Claims Notification Form
     
Life Policy  
Death Claim  
 
Policy Number  
Name of Life Assureed  
Date Death Occured  
email Address  
Phone Number  
* Medical Certificate of Cause of Death   (please tick if available )
* Police Report, in case of accidental death   (please tick if available )
* Birth Certificate   (please tick if available )
     
* please  submit to the nearest NEM office
     
 
     
Maturity Claim  
 
Name of Life Assured  
Policy Number  
Date of maturity  
email Address  
Phone Number  
     
   
     
 
     
 
Non - Life Policy
 
Name ofthe Insured  
Policy Number  
Class of insurance and cover  
Period of insurance
Date of loss/Accident
Place of loss/Accident
Breif details of the loss/Accident
Detail of Third Party Involvement (if any)
email Address  
Phone Number  
     
   
     
 
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