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    18 views13 pages

    Cover Notes

    Uploaded by

    Jerome Buretta
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    Copyright:

    © All Rights Reserved
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    of 13
    Britam Insurance (Tanzania) Limited e PPF Tower, 2nd Floor, Ohio Street / Garden Avenue P.O. Box 75433, Dar es Salaam ri m Tel: +255 22 21 38058, 2129384 - 7 Fax +255 22 2138059 With you every step of the way E-mail: info@britam.co.tz Website: www.britam.co.tz Our presence 03685 Sokoine Road, Arusha, | Miman iy, Dar es Sataam, No.M 636852 Kenyatta Road, Mwanza, | Lamate Building, Dodoma, Century Piaze, Mbeya | Agha Kan Road, Mtwara MOTOR INSURANCE COVER NOTE ‘The policyholder described in the Certificate below having proposed for insurance in respect ofthe Motor Vehicle described in the Getfcate and having paid the sum of Fghs/USD 2.0000 F-......as premium in terms of the Insurance Act 2009 respect of ...: This is to certify that the below mentioned vehicle is insured in terms of: MOTOR VEHICLE INSURANCE (THIRD PARTY RISKS) ORDINANCE 1945 (TANGANYIKA) (SECTION -7) AND MOTOR VEHICLE (THIRD PARTY RISKS) DECREE 1953 (ZANZIBAR) (SECTION - 6) The Insurance Regulations, 2009 - Premium Payment: Your Insurance will be valid only if; 1. Full premium for motor insurance is paid at the time of inception (starting) of cover. CERTIFICATE OF IN: NCE Sticker No. 97697462 We hereby certify that a Policy of Insurance covering the liabilities required to be coverd by the above mentioned legislation has been issued as follows: Particulars of Policyholder: Name of Policyholder: MBUYEKU ENTERPRWSEes/MMBeAN ABSicy No.__ NEW Address: P'O BOX 4B05 bo Tel: Call: E-mail: Period of Cover: From:_Q. og] a0rg ke ablor/anr4 Usage:__ PRWATE New [y] / Renewal [7]/ Extension [] / Replacement, Particulars Vehicle Covered: aca Make of Model of iene [ayes ‘Canying Value fee | te | See | ge | | [ec ce 5431 TI 4 TA Fave) SCANT “iants| PRACT food | ao | 1Pd Additional Cover: 1. Music System. 2. Wind Screen Date of Issue 21 loslewe vowtime IBLF. sBEAIACE.. i. ie For CHIEF EXECUTIVE OFFICER AIGINAL COPY (WHITE) - CUSTOMER, 2. BLUE COPY (NSURERI 3. GREEN COPY (AGENT/BROKER) 4 PINK COPY (BOOK) Name of Insuring Officer Signature Britam Insurance (Tanzania) Limited n e PPF Tower, 2nd Floor, Ohio Street / Garden Avenue P.O. Box 75433, Dar es Salaam Tel: +255 22 21 38058, 2129384 - 7 Fax +255 22 2138059 With you every step of the way E-mail: info@britam.co.tz Website: www.britam.co.tz Our presence Sokoine Road, Arusha, Milman! Cty, Dares Sataam, No.M097944 Kenyatta Road, Mwenza, | Lamate Building, Dodoma, Contury Plaza, Mbeya | Agha Kan Road, Mtwara MOTOR INSURANCE COVER NOTE The policyholder described in the Certificate below having proposed for insurance in respect of the Motor Vehicle described in the Certificate and having paid the sum of TShs/USD 226.000.......as premium in terms of the Insurance Act 2009 respect of . lover. This is to certify that the below mentioned vehicle is insured in terms of: ,OTOR VEHICLE INSURANCE (THIRD PARTY RISKS) ORDINANCE 1945 (TANGANYIKA) (SECTION -7) AND MOTOR VEHICLE (THIRD PARTY RISKS) DECREE 1953 (ZANZIBAR) (SECTION - 6) The Insurance Regulations, 2009 - Premium Payment: Your Insurance will be valid only if; 1. Full premium for motor insurance is paid at the time of inception (starting) of cover. CERTIFICATE OF INSURANCE, Sticker No. 9430255 We hereby certify that a Policy of Insurance covering the liabilities required to be coverd by the above mentioned legislation has been issued as follows: Particulars of Policyholder: Name of Policyholder: MUNEKU ENTERPRIGS [Tb | Policy No. TAA Address: Fp) -Bor 9305 |AsR-Ext~(Pth6M Cell: OF64.3 74944 E-mail: Period of Gover: From:_{0/02/QUIZ To:_04 oy la Usage:__ COMMERCIAL New [7] / Renewal [7]/ Extension [~] / Replacement Particulars Vehicle Covered: ae | Me bee coo Seal ones of ag |neggs Peal a ine Numbers No. Body Capacity Nehicle_ 5 faz sr ioe IMITCUBLSH} CANTER ausS PicRUF] 8569} 199) | 2 PPD i aii Additional Cover: 4. Music System. Dateotlssue DLs are Name of Insuring Officer ....2. Wind Screen. . Any Other. Broker/Agent’s Stam ma Signature INSURANCE GROUP OF TANZANIA LIMITED Meare: {EIHFLCORACNSTMENT HOUSE OR ENE 20.804 ot, OARES SHLAA RKC Tessas teva ab ane oss zed Enulifogico Mette nent oe INTERIM Col OTE itor Vehicle Insuran inno: [28720 sncuen na: [FO GS I56 | Whereas the policy holder described in the sticker above Sip be for insurance for Motor Vehicle described in the certificate and having paid the sum of... as premium, the vehicle/s is fare hereby covered in terms of the company's usual form of Lefer. policy applicable thereto for the period specified in the certificate issued pursuant to The MotorAdhicle Insufance (Third Party Ricks) net, sage The policy holder warrants that the Motor Vehicle will not be used for a purpose other than that stipulated In the Limitations to use clause the policy, ous orto Widiceen nit oon 1. tadtorape Recorder tue remiom chat —_Z0. ©. Nea bary Loading LL 4 in - J Antual Prenlam charged ox} :

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