‘IFFCO-Tokio Pravasi Bharatiya Bima Yojana Claim Form’ PDF Quick download link is given at the bottom of this article. You can see the PDF demo, size of the PDF, page numbers, and direct download Free PDF of ‘IFFCO-Tokio Pravasi Bharatiya Bima Yojana Claim Form’ using the download button.
IFFCO-Tokio Pravasi Bharatiya Bima Yojana Claim Form PDF Free Download
IFFCO-Tokio Pravasi Bharatiya Bima Yojana Claim Form
a) Name of the Emigrant (Insured Person)
b) Age
c) Address
d) Occupation
e) Passport Number
f) Valid upto
g) Details of work permit
h) Name of the employer/sponsor
i) Place of work/employment
2 Personal Accident Claims:
a) Name of the Insured Person.
b) Where did the accident occur?
c) Give full details of injuries sustained with a medical report.
d) Was the person under the influence of drugs/alcohol at the
time of the accident?
e) Give the name and address of the witness to the accident.
f) Details of Post-mortem.
(In case of death of a person, separate Medical Report, Postmortem Report, and Death Certificate are to be enclosed)
g) In case of permanent total disablement the Medical Report regarding the extent of injury, the percentage of loss of physical capacity and loss of employment certificate are to be enclosed.
h) Details of transportation of the dead body to India and supporting bills.
i) In case the transportation of the dead body is arranged by the Indian Mission/Post, then please attach the certificate and details of
the cost incurred by them.
j) Name of the Attendant accompanying.
k) Amount of cost incurred for transportation of mortal remains with supporting bills and the cost of return airfare for the Attendant
including the particulars of the place covered in the journey
| Language | English |
| No. of Pages | 2 |
| PDF Size | 0.05 MB |
| Category | General |
| Source/Credits | – |
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IFFCO-Tokio Pravasi Bharatiya Bima Yojana Claim Form PDF Free Download