1. YOU must answer all questions giving full and complete answers. 2. It is YOUR duty to provide all information that is requested in the Proposal Form.(i) When filling in this Form, please see that all the questions are fully answered. Office: 3'd floor, Maker Chambers IV, Nariman Point, Mumbai - 400 021. 1, (a), Name of the Proposer. (b) If so, give name of each Company and amount of Insurance. Approved Brand Name. 1 (a) Name of the Proposer. Claim No. Date of Loss. You can report your Auto or Motorcycle, or Mechanical Breakdown claim online.