MOTOR VEHICLE INSURANCE POLICY ‫ﻭﺛﻴﻘﺔ ﺗﺄﻣﻴﻦ ﻣﺮﻛﺒﺔ ﻣﻴﻜﺎﻧﻴﻜﻴﺔ‬

THIS IS TO CERTIFY that the below mentioned vehicle is insured ‫ﺗﺸﻬﺪ ﺑﺄﻥ ﺍﻟﻤﺮﻛﺒﺔ ﺍﻟﻤﺬﻛﻮﺭﺓ ﺃﻭﺻﺎﻓﻬﺎ ﺃﺩﻧﺎﻩ ﻣﺆﻣﻨﺔ ﻟﺪﻳﻨﺎ‬
with our company in accordance with ministerial decree no(6) of the ‫ ﺑﺈﺻﺪﺍﺭ ﺍﻟﻼﺋﺤﺔ‬2010 ‫( ﻟﺴﻨﺔ‬6) ‫ﻭﻓﻘﺎ ﻟﻠﻘﺮﺍﺭ ﺍﻟﻮﺯﺍﺭﻱ ﺭﻗﻢ‬
year 2010 related to the issuance of the executive regulation for the ‫ﺍﻟﺘﻨﻔﻴﺬﻳﺔ ﻟﻘﺎﻧﻮﻥ ﺍﻟﻤﺮﻭﺭ ﺍﻟﺼﺎﺩﺭ ﺑﺎﻟﻤﺮﺳﻮﻡ ﺑﻘﺎﻧﻮﻥ ﺭﻗﻢ‬
law no (19) for the year 2007. (19) ‫ﻟﺴﻨﺔ‬
POLICY INFORMATION
Policy No. 2310041083 ‫ﺭﻗﻢ ﺍﻟﻮﺛﻴﻘﺔ‬
Insurance Period From 27/06/2023 03:00 To 30/06/2023 23:59 ‫ﻣﺪﺓ ﺍﻟﺘﺄﻣﻴﻦ ﻣﻦ‬
Type Of Cover Third Party Liability ‫ﺿﺪ ﺍﻟﻐﻴﺮ‬ ‫ﻧﻮﻉ ﺍﻟﺘﻐﻄﻴﺔ‬
Name of Insured awais khan ‫ﺇﺳﻢ ﺍﻟﻤﺆﻣﻦ ﻟﻪ‬
Address P.O.Box : ‫ﺍﻟﻌﻨﻮﺍﻥ‬

VEHICLE INFORMATION
Make and Type Toyota - Prius - ‫ﻧﻮﻉ ﺍﻟﺴﻴﺎﺭﺓ‬
Year of Manufacture ‫ﺳﻨﺔ ﺍﻟﺼﻨﻊ‬
Registration No. Z 82493 ‫ﺭﻗﻢ ﺍﻟﺘﺴﺠﻴﻞ‬
Plate Type () ‫ﻧﻮﻉ ﺍﻟﻠﻮﺣﺔ‬
Chassis No. ‫ﺭﻗﻢ ﺍﻟﻘﺎﻋﺪﺓ‬
Engine No. ‫ﺭﻗﻢ ﺍﻟﻤﺤﺮﻙ‬
Cylinders ‫ﻋﺪﺩ ﺍﻻﺳﻄﻮﺍﻧﺎﺕ‬

COVERAGES
Value of Insured Vehicle QAR .00 ( Only ) ‫ﺍﻟﻘﻴﻤﺔ ﺍﻟﺘﺄﻣﻴﻨﻴﺔ ﻟﻠﻤﺮﻛﺒﺔ‬
Premium QAR 120.00 ( One Hundred Twenty Only ) ‫ﺍﻟﻘﺴﻂ‬
Deductibles ‫ﻗﻴﻤﺔ ﺍﻟﺘﺤﻤﻞ‬
No of Passengers Covered ‫ﻋﺪﺩ ﺍﻟﺮﻛﺎﺏ ﺍﻟﻤﺆﻣﻦ ﻋﻠﻴﻬﻢ‬

APPLICABLE COVERS
Passenger Liability,Third Party Liability
Remarks :

Please refer Policy Terms and Conditions for more details. ‫ ﺣﺴﺐ ﺍﻟﻤﺮﻓﻖ‬: ‫ﺍﻟﺸﺮﻭﻁ‬

Own damage insurance: ‫ﺗﺄﻣﻴﻦ ﺟﺴﻢ ﺍﻟﻤﺮﻛﻴﺔ‬

If the cover under this policy is extended to include the own damage to the ‫ﺇﺇﺫﺍ ﺇﻣﺘﺪﺕ ﺍﻟﺘﻐﻄﻴﺔ ﻓﻲ ﻫﺬﻩ ﺍﻟﻮﺛﻴﻘﺔ ﻟﺘﺸﻤﻞ ﺟﺴﻢ ﺍﻟﻤﺮﻛﺒﺔ ﺍﻟﻤﺆﻣﻨﺔ‬
insured vehicle, this additional cover shall be subject to the conditions of the ,‫ﻓﺈﻥ ﻫﺬﻩ ﺍﻟﺘﻐﻄﻴﺔ ﺍﻹﺿﺎﻓﻴﺔ ﺗﺨﻀﻊ ﻟﺸﺮﻭﻁ ﺍﻟﺘﺄﻣﻴﻦ ﺍﻹﺧﺘﻴﺎﺭﻱ‬
optional insurance. ‫ﺍﻟﻤﺮﻓﻘﺔ ﻭﺍﻟﺘﻲ ﻭﺍﻓﻖ ﻋﻠﻴﻬﺎ ﻭﺇﺳﺘﻠﻤﻬﺎ ﻃﺎﻟﺐ ﺍﻟﺘﺄﻣﻴﻦ‬
NOTE: This Policy was issued electronically and requires no physical signatures. Buying this policy online means that the insured has read, understood and
accepted the policy terms and conditions.A copy of the policy terms and conditions has been sent to the insured’s e-mail address.
NB: The insured vehicle will not be used for hire or reward unless clearly ‫ ﺍﻟﺴﻴﺎﺭﺓ ﺍﻟﻤﺆﻣﻦ ﻋﻠﻴﻬﺎ ﻏﻴﺮ ﻣﺨﺼﺼﺔ ﻟﻠﺘﺎﺟﻴﺮ ﺃﻭ ﺍﻟﻨﻘﻞ‬: ‫ﻣﻼﺣﻈﺔ ﻫﺎﻣﺔ‬
stated in the policy schedule ‫ﺑﺄﺟﺮ ﻣﺎﻟﻢ ﻳﺮﺩ ﻓﻲ ﺟﺪﻭﻝ ﺍﻟﻮﺛﻴﻘﺔ ﻧﺺ ﺻﺮﻳﺢ ﻳﺒﻴﺢ ﺫﻟﻚ‬
Date and Time of issue : 26-JUN-2023 09:57:53 26-JUN-2023 09:57:53 ‫ﺗﺎﺭﻳﺦ ﺍﻻﺻﺪﺍﺭ‬
Issued by: Online Direct Customers Customer Signature:

DOHA BRANCH
DOHA BRANCH
 COMPLAINTS PROCEDURE

If you have a complaint about our practices or performance, please call or write the details of your complaint to:

Tel No: 8000QIC (8000 -742)

Email : info@qic-insured.com

If you feel we’ve not considered all of your issues or you can provide further information kindly log on to our website
and register your complaint using the form

www.qic-insured.com

We will acknowledge we have received your complaint within 24 hours. Where possible, we will outline the steps we
proposed to take to sort out your complaint.

If for any reason you are still not satisfied, kindly write to:

Manager - Process ExcellenceQATAR INSURANCE

COMPANYP.O. Box: 666Tel No: 44485 813
Email : syed.khaleel@qic.com.qa

In addition to the above, there is availability of customer dispute resolution scheme at Qatar Central Bank (QCB)

P.O. Box 1234Doha QatarTel. No.

+974-4445 6456

DOHA BRANCH