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SWAN GROUP
ANGLO MAURITIUS
AMFS
PCA
PRELIMINARY NOTIFICATION OF CLAIM
Policy No
*
First Name
*
:
Last Name
*
:
Address
:
Telephone
:
Fax
:
Email
*
:
Car Registration No
*
:
Date of Occurence
*
:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
January
February
March
April
May
June
July
August
September
October
November
December
2012
2013
2014
2015
2016
2017
2018
2019
Time of Occurence
*
:
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
:
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
Estimate of Loss
:
Rs
Details of Occurence
:
Details of loss
:
Immediate Action Taken
:
Police Station/Fire Brigade
:
Remarks
:
*
mandatory fields
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