Insurance Policy No.

: 40/9017/90/2020/46385 40/9017/90/2020/46385 : ‫ﺭﻗﻢ ﺍﻟﻮﺛﻴﻘﺔ‬

Policy Type : Third Party Liability Insurance Policy ‫ ﺷﻬﺎﺩﺓ ﺗﺄﻣﻴﻦ ﺿﺪ ﺍﻟﻐﻴﺮ‬: ‫ﻧﻮﻉ ﺍﻟﻮﺛﻴﻘﺔ‬
Name of Insured : MIRZA SALMAN AHMED MIRZA SALMAN AHMED : ‫ﺍﺳﻢ ﺍﻟﻤﺆﻣﻦ ﻟﻪ‬
TCF No : 13720620 13720620 : ‫ﺍﻟﺮﻣﺰ ﺍﻟﻤﺮﻭﺭﻱ‬

Address : DUBAI PO BOX 5555 PO BOX 5555 DUBAI: ‫ﺍﻟﻌﻨﻮﺍﻥ‬

Period of Cover : 21/05/2020 11:24:00 To: 20/06/2021 23:59:59 20/06/2021 23:59:59 ‫ ﺍﻟﻰ‬21/05/2020 11:24:00 : ‫ﻓﺘﺮﺓ ﺍﻟﺘﻐﻄﻴﺔ‬

This is to certify that the under-mentioned vehicle is insured with ‫ﻧﺸﻬﺪ ﺑﺄﻥ ﺍﻟﻤﺮﻛﺒﺔ ﺍﻟﻤﺬﻛﻮﺭﺓ ﺃﻭﺻﺎﻓﻬﺎ ﺃﺩﻧﺎﻩ ﻣﺆﻣﻨﺔ ﻟﺪﻳﻨﺎ ﺿﺪ ﺍﻷﺧﻄﺎﺭ ﺍﻟﺘﻲ ﻧﺼﺖ ﻋﻠﻴﻬﺎ ﺍﻟﻮﺛﻴﻘﺔ‬
us as per the terms, conditions and exclusions of the unified ‫ﺍﻟﻤﻮﺣﺪﺓ ﺍﻟﺼﺎﺩﺭﺓ ﻋﻦ ﻫﻴﺌﺔ ﺍﻟﺘﺄﻣﻴﻦ‬
Insurance policy of the Insurance Authority .
Particulars of Covered Vehicle
Chassis No. Engine No. Year of Manufacture Vehicle Make & Model Plate No
‫ﺭﻗﻢ ﺍﻟﺸﺎﺳﻴﻪ‬ ‫ﺭﻗﻢ ﺍﻟﻤﺤﺮﻙ‬ ‫ﺳﻨﺔ ﺍﻟﺼﻨﻊ‬ ‫ﻣﻮﺩﻳﻞ ﺍﻟﻤﺮﻛﺒﺔ‬ ‫ﺭﻗﻢ ﺍﻟﺘﺴﺠﻴﻞ‬
4T1CE38P95U510229 NIL 2005 TOYOTA CAMRY 57346

Vehicle Value Seating Capacity Color Type Type of Body No. of Cylinder
‫ﻗﻴﻤﺔ ﺍﻟﻤﺮﻛﺒﺔ ﺍﻟﻤﺼﺮﺡ ﺑﻬﺎ‬ ‫ﻋﺪﺩ ﺍﻟﻤﻘﺎﻋﺪ‬ ‫ﺍﻟﻠﻮﻥ‬ ‫ﺍﻟﻐﺮﺽ ﻣﻦ ﺍﻟﺘﺮﺧﻴﺺ‬ ‫ﺷﻜﻞ ﺍﻟﻬﻴﻜﻞ‬ ‫ﻋﺪﺩ ﺍﻟﺴﻠﻨﺪﺭﺍﺕ‬
0 5 Golden Private Vehicle Coupe Four Cylinder
‫ﺫﻫﺒﻲ‬ ‫ﺧﺼﻮﺻﻴﺔ‬
Geographical Limits : United Arab Emirates ‫ ﺍﻷﻣﺎﺭﺍﺕ ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﻤﺘﺤﺪﺓ‬: ‫ﺍﻟﺤﺪﻭﺩ ﺍﻟﺠﻐﺮﺍﻓﻴﺔ‬
Repair conditions : : ‫ﺷﺮﻭﻁ ﺍﻻﺻﻼﺡ‬

Limit of Liability and Priority Conditions ‫ﺗﺤﺪﻳﺪ ﺍﻟﻤﺴﺆﻭﻟﻴﺔ ﻭﺷﺮﻭﻁ ﻟﻬﺎ ﺍﻷﻭﻟﻮﻳﺔ‬
‫ ﺍﻟﺤﺪ ﺍﻷﻗﺼﻰ ﻟﻤﺴﺆﻭﻟﻴﺔ ﺍﻟﺸﺮﻛﺔ ﺑﺎﻟﻨﺴﺒﺔ ﻟﻠﻔﻘﺮﺓ ﺃﻟﻒ ﻣﻦ ﺍﻟﺒﻨﺪ ﺍﻷﻭﻝ ﻣﻦ ﺍﻟﻔﺼﻞ ﺍﻟﺜﺎﻧﻲ ﻣﻦ ﺃﻳﺔ ﻣﻄﺎﻟﺒﺔ ﺃﻭ ﺟﻤﻠﺔ‬.1
1. The Company’s maximum liability in respect of paragraph (a) of Clause (1) ‫ﻣﻄﺎﻟﺒﺎﺕ ﻧﺷﺄﺕ ﻋﻦ ﺣﺎﺩﺙ ﻭﺍﺣﺪ ﻫﻮ ﻗﻴﻤﺔ ﻣﺎ ﻳﺤﻜﻢ ﺑﻪ ﻗﺎﻧﻮﻧﺎ‬.
of Section Two in respect of any claim or series of claims resulting from
one accident is the sum awarded by court.
2. The Company’s maximum liability in respect of paragraph (b) of Clause (a) ‫ ﺍﻟﺤﺪ ﺍﻷﻗﺼﻰ ﻟﻤﺴﺆﻭﻟﻴﺔ ﺍﻟﺸﺮﻛﺔ ﺑﺎﻟﻨﺴﺒﺔ ﻟﻠﻔﻘﺮﺓ ﺑﺎﺀ ﻣﻦ ﺍﻟﻔﺼﻞ ﺍﻟﺜﺎﻧﻲ ﺃﻟﻒ ﻋﻦ ﺃﻳﺔ ﻣﻄﺎﻟﺒﺔ ﻧﺸﺄﺕ ﻋﻦ ﺣﺎﺩﺙ‬.2
of Section two in respect of any one claim or series of claims resulting ‫ﻭﺍﺣﺪ ﻣﻠﻴﻮﻧﻲ ﺩﺭﻫﻢ‬
from one accident is AED 2,000,000.
Licensed Driver: the insured or any person driving with his permission ‫ ﺍﻟﻤﺆﻣﻦ ﻟﻪ ﺃﻭ ﺃﻱ ﺷﺨﺺ ﻳﻘﻮﺩ ﺍﻟﻤﺮﻛﺒﺔ ﺑﺄﺫﻥ ﺃﻭ ﺃﻣﺮ‬:‫ﺍﻟﺴﺎﺋﻖ ﺍﻟﻤﺮﺧﺺ ﻟﻪ‬
provided that the person driving holds a license for that vehicle in accordance ‫ﻣﻦ ﺍﻟﻤﺆﻣﻦ ﻟﻪ ﺑﺸﺮﻁ ﺃﻥ ﻳﻜﻮﻥ ﺍﻟﺴﺎﺋﻖ ﻣﺮﺧﺼﺎ ﻟﻪ ﺑﻘﻴﺎﺩﺓ ﺍﻟﻤﺮﻛﺒﺔ ﺫﺍﺕ‬
with the traffic lows & regulations and not had his license withdrawn by order ‫ﺍﻟﻔﺌﺔ ﻃﺒﻘﺎ ﻟﻘﺎﻧﻮﻥ ﺍﻟﺴﻴﺮ ﻭﺍﻟﻤﺮﻭﺭ ﻭﺍﻟﻘﻮﺍﻧﻴﻦ ﻭﺍﻟﻠﻮﺍﺋﺢ ﺍﻷﺧﺮﻯ‬
of a court ‫ﻭﺃﻥ ﻻ ﻳﻜﻮﻥ ﺍﻟﺘﺮﺧﻴﺺ ﺍﻟﻤﻤﻨﻮﺡ ﻟﻪ ﻗﺪ ﺃﻟﻐﻲ ﺑﺄﻣﺮ ﻣﻦ ﺍﻟﻤﺤﻜﻤﺔ ﺃﻭ ﺑﻤﻘﺘﻀﻰ‬
‫ﻗﻮﺍﻧﻴﻦ ﻭﻟﻮﺍﺋﺢ ﺍﻟﻤﺮﻭﺭ‬
Conditions ‫ﺍﻟﺸﺮﻭﻁ‬
Additional Covers : ‫ﺍﻟﺘﻐﻄﻴﺎﺕ ﺍﻻﺿﺎﻓﻴﺔ‬
- 24/7 Roadside Service. IMC (8004101) (3 times in a year with in the same ‫ ﻣﺮﺍﺕ ﻓﻲ ﺍﻟﺴﻨﺔ ﺩﺍﺧﻞ‬3 / ‫( ﻋﻠﻰ ﻣﺪﺍﺭ ﺍﻟﺴﺎﻋﺔ‬8004101) ‫ ﻟﻄﻠﺐ ﺍﻟﺨﺪﻣﺔ‬. ‫ﺧﺪﻣﺔ ﺍﻟﻤﺴﺎﻋﺪﺓ ﻋﻠﻰ ﺍﻟﻄﺮﻳﻖ‬
emirate) ‫ﻧﻔﺲ ﺍﻹﻣﺎﺭﺓ‬
- Personal Accident Benefits - Driver ‫ ﺍﻟﺴﺎﺋﻖ‬- ‫ ﺗﺄﻣﻴﻦ ﺍﻟﺤﻮﺍﺩﺙ ﺍﻟﺸﺨﺼﻴﺔ‬-

* Policy vehicle details, have been successfully uploaded through emirates ‫* ﺗﻢ ﺗﺤﻤﻴﻞ ﺍﻟﻮﺛﻴﻘﺔ ﺑﻨﺠﺎﺡ ﻣﻦ ﺧﻼﻝ ﺍﻟﺒﻮﺍﺑﺔ ﺍﻻﺗﺤﺎﺩﻳﺔ ﻟﻠﻤﺮﻛﺒﺎﺕ ﻣﻊ ﺩﻓﻊ ﺍﻟﺮﺳﻮﻡ‬
vehicle gate and charges are paid.
- Total Insurance Premium AED 630.00 630.00 ‫ ﺃﺟﻤﺎﻟﻲ ﻗﺴﻂ ﺍﻟﺘﺄﻣﻴﻦ ﺩﺭﻫﻢ‬-

Al Wathba National Insurance Co

(ALHOSSON_4) Insured ‫ﺗﻮﻗﻴﻊ ﺍﻟﻤﺆﻣﻦ ﻟﻪ‬

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E-Mail : [email protected] Website : www.awnic.com Contact Center : 600544040
 Road Risk Only: :‫ﺗﻐﻄﻴﺔ ﺍﻟﻄﺮﻳﻖ ﺍﻟﻌﺎﻡ ﻓﻘﻂ‬
The policy will cover road risk only unless otherwise. .‫ﺗﻐﻄﻲ ﻫﺬﻩ ﺍﻟﻮﺛﻴﻘﺔ ﺍﻟﻄﺮﻳﻖ ﺍﻟﻌﺎﻡ ﻓﻘﻂ ﺇﻻ ﺃﺫﺍ ﺫﻛﺮ ﻏﻴﺮ ﺫﻟﻚ‬

Limit Of Use : : ‫ﻗﻴﻮﺩ ﺍﻷﺳﺘﻌﻤﺎﻝ‬

The insured must not use the vehicle except for that it is licensed for. ‫ﻳﺠﺐ ﻋﻠﻰ ﺍﻟﻤﺆﻣﻦ ﻟﻪ ﺃﻥ ﻻ ﻳﺴﺘﻌﻤﻞ ﺍﻟﺴﻴﺎﺭﺓ ﺇﻻ ﻟﻠﻐﺮﺽ ﺍﻟﻤﺮﺧﺺ ﻣﻦ ﺃﺟﻠﻪ‬
VAT Clause for New Insurance policies.
All Amounts mentioned herein are exclusive of Value Added Tax ‫ﺑﻨﺪ ﺿﺮﻳﺒﺔ ﺍﻟﻘﻴﻤﺔ ﺍﻟﻤﻀﺎﻓﺔ ﻋﻠﻰ ﻭﺛﺎﺋﻖ ﺍﻟﺘﺄﻣﻴﻦ ﺍﻟﺠﺪﻳﺪﺓ‬
("VAT") or any similar taxes. ‫ﻳﺴﺘﺜﻨﻰ ﻣﻦ ﻛﺎﻓﺔ ﺍﻟﻤﺒﺎﻟﻎ ﺍﻟﻮﺍﺭﺩﺓ ﻓﻲ ﻫﺬﻩ ﺍﻟﻮﺛﻴﻘﺔ ﻋﻠﻰ ﺿﺮﻳﺒﺔ ﺍﻟﻘﻴﻤﺔ ﺍﻟﻤﻀﺎﻓﺔ ﺃﻭ ﺃﻱ ﺿﺮﺍﺋﺐ ﻣﻤﺎﺛﻠﺔ‬
The Company (Insurer) reserves its right to apply and collect VAT or ‫ ﺣﺎﻝ‬،‫ﺗﺤﺘﻔﻆ ﺍﻟﺸﺮﻛﺔ )ﺍﻟﻤﺆﻣﻦ( ﺑﺤﻘﻬﺎ ﻓﻲ ﺗﻄﺒﻴﻖ ﺿﺮﻳﺒﺔ ﺍﻟﻘﻴﻤﺔ ﺍﻟﻤﻀﺎﻓﺔ ﺃﻭ ﺃﻱ ﺿﺮﻳﺒﺔ ﻣﻤﺎﺛﻠﺔ ﻭﺗﺤﺼﻴﻠﻬﺎ‬
any similar tax, if it is applicable on insurance premium or any other ‫ﻣﺴﺘﺤﻘﺔ ﺍﻟﺴﺪﺍﺩ ﻓﻴﻤﺎ ﻳﺘﻌﻠﻖ ﺑﻮﺛﻴﻘﺔ ﺍﻟﺘﺄﻣﻴﻦ‬/‫ ﻋﻠﻰ ﻗﺴﻂ ﺍﻟﺘﺄﻣﻴﻦ ﺃﻭ ﺃﻱ ﻣﺼﺎﺭﻳﻒ ﺃﺧﺮﻯ ﻣﺪﻓﻮﻋﺔ‬،‫ﺗﻄﺒﻴﻘﻬﺎ‬.
charges paid/ payable in relation to this insurance policy retrospectively ‫ ﺃﻭ ﻓﻴﻤﺎ ﺑﻌﺪ ﻣﻦ ﺗﺎﺭﻳﺦ‬،‫ﻭﺗﻄﺒﻖ ﺷﺮﻛﺔ ﺍﻟﺘﺄﻣﻴﻦ ﻫﺬﻩ ﺍﻟﻀﺮﻳﺒﺔ ﺑﺄﺛﺮ ﺭﺟﻌﻲ ﻭﺫﻟﻚ ﻣﻦ ﺗﺎﺭﻳﺦ ﺍﻟﻌﻤﻞ ﺑﻬﺎ‬
from inception or prospectively from the date of implementation of the ‫ﺗﻄﺒﻴﻖ ﻗﺎﻧﻮﻥ ﺍﻟﻘﻴﻤﺔ ﺍﻟﻤﻀﺎﻓﺔ ﺃﻭ ﺃﻱ ﻗﻮﺍﻧﻴﻦ ﻭﻟﻮﺍﺋﺢ ﺃﺧﺮﻯ ﻣﻤﺎﺛﻠﺔ ﻣﻌﻤﻮﻝ ﺑﻬﺎ ﺩﺍﺧﻞ ﺩﻭﻟﺔ ﺍﻹﻣﺎﺭﺍﺕ‬
VAT law or any other similar laws and regulations as implemented in ‫ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﻤﺘﺤﺪﺓ‬.
UAE.
‫"ﻭﻳﺠﺐ ﺳﺪﺍﺩ ﺿﺮﻳﺒﺔ ﺍﻟﻘﻴﻤﺔ ﺍﻟﻤﻀﺎﻓﺔ ﺃﻭ ﺃﻱ ﺿﺮﻳﺒﺔ ﺃﺧﺮﻯ ﻣﻤﺎﺛﻠﺔ ﻣﺴﺘﺤﻘﺔ ﺍﻟﺴﺪﺍﺩ ﻛﺎﻣﻠﺔ ﻓﻲ ﻏﻀﻮﻥ‬..."
The VAT or any similar tax shall be payable in full within "…" working ‫ﺃﻳﺎﻡ ﻣﻦ ﺗﺎﺭﻳﺦ ﺇﺻﺪﺍﺭ ﺍﻟﻔﺎﺗﻮﺭﺓ‬.
days from the invoice date.
‫ﻭﺗﺤﺘﻔﻆ ﺷﺮﻛﺔ ﺍﻟﺘﺄﻣﻴﻦ ﺑﺤﻘﻬﺎ ﻓﻲ ﺗﺤﺼﻴﻞ ﻓﺎﺭﻕ ﺿﺮﻳﺒﺔ ﺍﻟﻘﻴﻤﺔ ﺍﻟﻤﻀﺎﻓﺔ ﺃﻭ ﺃﻱ ﺿﺮﻳﺒﺔ ﻣﻤﺎﺛﻠﺔ ﻓﻲ ﺣﺎﻝ‬
We reserve the right to collect the differential of VAT or any similar tax, ‫ﻛﺎﻥ ﺗﻘﻴﻴﻢ ﺿﺮﻳﺒﺔ ﺍﻟﻘﻴﻤﺔ ﺍﻟﻤﻀﺎﻓﺔ ﺃﻭ ﺃﻱ ﺿﺮﻳﺒﺔ ﺃﺧﺮﻯ ﻣﻦ ﺟﺎﻧﺐ ﺍﻟﻬﻴﺌﺎﺕ ﺍﻟﻀﺮﻳﺒﻴﺔ ﻣﺨﺘﻠﻔﺍ ﻋﻦ ﺍﻟﻘﻴﻤﺔ‬
in the event that VAT or any similar tax treatment as assessed by the ‫ﺍﻟﺘﻲ ﺗﻄﺒﻘﻬﺎ ﺍﻟﺸﺮﻛﺔ ﻭﺗﺤﺼﻠﻬﺎ‬
relevant tax authorities is different from that as applied and collected.

* Discount has been applied based on the client confirmation of no

claims. ‫* ﺗﻢ ﻣﻨﺢ ﺍﻟﺨﺼﻢ ﺑﻨﺎﺀ ﻋﻠﻰ ﺗﺄﻛﻴﺪ ﺍﻟﻌﻤﻴﻞ ﺑﻌﺪﻡ ﻭﺟﻮﺩ ﺣﻮﺍﺩﺙ‬

Al Wathba National Insurance Co Insured ‫ﺗﻮﻗﻴﻊ ﺍﻟﻤﺆﻣﻦ ﻟﻪ‬

(ALHOSSON_4)

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E-Mail : [email protected] Website : www.awnic.com Contact Center : 600544040