Claim and Information Feedback Contact Person Khondaker Fakrul Alam Deputy General Manager Cell : 01819202923 Email: fakrul@unitedinsurance.com.bd Feedback Name of the Insured :* Policy/Certificate/Cover Note No :* Date of Loss : Place of Loss : Cause of Loss : Description of Loss : Nature of Loss : Estimated Loss, if any : Contact Person Name : Address : Phone No : Mobile No : Fax No : Email : Vehicle No. (If Motor Claim) :