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　　Received from _______branch the sum of _________ in full settlement of our claim for loss/damage sustained by the subject insured under the above Policy/Certificate.

　　In consideration of your payment to us of the above claim，we hereby acknowledge that you are subrogated to all our rights and remedies in and in respect of whatever may remain of the subject matter so paid for and that you are authorized to make use of our name for the purpose of any proceedings or measures，legal or otherwise，for the enforcement of such rights and remedies and accordingly we undertake to render you such assistance as you may from time to time reasonably require of us，you indenmifying us against all liability，costs，charges and expenses incurred in connection therewith.