Bajaj platina motor cycle
Against insurance claim

Dear sir

Regarding: claim against lost vehicle NO-DL-5S W 2216

Having Insurance Policy No-6200008930 dt 12/02 by national insurance co ltd

Sir,

With due respect I would like to inform you that my locked Motor Cycle (DL-5SW-2216) has been theft/stolen from 173-A, Pocket-E, L.I.G. Flats G.T.B. Enclave, Nand Nagri Delhi - 93. on dated 06.10.2009.

Necessary Particulars of Motor Cycle as given Below:

Engine No. of Motor Cycle: DUMBNJ29915

Chassis No. of Motor Cycle: MD2DDDZZZNWK44210.

insurance policy No : 6200008930 dt 12/02

This is for your information and necessary action As soon as i am already sending all document aginst claim (original copy of fir, original copy of ncrb, original copy of untraced by sho, oroginal copy of untreced report by court, final report by acp, original two keys, original copy of state transport department vehicle particular by loni road authordites, photo copiies of purchase bil) to survair select by national indusrance co. ltd noida branch

Thanking you

With Regards,

Manoj Kumar Panchal

R/o 1/11584 A, Subhash Park

Ext, Gali No-1, Naveen.

Shahdara Delhi-32

Ph. No. 9953026504