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19 views2 pages

107 SCH TP 318801 0

Uploaded by

افغان افغان
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Al – Buhaira National Insurance Co.

MOTOR INSURANCE POLICY SCHEDULE


(Third Party Liability)
(‫ﺟﺪﻭﻝ ﺍﻟﺒﻴﺎﻧﺎﺕ ﻟﻮﺛﻴﻘﺔ ﺗﺄﻣﻴﻦ ﺍﻟﻤﺮﻛﺒﺔ )ﺿﺪ ﺍﻟﻐﻴﺮ‬
Policy No: P/11/101/20/934078 :‫ﺭﻗﻢ ﺍﻟﻮﺛﻴﻘﺔ‬

Insured’s details ‫ﺑﻴﺎﻧﺎﺕ ﺍﻟﻤﺆﻣﻦ ﻟﻪ‬


Name of Insured ALI RAHSID AL MANSOURY TRANSPORT ‫ﺍﺳﻢ ﺍﻟﻤﺆﻣﻦ ﻟﻪ‬
Nationality / Age United Arab Emirates (29 Years) ‫ ﺍﻟﻌُﻤﺮ‬/ ‫ﺍﻟﺠﻨﺴﻴﺔ‬
Address / Phone Sharjah /0504754412 ‫ ﺍﻟﻬﺎﺗﻒ‬/ ‫ﺍﻟﻌﻨﻮﺍﻥ‬
ID Card No. 111-1111-1111111-1 ‫ﺭﻗﻢ ﺍﻟﻬﻮﻳﺔ‬
(‫ﻣﺪﺓ ﺍﻟﺘﺄﻣﻴﻦ )ﻛﻼ ﺍﻟﺘﺎﺭﻳﺨﻴﻦ‬
Period of Insurance (Both Dates Inclusive) From:12/05/2020 TIME: 12:27, To: 11/06/2021 TIME: 23:59
‫ﻣﺸﻤﻮﻟﻴﻦ‬
Premium AED 1,092.00 ‫ﻗﺴﻂ ﺍﻟﺘﺄﻣﻴﻦ‬

Vehicle’s details ‫ﺑﻴﺎﻧﺎﺕ ﺍﻟﻤﺮﻛﺒﺔ‬


‫ﺳﻨﺔ ﺍﻟﺼﻨﻊ‬ ‫ﺷﻜﻞ ﺍﻟﻬﻴﻜﻞ‬ ‫ﻧﻮﻉ ﺍﻟﻤﺮﻛﺒﺔ ﻭﺍﻟﻤﻮﺩﻳﻞ‬ ‫ﺍﻟﻐﺮﺽ ﻣﻦ ﺍﻟﺘﺮﺧﻴﺺ‬ ‫ﺭﻗﻢ ﺍﻟﻠﻮﺣﺔ‬
Year of MFR. Type of Body Make and Model Vehicle’s Permit Plate No
1989 PICKUP MITSUBISHI CANTER Corporate Sharjah 56179
‫ﺭﻗﻢ ﺍﻟﻤﺤﺮﻙ‬ ‫ﺭﻗﻢ ﺍﻟﻘﺎﻋﺪﺓ‬ ‫ﻗﻮﺓ ﺍﻟﻤﺤﺮﻙ ﺑﺎﻷﺣﺼﻨﺔ‬ ‫ﻋﺪﺩ ﺍﻟﺮﻛﺎﺏ ﻣﻊ ﺍﻟﺴﺎﺋﻖ‬ ‫ﻟﻮﻥ ﺍﻟﻤﺮﻛﺒﺔ‬
Engine Number Chassis CC / HP Seating capacity including Driver Vehicle’s Color
568859 FK415KA20418 3 White

Coverages and benefits: :‫ﺍﻟﺘﻐﻄﻴﺎﺕ ﻭﺍﻟﻤﻨﺎﻓﻊ‬


▪ Third Party Bodily Injury ‫ﺍﻟﻤﺴﺆﻭﻟﻴﺔ ﺍﻟﻤﺪﻧﻴﺔ ﻋﻦ ﺍﻵﺿﺮﺍﺭ ﺍﻟﺠﺴﻤﺎﻧﻴﺔ‬ ▪
▪ Third Party Property Damage ‫ﺍﻟﻤﺴﺆﻭﻟﻴﺔ ﺍﻟﻤﺪﻧﻴﺔ ﻋﻦ ﺍﻵﺿﺮﺍﺭ ﺍﻟﻤﺎﺩﻳﺔ‬ ▪
▪ Ambulance Services Cover ‫ﺗﻐﻄﻴﺔ ﺧﺪﻣﺔ ﺍﻹﺳﻌﺎﻑ‬ ▪
▪ Personal Accident Benefit Cover to Driver ‫ﺗﻐﻄﻴﺔ ﺍﻟﺤﻮﺍﺩﺙ ﺍﻟﺸﺨﺼﻴﺔ ﻟﻠﺴﺎﺋﻖ‬ ▪

Geographic Area : UNITED ARAB EMIRATES ‫ﺩﻭﻟﺔ ﺍﻹﻣﺎﺭﺍﺕ ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﻤﺘﺤﺪﺓ‬ : ‫ﺍﻟﺤﺪﻭﺩ ﺍﻟﺠﻐﺮﺍﻓﻴﺔ‬
Limit of 1. The company’s maximum liability in respect of paragraph (‫ﺍﻟﺤﺪ ﺍﻻﻗﺼﻰ ﻟﻤﺴﺆﻭﻟﻴﺔ ﺍﻟﺸﺮﻛﺔ ﺑﺎﻟﻨﺴﺒﺔ ﻟﻠﻔﻘﺮﺓ )ﺃ‬ .1 ‫ﺗﺤﺪﻳﺪ‬
‫ﻣﻦ ﺍﻟﺒﻨﺪ‬
Liability : (a) of clause 1 of section 2 in respect of any one claim or ‫( ﻣﻦ ﺍﻟﻔﺼﻞ ﺍﻟﺜﺎﻧﻲ ﻋﻦ ﺍﻳﺔ ﻣﻄﺎﻟﺒﺔ ﺃﻭ ﺟﻤﻠﺔ ﻣﻄﺎﻟﺒﺎﺕ‬1) : ‫ﺍﻟﻤﺴﺆﻭﻟﻴﺔ‬
series of Claims resulting from one accident is the sum ‫ﻧﺸﺄﺕ ﻋﻦ ﺣﺎﺩﺙ ﻭﺍﺣﺪ ﻫﻮ ﻗﻴﻤﺔ ﻣﺎ ﻳُﺤﻜﻢ ﺑﻪ ﺗﻌﻮﻳﺾ‬
Awarded by the court Whatever it may be. ‫ﻣﻬﻤﺎ ﺑﻠﻐﺖ ﻗﻴﻤﺘﻪ ﻗﻀﺎ ﺋﻴﺎﻣﻦ‬
2. The company’s maximum liability (TPPD) in respect of (‫ﺍﻟﺤﺪ ﺍﻻﻗﺼﻰ ﻟﻤﺴﺆﻭﻟﻴﺔ ﺍﻟﺸﺮﻛﺔ ﺑﺎﻟﻨﺴﺒﺔ ﻟﻠﻔﻘﺮﺓ )ﺏ‬ .2
‫ﻣﻦ‬
paragraph (b) of section 2 in respect of any one claim or ‫( ﻣﻦ ﻟﻔﺼﻞ ﺍﻟﺜﺎﻧﻲ ﻋﻦ ﺍﻳﺔ ﻣﻄﺎﻟﺒﺔ ﺃﻭ ﺟﻤﻠﺔ‬1) ‫ﺍﻟﺒﻨﺪ‬
‫ﻣﻄﺎﻟﺒﺎﺕ‬
series of claims resulting from one accident is ‫ﻧﺸﺄﺕ ﻋﻦ ﺣﺎﺩﺙ ﻭﺍﺣﺪ‬
Dh 2,000,000/- ( ‫ )ﻣﻠﻴﻮﻧﻴﻦ ﺩﺭﻫﻢ ﻓﻘﻂ‬Dh 2,000,000/-

Al Buhaira National insurance company declares that the Motor Vehicle detailed ‫ﺗُﻘﺮ ﺷﺮﻛﺔ ﺍﻟﺒﺤﻴﺮﺓ ﺍﻟﻮﻃﻨﻴﺔ ﻟﻠﺘﺄﻣﻴﻦ ﺑﺄﻥ ﺍﻟﻤﺮﻛﺒﺔ ﺍﻟﻮﺍﺭﺩﺓ ﺑﻴﺎﻧﺎﺗﻬﺎ‬
Al – Buhaira National Insurance Co.
MOTOR INSURANCE POLICY SCHEDULE
(Third Party Liability)
(‫ﺟﺪﻭﻝ ﺍﻟﺒﻴﺎﻧﺎﺕ ﻟﻮﺛﻴﻘﺔ ﺗﺄﻣﻴﻦ ﺍﻟﻤﺮﻛﺒﺔ )ﺿﺪ ﺍﻟﻐﻴﺮ‬
Policy No: P/11/101/20/934078 :‫ﺭﻗﻢ ﺍﻟﻮﺛﻴﻘﺔ‬

above in this Schedule is insured with it according to the provisions of this policy. ‫ﻓﻲ ﻫﺬﺍ ﺍﻟﺠﺪﻭﻝ ﻣُﺆﻣﻨﺔ ﻟﺪﻳﻬﺎ ﻷﺣﻜﺎﻡ ﻫﺬﻩ ﺍﻟﻮﺛﻴﻘﺔ‬
Date & Time 12/05/2020 @ 11:08 ‫ﺍﻟﺘﺎﺭﻳﺦ ﻭﺍﻟﻮﻗﺖ‬

Signed on behalf of: Al-Buhaira National Insurance Co. ‫ﻭﻗﻊ ﻋﻦ ﺷﺮﻛﺔ ﺍﻟﺒﺤﻴﺮﺓ ﺍﻟﻮﻃﻨﻴﺔ ﻟﻠﺘﺄﻣﻴﻦ‬

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