E-Claim Application

Claim Your Polis in here

Type of Client
No. Polish / No Participant *
Personal / Corporate Name *
Phone / Mobile *
Email *
File 1
File 2
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File 4
File 5
Message *
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× * Note : If the file will be uploaded more than 5 files, then please join (in compress) to 1 or no more (or equal to) 5 files, using software winrar

Contact Us

  Address

Gedung Menara Hijau, lantai 5 Jalan MT. Haryono Kav. 33 Jakarta Selatan - DKI Jakarta Indonesia

  021-7986062
  08.00 - 19.00 | Senin s/d Jum'at