GBIC GBIC



Register Complaint Online
Name :
Email Id :
Gender :
 *Mobile Number : Landline Number :  
Birth Date :
Address :
State : City :
Pin Code :
Insured Name :
Ombudsman Centre :
Insurer Details
Policy Type :
Insurance Company :
Complaint Details
Policy Number : Compensation Sought
Date Of Occurrence :
Grievance Cell Approached ? : Approached Date :
Letter From Insurer rejecting/repudiating his letter/claim : Copy of Insurance Policy :
KYC particulars,Aadhar card, Pan Card,Driving License, etc: Photograph :
Any other document:
** Please upload files upto 10 MB in size.