assist you to solve your Insurance trouble, just let us know by fill in the following:
1. Insured Name:
2. Policy Type:
3. Sum Insured?
4. Expiry Date: -- mm/dd/yy
5.

Your Trouble: Coverage
 

Premium
 

Claim
 

Others
6. Your Comments or Queries:

7.

 Your Contact :        Phone

FAX
E-mail

ICC Tel: 679-8184-91, 679-8689-90 Fax: 285-6427-8

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Revised: 11/03/00