INSURANCE REGULATORY AND DEVELOPMENT AUTHORITY
Parishrama Bhavan, 3rd Floor, Basheerbagh, Hyderabad: 500 004
POLICY HOLDER COMPLAINTS REGISTRATION FORM
(Separate forms to be used for each complaint)
1. Name of the complainant: _B USHA
2. Address of the complainant: _MANAGER CANARA BANK RAJAHMUNDRY

3.E-mail/Telephone/Fax : ushab_55@yahoo.co.in/cell no 9490468241
4. Whether Individual /Company: Individual
(Please tick )
Individual