Kurnia.com - Malaysia - Claims Enquiry

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		Management Team

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CLAIMS ENQUIRY

Enquiries on your claims status and any claims related matters.

* Indicates a required field

* Name :

* Email Address :

Contact No. :

- (Home)

- (Office)

- (Mobile)

Facsimile No. :

* Correspondence Address :

* Postcode :

* State :

* Preferred Contact Method :

E-Mail

Phone

Facsimile

* Type of Claim :

Motor

		Own Damage (OD)
		Third Party Damage (TPD)
		Knock-For-Knock Agreement (KFK)
		Windscreen (W/S)
		Theft
		Bodily Injury (BI)

Non Motor

Kurnia Policyholder Vehicle No. :

(for OD, TPD, KFK, Theft, W/S, BI)

Policy No. :

(for Non Motor)

* Date of Accident / Loss :

* Comments / Enquiry :

(Maximum 1000 letters)