CERT NO: MV/MC/CERT-41304/07/2020 VAT Reg. No.

1814011612

PARTICULARS OF THE VEHICLE

Carrying Capacity
Registration Marks & Number Make of Vehicle H.P/CC
Passenger Goods

DHAKA-METRO-GA-31-7696 TOYOTA 1500 1+4 0

COROLLA X
Type of Body Year of Mfg. Full Insured Value
Private Vehicle 2005 TK. 0
Engine No 1NZ-B894830 Chassis No NZE121-0379415

NAME OF THE INSURED & ADDRESS :

1. MR.ISHTIAQUE AHMED MIAZEE , HOUSE NO 35/F/7,FLAT NO A3,ROAD NO

02,SHAMOLY,DHAKA.
OCCUPATION:

Commencement Date of Insurance for the Purpose of the Act. From____________ AM/PM on
2020-07-03 to Midnight on 2021-07-02
Persons or Classes of persons entitled to drive : a) The Insured. b) any other person who is driving on the
insured's order or with his/their permission. Provided that the person driving holds or had held and has not
been disqualified for holding an effective driving license with all the required endorsements thereon as per the
Motor Vehicle Act, 1991 and the Rules made there under for the time being in force to drive the category of
Motor vehicle insured hereunder.

GEOGRAPHICAL AREA : BANGLADESH

LIMITATIONS AS TO USE

Private Vehicle
Compulsory Excess : 1%of the sum insured in each & every claim subject to a Minimum Tk. 5000
for Commercial Vehicle only.
I/We hereby certify that the Policy to which this Certificate relates as well as this Certificate of
Insurance is issued in accordance with the Provisions of Chapter IX of Motor Vehicle Act 1991

Present Address
Head Office: Police Plaza PREMIUM COMPUTATION
Concord, Tower-2 (6th
Floor), Plot-2, Road-144, Total Days 365 Days
Gulshan-1, Dhaka-1212. Amount Tk. 263
Phone: 88-02-55045202-05,
Fax: 88-02-55045206 Driver Amount Tk. 30
Email: Passenger Tk. 180
info@nitolinsurance.com VAT Tk. 70.95
Web: nitolinsurance.com Total Amount Tk. 543.95

For & on behalf of

ISSUING OFFICE: HEAD OFFICE Nitol Insurance Company Ltd.
DATE OF ISSUE 2020/07/01
Authorized Signature