MOTOR VEHICLE INSURANCE CERTIFICATE

‫ﺷﻬـﺎﺩﺓ ﺗﺄﻣﻴــﻦ ﻣﺮﻛﺒـﻪ‬

This is to certify that a policy of insurance has been issued in‫ﺑﻬﺬﺍ ﻧﺸﻬﺪ ﺑﺄﻧﻨﺎ ﺃﺻﺪﺭﻧﺎ ﻭﺛﻴﻘـﺔ ﺗﺄﻣﻴﻦ ﻟﻠﻤﺮﻛﺒـﺔ ﺍﻟﻤﺒﻴﻨـﻪ ﺃﻭﺻﺎﻓﻬﺎ ﺍﺩﻧﺎﻩ ﻭﺫﻟﻚ ﻭﻓﻘﺎ ﻻﺣﻜﺎﻡ‬
respect of the vehicle details below as per the Unified Motor ‫ﻭﺛﻴﻘﺔ ﺗﺄﻣﻴﻦ ﺍﻟﺴﻴﺎﺭﺍﺕ ﺍﻟﻤﻮﺣﺪﺓ ﺑﺪﻭﻟﻪ ﺍﻻﻣﺎﺭﺍﺕ ﺍﻟﻌﺮﺑﻴﻪ ﺍﻟﻤﺘﺤﺪﻩ‬
Policy of the U.A.E.

Policy Number : 2220028517 ‫ﺭﻗﻢ ﻭﺛﻴﻘﺔ ﺍﻟﺘﺄﻣﻴﻦ‬

Type of Cover : Comprehensive Cover ‫ﻧﻮﻉ ﺍﻟﺘﺄﻣﻴﻦ‬
(Against Loss Damage & Third Party Liability)
Name of the Insured : Jinu Thomson Joy ‫ﺍﺳﻢ ﺍﻟﻤﺆﻣﻦ ﻟﻪ‬
Make of vehicle : Chevrolet - Equinox - Private ‫ﻧﻮﻉ ﺍﻟﻤﺮﻛﺒﺔ‬
Type of Body : 4X4 ‫ﺷﻜﻞ ﺍﻟﻬﻴﻜﻞ‬
Registration Number : ‫ﺭﻗﻢ ﺍﻟﻤﺮﻛﺒﺔ‬
Year of Manufacture : 2018 ‫ﺳﻨﺔ ﺍﻟﺼﻨﻊ‬
Chassis Number : 3GNAX9DXXJS506447 ‫ﺭﻗﻢ ﺍﻟﺸﺎﺳﻲ‬
Engine Number : CJS506447 ‫ﺭﻗﻢ ﺍﻟﻤﺤﺮﻙ‬
Colour : Blue ‫ﻟﻮﻥ ﺍﻟﻤﺮﻛﺒﺔ‬
Seating capacity : 5 ‫ﻋﺪﺩ ﺍﻟﻤﻘﺎﻋﺪ‬
Mortgage : ‫ﺟﻬﺔ ﺍﻟﺮﻫﻦ‬
Value of Insured Vehicle : AED 64,000.00 ‫ﺗﻘﺪﻳﺮ ﺍﻟﻤﺆﻣﻦ ﻟﻪ ﻟﻘﻴﻤﺔ ﺍﻟﺴﻴﺎﺭﺓ‬
Premium : AED 1,102.50 ‫ﺍﻟﻘﺴﻂ‬
Commencement date of Insurance : 03/07/2022 00:00:00 ‫ﺗﺎﺭﻳﺦ ﺍﺑﺘﺪﺍﺀ ﺍﻟﺘﺄﻣﻴﻦ‬
Expiry Date Of Insurance : 02/08/2023 23:59:59 ‫ﺗﺎﺭﻳﺦ ﺍﻧﺘﻬﺎﺀ ﺍﻟﺘﺄﻣﻴﻦ‬

Date : 03/07/2022 12:39:12 ‫ﺗﺎﺭﻳﺦ‬

RTA Uploading Status ‫ﻫﻴﺌﺔ ﺍﻟﻄﺮﻕ ﻭﺍﻟﻤﻮﺍﺻﻼﺕ ﺍﻻﺳﺘﺠﺎﺑﺔ‬

The Insurance policy added successfully.But chassis no. is not identified in Unified Traffic System

QIC DUBAI