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Discharge Voucher

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					                         Discharge Voucher



        RELIANCE GENERAL INSURANCE COMPANY LIMITED



Received from Reliance General Insurance Company Limited, through
its Policy Issuing office (hereinafter called the company) the sum of
Rupees……………………………………………………………………………………
only towards full and final settlement of my claim in respect of theft of
my Vehicle No………………………………….. Insured under the Company’s
Policy No…………………………………………. subject to the terms and
conditions   of    the    Agreement    Bond     executed    by    me/us
on……………………………….




Date:…..


                                                             Revenue
                                                             Stamp




                                               Signature of the Insured.

      Address:………………………..

             …………………………

             …………………………
                            ANNEXURE – 6

7INTIMATION – 2 TO R.T.O
                                                 Date: ______________
From
________________________
________________________
________________________
________________________

To

The Regional Transport Authority.
_________________________________
_________________________________
_________________________________

Dear Sir,

Ref:   Theft of Vehicle Regn. No ____________________________ belonging to
       _____________________________________________

In Continuation of my letter dated ______________ regarding the theft of
my vehicle No _____________ I have to inform you that the stolen vehicle
has not been recovered by the Police till date. As such, in accordance
with policy terms and conditions. Reliance General Insurance Company
Limited paid me Rs ________ (Rupees _________________________________
_______________________________} in full and final settlement of my claim
for the loss of my vehicle No______________ In this regard, I have already
executed an agreement Bond, assigning the ownership of the vehicle to
the said Insurers and since this date, I have no claim over the vehicle
No____________ I have no objection to transfer the ownership of the
vehicle No ________________ either in the name of Reliance General
Insurance Company Limited, or to any other nominee made by the said
Insurance Company, after recovery of the vehicle. Please note down ‘non
use’ of the vehicle since ___________ in your records and issue a
certificate either to us or to our Insurers accordingly. Kindly acknowledge
receipt.


                                                          Yours faithfully,


Copy to : 1. Police Station.
          2. Reliance General Insurance Company Limited.
                             ANNEXURE – 7

INTIMATION – 2 TO Police Station

                                                         Date:____________
From

________________________
________________________
________________________
________________________


To

S.H.O.
Police Station
_______________.

Dear Sir,p

       Ref:   Theft of Vehicle Regn. No______________________ belonging to
              _____________________________

In Continuation of my letter dated __________________ regarding the theft
of my vehicle No________________ I have to inform you that the stolen
vehicle has not been recovered by your good self till date. As such, in
accordance with policy terms and conditions. Reliance General Insurance
Company Limited paid me Rs______________ (Rupees __________________
_________________________) in full and final settlement of my claim for the
loss of my vehicle No___________ In this regard, I have already executed
an agreement Bond, assigning the ownership of the vehicle to the said
Insurers and since this date, I have no claim over the vehicle
No_____________. Please note that in future if any recovery of the subject
vehicle is made, please inform M/s. Reliance General Insurance Co. Ltd.
for the re-possession of the vehicle. Kindly acknowledge receipt.


                                                          Yours faithfully,


Copy to : Reliance General Insurance Company Limited.

				
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posted:4/22/2012
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