Notice A Claim | GIG Sigorta

*Policy No

*Loss Date

Claims Notifier Info

*Name & Surname

*Date Of Birth

*ID Number

*E-mail Address

*Phone Number

Policyholder Info

*Name & Surname & Title

*Estimated Loss Amount

*Detail Of The Loss (Cause, Cost Etc)

*Country

*City

*District

*Address

*E-mail Address

*Phone Number

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I confirm that I have read and understood the Disclosure Letter On Processing and Protection of Personal Data

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