ENDORSEMENT

Particulars & Calculations MOTOR CYCLE THEFT , TOTAL LOSS AND THIRD PART
CLIENT : 807338 DATE OF ISSUE : 01/02/2023
EFFECTIVE DATE / DAYS : 01/02/2023 213 Days
AGENCY : 000221
ENDORSEMENT NO. : KHI/HO/HO/D/MO/MC TTT/E/22955/02/2023
ATTACHED TO AND FORMING PART OF POLICY NO. : KHI/HO/D/MO/MC TTT/P/63322/09/2022

THE COMPANY : SALAAM TAKAFUL LIMITED

NAME OF THE PARTICIPANT : Atif Raza
CNIC# 42201-2076760-1
CELL# 0323-8213177

ADDRESS : House No. D-283, Bhattai Colony, Korangi Crossing, Karachi

PERIOD OF COVERAGE : FROM : 02/09/2022 TO: 01/09/2023 (BOTH DAYS INCLUSIVE)

Particulars of Risks and Situations :-

Seating Capacity Participant's Estimate

Registration Make Type of Cubic Year of of Value (Rs.)
Mark Vehicle Name Body / Capacity Manuf-
Colour (C.C./H.P.) acture

Details As Per Schedule Attached 242,000

VALUE : Rupees Two Hundred Forty-Two Thousand Only.

Other Details As Per Policy

CONTRIBUTION CALCULATION
Contribution on P.E.V Rs. 5,089 Gross Contribution Rs. 4,856
Total Rs. 5,089 Add: Federal Insurance Fee 1% Rs. 49
Terrorism Contribution Rs. -233 Add: Federal Excise Duty/Sales Tax 13% Rs. 631
Sub Total Rs. 4,856 Total Contribution Rs. 5,536

IT IS HEREBY DECLARED AND AGREED THAT AT THE REQUEST OF THE PARTICIPANT, THE ABOVE VEHICLE, COVERED UNDER THE WITHIN MENTIONED
POLICY HAS BEEN REPLACED BY ANOTHER VEHICLE WITH EFFECT FROM 01/02/2023

IN CONSEQUENCE WHEREOF 5,536/- FOR 213 DAYS ON PRO RATE BASIS AS UNDER IS HEREBY CHARGED TO THE PARTICIPANT .

ALL OTHER TERMS, CONDITIONS & WARRANTIES OF THE POLICY REMAIN UNALTERED.