Trail Universal Claims Form

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Please go through the instructions below:

• Deadline to fill the form - Deadline
• Please do not share it with anyone else, the form responses will be cross checked by the KMC Office.
• Only fill in the classes that you missed, or else all your claims will get canceled by the KMC Office.
• You can check the classes missed by you on SLCM and fill the form accordingly.
• If there are any discrepancies in the form please feel free to contact me.

Name *

E-Mail *

Roll Number *

[Clinics] *

What posting was going on during the claims period?

[Clinics]

If Posting Changes Mid-month, then?

Year of Study *

1st

2nd

3rd

4th

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