Personal Motor Takaful Certificate

‫وﺛﯿﻘﺔ ﺗﻜﺎﻓﻞ ﻣﺮﻛﺒﺔ‬

This is to confirm that a Takaful Certificate has been issued in respect of

the vehicle details below as per the Unified Motor Takaful of the U.A.E.

‫ﺗﺸﮭﺪ ھﺬه اﻟﻮﺛﯿﻘﺔ اﻟﺘﻜﺎﻓﻠﯿﺔ ﺑﺘﻐﻄﯿﺔ اﻟﻤﺴﺆوﻟﯿﺎت اﻟﻤﻨﺼﻮص ﻋﻠﯿﮭﺎ ﻓﻰ ﻗﻮاﻧﯿﻦ دوﻟﺔ اﻹﻣﺎرات اﻟﻌﺮﺑﯿﮫ اﻟﻤﺘﺤﺪة وﻗﺪ ﺻﺪرت ﻛﺎﻵﺗﻲ‬

Certificate Details
Participant: Mr MUHAMMAD BEHZAD KHAN :‫اﺳﻢ اﻟﻤﺸﺎرك‬
Address: Dubai, UAE :‫اﻟﻌﻨﻮان‬
Mortgaged to: :‫ﺟﮭﺔ اﻟﺮھﻦ‬
Date of issue: 14/10/2020 04:08 PM :‫ﺗﺎرﯾﺦ اﻻﺻﺪار‬
Certificate no.: 0225037976 :‫رﻗﻢ اﻟﻮﺛﯿﻘﺔ‬
Make & model of vehicle: DODGE - CHALLENGER :‫ﻧﻮع اﻟﻤﺮﻛﺒﺔ‬
Year of manufacture: 2013 :‫ﺳﻨﺔ اﻟﺼﻨﻊ‬
Colour of vehicle: Black :‫ﻟﻮن اﻟﻤﺮﻛﺒﺔ‬
Traffic plate no.: V / 50489 :‫رﻗﻢ اﻟﻠﻮﺣﺔ‬
First registration date: 18/08/2018 :‫ﺗﺎرﯾﺦ اﻟﺘﺮﺧﯿﺺ‬
Registration Emirate: Dubai :‫ﺟﮭﺔ اﻟﺘﺮﺧﯿﺺ‬
Engine no.: 6354210275 :‫رﻗﻢ اﻟﻤﺤﺮك‬
Chassis no.: 2C3CDYCJ6DH562267 :‫رﻗﻢ اﻟﺸﺎﺻﻰ‬
Vehicle value agreed: AED 52,000.00 :‫ﻗﯿﻤﺔ اﻟﻤﺮﻛﺒﺔ اﻟﻤﺘﻔﻖ ﻋﻠﯿﮭﺎ‬
Excess/Deductibles: AED 350.00 :‫ﻗﯿﻤﺔ اﻟﺘﺤﻤﻞ اﻻﺟﺒﺎري‬
Date of commencement: 14/10/2020 04:07 PM :‫ﺗﺎرﯾﺦ اﻻﺻﺪار‬
Date of expiry: 13/11/2021 11:59 PM :‫ﺗﺎرﯾﺦ اﻹﻧﺘﮭﺎء‬
Type of cover: Comprehensive :‫ﻧﻮع اﻟﺘﻐﻄﯿﺔ‬
Type of body: COUPE :‫ﺷﻜﻞ اﻟﮭﯿﻜﻞ‬
Type of registration: Individual :‫ﻧﻮع اﻟﺘﺮﺧﯿﺺ‬
Seating capacity including driver: 5 :‫ﻋﺪد اﻟﺮﻛﺎب ﺑﻤﺎ ﻓﯿﮭﻢ اﻟﺴﺎﺋﻖ‬
Geographical area: UAE & Oman (Own damage only) :‫اﻟﺤﺪود اﻟﺠﻐﺮاﻓﯿﺔ‬
Other: :‫ﻏﯿﺮ ذﻟﻚ‬
Important Notices: ‫ﻣﻼﺣﻈﺎت ھﺎﻣﺔ‬

1. In the event of an accident please inform the Traffic ‫ ﻛﻤﺎ ﯾﺠﺐ اﻟﺤﺼﻮل ﻋﻠﻰ‬،‫ﻓﻲ ﺣﺎﻟﺔ وﻗﻮع اﻟﺤﺎدث ﯾﺮﺟﻰ ﺗﺒﻠﯿﻎ إدارة اﻟﻤﺮور واﻟﺸﺮﻛﺔ ﻓﻮرا‬ (i)
Department and the company immediately & obtain a police ‫ﺗﻘﺮﯾﺮ اﻟﺸﺮﻃﺔ‬
report.
2. In the event of change of ownership of the vehicle the cover is ‫ﻓﻰ ﺣﺎﻟﺔ ﺗﻐﯿﯿﺮ ﻣﻠﻜﯿﺔ اﻟﻤﺮﻛﺒﺔ ﻓﺈن اﻟﺘﻐﻄﯿﺔ ﻻ ﺗﻨﺘﻘﻞ اﻟﻲ اﻟﻤﺸﺘﺮي ﺗﻠﻘﺎﺋﯿﺎ‬ (ii)
not transferable to the owner automatically. Please return this ‫ﯾﺮﺟﻰ إرﺟﺎع اﻟﺸﮭﺎدة إﻟﻰ اﻟﺸﺮﻛﺔ ﻓﻲ أﻗﺮب ﻓﺮﺻﺔ واﻟﺤﺼﻮل ﻋﻠﻰ ﺗﻐﻄﯿﺔ ﺟﺪﯾﺪة‬
certificate to the company immediately and arrange the new
cover.
3. Subject otherwise to the terms condition and limitations of the ‫ﺧﺎﺿﻌﺔ ﻟﺸﺮوط وأﺣﻜﺎم واﺳﺘﺜﻨﺎءات اﻟﻮﺛﯿﻘﺔ‬ (iii)
Takaful Certificate.

Date: 14/10/2020 Time: 16:08:36 :‫اﻟﻮﻗﺖ‬ 14/10/2020 :‫اﻟﺘﺎرﯾﺦ‬

Signed on behalf of the company : Stamp: :‫اﻟﺨﺘﻢ‬ :‫ﻋﻦ اﻟﺸﺮﻛﺔ‬
NOOR TAKAFUL GENERAL Participant
PJSC
‫اﻟﻤﺸﺎرك‬
‫ع‬.‫م‬.‫ﻧﻮر ﻟﻠﺘﻜﺎﻓﻞ اﻟﻌﺎم ش‬

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