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    Online Ecard Claim

    I hereby request Bajaj Allianz General Insurance Company Ltd [BAGIC] to kindly accept the scan copies attached/sent by me as basis for settling my claim. I also hereby declare and undertake that (i) I am in possession of all the original documents of scan copies with me and I shall safely preserve the same with me and as and when BAGIC require the originals of all the scan copies sent by me to BAGIC, I shall immediately submit the same to BAGIC without any objection of whatsoever and (ii) I also hereby agree and undertake that if BAGIC finds that the scan copies submitted by me are in any way found to be not genuine treatment/diagnosis documents, then I shall be solely responsible for the same for all the legal actions/proceedings which BAGIC may take.