WebGreat Eastern Takaful Berhad (916257-H) Head Office: Menara Great Eastern 303 Jalan Ampang 50450 Kuala Lumpur Customer Service Careline: 1 300 13 8338 Fax: +603 4259 8808 E-mail: [email protected] Website: www.greateasterntakaful.com Name of the Person Covered Nama Orang yang Dilindungi 1. Date & Time of accident: WebAdmission / Day Surgery / Day Care Procedure Critical Illness Claim / Dread Disease Claim Pre / Post Hospitalisation Death Claim Emergency Sickness / Accidental Outpatient …
General Insurance - Great Eastern
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WebGROUP HOSPITAL & SURGICAL CLAIM ... Please read carefully before you complete the attached Claim Form. 1. The Great Eastern General Insurance Limited (“Company”) does not admit liability by the mere issue of this Form. 2. Please complete and answer all questions in full and circle the appropriate boxes provided. Please indicate "N.A.", if the WebGROUP HOSPITAL AND SURGICAL INSURANCE CLAIM FORM CLAIM SUBMISSION PROCEDURES Please read carefully before you complete the attached Claim Form. 1. The Great Eastern Life Assurance … WebGreat Eastern Car Insurance Claim Documents Needed Do prepare necessary documents stated below: Accident Claim Form – Claimant’s Statement Accident Claim Form – Attending Physician Statement Original copy of Letter of Authorisation/Consent (3 copies) Certified True Copy of Life Assured’s Identification Card million lighting co pte ltd-the grid