Motor Vehicle Insurance Certificate

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MOTOR VEHICLE INSURANCE CERTIFICATE

‫ﺷﻬـﺎﺩﺓ ﺗﺄﻣﻴــﻦ ﻣﺮﻛﺒـﻪ‬


This is to certify that a policy of insurance has been issued in‫ﺑﻬﺬﺍ ﻧﺸﻬﺪ ﺑﺄﻧﻨﺎ ﺃﺻﺪﺭﻧﺎ ﻭﺛﻴﻘـﺔ ﺗﺄﻣﻴﻦ ﻟﻠﻤﺮﻛﺒـﺔ ﺍﻟﻤﺒﻴﻨـﻪ ﺃﻭﺻﺎﻓﻬﺎ ﺍﺩﻧﺎﻩ ﻭﺫﻟﻚ ﻭﻓﻘﺎ ﻻﺣﻜﺎﻡ‬
respect of the vehicle details below as per the Unified Motor ‫ﻭﺛﻴﻘﺔ ﺗﺄﻣﻴﻦ ﺍﻟﺴﻴﺎﺭﺍﺕ ﺍﻟﻤﻮﺣﺪﺓ ﺑﺪﻭﻟﻪ ﺍﻻﻣﺎﺭﺍﺕ ﺍﻟﻌﺮﺑﻴﻪ ﺍﻟﻤﺘﺤﺪﻩ‬
Policy of the U.A.E.

Policy Number : 2120004285 ‫ﺭﻗﻢ ﻭﺛﻴﻘﺔ ﺍﻟﺘﺄﻣﻴﻦ‬


Type of Cover : Comprehensive Cover ‫ﻧﻮﻉ ﺍﻟﺘﺄﻣﻴﻦ‬
(Against Loss Damage & Third Party Liability)
Name of the Insured : Vaseem Abdul Samad ‫ﺍﺳﻢ ﺍﻟﻤﺆﻣﻦ ﻟﻪ‬
Make of vehicle : BMW - 320 I - Private ‫ﻧﻮﻉ ﺍﻟﻤﺮﻛﺒﺔ‬
Type of Body : Saloon ‫ﺷﻜﻞ ﺍﻟﻬﻴﻜﻞ‬
Registration Number : ‫ﺭﻗﻢ ﺍﻟﻤﺮﻛﺒﺔ‬
Year of Manufacture : 2012 ‫ﺳﻨﺔ ﺍﻟﺼﻨﻊ‬
Chassis Number : WBA3B1109CF096429 ‫ﺭﻗﻢ ﺍﻟﺸﺎﺳﻲ‬
Engine Number : B0510173 ‫ﺭﻗﻢ ﺍﻟﻤﺤﺮﻙ‬
Colour : Silver ‫ﻟﻮﻥ ﺍﻟﻤﺮﻛﺒﺔ‬
Seating capacity : 5 ‫ﻋﺪﺩ ﺍﻟﻤﻘﺎﻋﺪ‬
Mortgage : ‫ﺟﻬﺔ ﺍﻟﺮﻫﻦ‬
Value of Insured Vehicle : AED 35,000.00 ‫ﺗﻘﺪﻳﺮ ﺍﻟﻤﺆﻣﻦ ﻟﻪ ﻟﻘﻴﻤﺔ ﺍﻟﺴﻴﺎﺭﺓ‬
Premium : AED 910.00 ‫ﺍﻟﻘﺴﻂ‬
Commencement date of Insurance : 01/03/2021 15:22:00 ‫ﺗﺎﺭﻳﺦ ﺍﺑﺘﺪﺍﺀ ﺍﻟﺘﺄﻣﻴﻦ‬
Expiry Date Of Insurance : 31/03/2022 23:59:00 ‫ﺗﺎﺭﻳﺦ ﺍﻧﺘﻬﺎﺀ ﺍﻟﺘﺄﻣﻴﻦ‬

Date : 01/03/2021 16:17:02 ‫ﺗﺎﺭﻳﺦ‬

RTA Uploading Status ‫ﻫﻴﺌﺔ ﺍﻟﻄﺮﻕ ﻭﺍﻟﻤﻮﺍﺻﻼﺕ ﺍﻻﺳﺘﺠﺎﺑﺔ‬

The Insurance policy added successfully.Plate(41162/ABU DHABI/SIXTH CATEGORY/PRIVATE) Chassis


No(WBA3B1109CF096429) TCF No(2150018241)

QIC DUBAI

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