‫ﺷﮭﺎدة ﺗﺄﻣﯾن ﻣرﻛﺑﺎت ﺷﺎﻣل‬

‫‪Motor Comprehensive Insurance Certificate‬‬

‫ﻓرد‬ ‫ﻧوع اﻟﻣؤﻣن ﻟﮫ‬ ‫‪28/03/2022‬‬ ‫ﺗﺎرﯾﺦ اﻹﺻدار‬ ‫‪4220006600‬‬ ‫رﻗم اﻟوﺛﯾﻘﺔ‬
‫‪Individual‬‬ ‫‪Insured Type‬‬ ‫‪Issue Date‬‬ ‫‪Policy No.‬‬
‫‪28/03/2023‬‬ ‫إﻟﻰ ﺗﺎرﯾﺦ‬ ‫‪29/03/2022‬‬ ‫ﻣن ﺗﺎرﯾﺦ‬ ‫‪1‬‬ ‫رﻗم اﻟﻣﻠﺣﻖ‬
‫‪Date To‬‬ ‫‪Date From‬‬ ‫‪Endors No‬‬
‫ﺑﯾﺎﻧﺎت اﻟﻣؤﻣن ﻟﮫ ‪Insured Details‬‬
‫‪16-02-1418‬‬ ‫ﺗﺎرﯾﺦ اﻟﻣﯾﻼد‬ ‫‪1099409896‬‬ ‫ﻋﺑداﻻﻟﮫ ﻋﺑداﻟﻌزﯾز ﻋﺑدﷲ اﻟﻌﺛﯾﻣﯾن رﻗم اﻟﮭوﯾﺔ‬ ‫اﺳم اﻟﻣؤﻣن ﻟﮫ‬
‫‪DOB‬‬ ‫‪ID No.‬‬ ‫‪Insured Name‬‬
‫‪0549999329‬‬ ‫رﻗم اﻟﺟوال‬ ‫اﻟرﯾﺎض‬ ‫ﻋﻧوان واﺻل‬
‫‪Mobile No.‬‬ ‫‪Wasel Address‬‬
‫ﺑﯾﺎﻧﺎت اﻟﻣرﻛﺑﺔ ‪Vehicle Details‬‬
‫‪863321710‬‬ ‫‪ KL1ZA5CS5KB109938‬اﻟرﻗم اﻟﺗﺳﻠﺳﻠﻲ‬ ‫رﻗم اﻟﮭﯾﻛل‬ ‫د ع ص ‪2880‬‬ ‫رﻗم اﻟﻠوﺣﺔ‬
‫‪Sequence No.‬‬ ‫‪Chassis No.‬‬ ‫‪2880 X E D‬‬ ‫‪Vehicle Plate No.‬‬
‫رﻗم اﻟﺑطﺎﻗﺔ اﻟﺟﻣرﻛﯾﺔ‬ ‫ازرق ﻏﺎﻣﻖ‬ ‫ﻟون اﻟﻣرﻛﺑﺔ‬ ‫ﺳﯾﺎرة ﺻﻐﯾرة ‪ 4‬ﺑﺎب‬ ‫ﻧوع اﻟﮭﯾﻛل‬
‫‪Custom ID‬‬ ‫‪Vehicle Color‬‬ ‫‪Small Car 4 Doors‬‬ ‫‪Body Type‬‬
‫‪2019‬‬ ‫ﺳﻧﺔ اﻟﺻﻧﻊ‬ ‫ﻣﺎﻟﯾﺑو‬ ‫ﻣودﯾل اﻟﻣرﻛﺑﺔ‬ ‫ﺷﯾﻔورﻟﯾﺔ‬ ‫ﻣﺎرﻛﺔ اﻟﻣرﻛﺑﺔ‬
‫‪Make Year‬‬ ‫‪Vehicle Model‬‬ ‫‪Vehicle Make‬‬
‫ﺳﯾﺎرة ﺧﺎﺻﺔ‬ ‫ﻧوع ﺗﺳﺟﯾل اﻟﻣرﻛﺑﺔ‬ ‫ﺗﺎرﯾﺦ إﻧﺗﮭﺎء رﺧﺻﺔ اﻟﺳﯾر‬ ‫ﺷﺧﺻﻲ‬ ‫ﻏرض اﻹﺳﺗﻌﻣﺎل‬
‫‪Private Car‬‬ ‫‪Plate Type‬‬ ‫‪20-08-1443‬‬ ‫‪Vehicle License Expiry‬‬ ‫‪Private‬‬ ‫‪Class of use‬‬
‫‪DT‬‬
‫داﺧل أراﺿﻲ اﻟﻣﻣﻠﻛﺔ اﻟﻌرﺑﯾﺔ اﻟﺳﻌودﯾﺔ‬ ‫اﻟﺣدود اﻟﺟﻐراﻓﯾﺔ‬
‫‪Within the territory of the Kingdom of Saudi Arabia‬‬ ‫‪Geographical Area‬‬
‫ﯾﺟب ﻋﻠﻰ اﻟﻣؤﻣن ﻟﮫ أن ﻻ ﯾﺳﺗﻌﻣل اﻟﻣرﻛﺑﺔ إﻻ ﻟﻠﻐرض اﻟﻣرﺧص ﻣن أﺟﻠﮫ‬ ‫ﻗﯾود اﻹﺳﺗﻌﻣﺎل‬
‫‪The insured must use the vehicle only for the purpose declared and licensed‬‬ ‫‪Restriction of Use‬‬
‫‪10,000,000.00‬﷼ ﻟﻸﺿرار اﻟﺟﺳدﯾﺔ واﻟﻣﺎدﯾﺔ ﻷي واﻗﻌﺔ واﺣدة وﻓﻲ اﻻﺟﻣﺎﻟﻲ ﺧﻼل ﻓﺗرة اﻟﺗﺄﻣﯾن‬ ‫ﺣدورد ﻣﺳﺋوﻟﯾﺔ اﻟطرف اﻟﺛﺎﻟث‬
‫‪SAR 10,000,000 for physical and material damage to any one incident and in the aggregate during the insurance‬‬ ‫‪Third Party Lability Limits‬‬
‫‪period‬‬
‫أﺳﻣﺎء اﻟﺳﺎﺋﻘﯾن اﻟﻣﺟﺎزﯾن ‪Names of Licensed Drivers‬‬
‫‪16-02-1418‬‬ ‫ﺗﺎرﯾﺦ اﻟﻣﯾﻼد‬ ‫‪1099409896‬‬ ‫ﻋﺑداﻻﻟﮫ ﻋﺑداﻟﻌزﯾز ﻋﺑدﷲ اﻟﻌﺛﯾﻣﯾن رﻗم اﻟﮭوﯾﺔ‬ ‫اﺳم اﻟﺳﺎﺋﻖ‬
‫‪DOB‬‬ ‫‪ID No.‬‬ ‫‪Driver Name‬‬
‫اﻟﺣﺎﻻت اﻟﺗﻲ ﺗﻠﺗزم اﻟﺷرﻛﺔ ﺑﺗﻌوﯾض اﻟﻐﯾر ﻋﻧﮭﺎ ﻣﻊ اﺣﺗﻔﺎظﮭﺎ ﺑﺣﻖ اﻟرﺟوع ﻋﻠﻲ اﻟﻣؤﻣن ﻟﺔ أو اﻟﺳﺎﺋﻖ أو اﻟﻣﺗﺳﺑب ﻓﻲ اﻟﺣﺎدث‬
‫اوﻻ‪ :‬ﻟﻠﺷرﻛﺔ ﺣﻖ اﻟرﺟوع ﻋﻠﻲ اﻟﻣؤﻣن ﻟﺔ أو اﻟﺳﺎﺋﻖ ﻻﺳﺗرداد ﻣﺎ دﻓﻌﺗﺔ ﻟﻠﻐﯾر ﻋن أي ﻣن اﻟﺣﺎﻻت اﻻﺗﯾﺔ‬
‫‪ .1‬أي ﻣﺳؤوﻟﯾﺔ أو ﻣﺻﺎرﯾف ﺗﻧﺷﺄ أو ﺗﺗرﺗب ﻋﻧدﻣﺎ ﺗﻛون اﻟﻣرﻛﺑﺔ‬
‫أ‪ -‬ﻣﺳﺗﻌﻣﻠﺔ ﻋﻠﻰ وﺟﺔ ﯾﺧﺎﻟف ﻗﺑود اﻻﺳﺗﻌﻣﺎل اﻟﻣﺑﯾن ﻓﻲ ﺟدول اﻟوﺛﯾﻘﺔ‬
‫ب‪ -‬ﺗﺣﻣل ﻋددا ﻣن اﻟرﻛﺎب ﯾﺗﺟﺎوز اﻟﺳﻌﺔ اﻟﻣﺻرح ﺑﮭﺎ ﻟﻠﻣرﻛﺑﺔ‪،‬وﺛﺑت ان ﺣﺻول اﻟﺣﺎدث ﻛﺎن ﺑﺳﺑب ھذا اﻟﺗﺟﺎوز‬
‫ج‪ -‬اﻟﺳﯾر ﺑﺎﻟﻣرﻛﺑﺔ ﻋﻛس اﺗﺟﺎة اﻟﺳﯾر‬
‫د‪ -‬اﻟﻘﯾﺎدة ﺗﺣت ﺗﺄﺛﯾر اﻟﻣﺧدرات أو اﻟﻣﺷروﺑﺎت اﻟﻛﺣوﻟﯾﺔ او اﻟﻌﻘﺎﻗﯾر اﻟطﺑﯾﺔ اﻟﺗﻲ ﻻ ﯾﺳﻣﺢ طﺑﯾﺎ ﺑﺎﻟﻘﯾﺎدة ﺑﻌد ﺗﻧﺎوﻟﮭﺎ‬
‫ه‪ -‬ﻗﯾﺎدة أي ﺷﺧص ﯾﻘل ﻋﻣرة ﻋن ‪ 18‬ﻋﺎﻣﺎ ھﺟرﯾﺎ ﻣﺎ ﻟم ﯾﻛن ھو اﻟﻣؤﻣن ﻟﺔ وﻣﺎ ﻟم ﯾرد اﺳﻣﺔ ﺿﻣن اﺳﻣﺎء اﻟﺳﺎﺋﻘﯾن اﻟﻣﺳﻣﯾن اﻟذﯾن ﺗﻘل اﻋﻣﺎرھم ﻋن ‪ 18‬ﺳﻧﺔ ﻓﻲ ﺟدول اﻟوﺛﯾﻘﺔ‬
‫و‪ -‬اذا ﺛﺑت ان ﻗﯾﺎدة اﻟﻣرﻛﺑﺔ ﺗﻣت دون اﻟﺣﺻول ﻋﻠﻰ رﺧﺻﺔ ﻗﯾﺎدة ﻟﻧوع اﻟﻣرﻛﺑﺔ طﺑﻘﺎ ﻷﻧظﻣﺔ واﻟﻠواﺋﺢ ذات اﻟﻌﻼﻗﺔ أ‪،‬و أن ﺗﻛون اﻟرﺧﺻﺔ ﻗد ﺻدر اﻣر ﺑﺳﺣﺑﮭﺎ ﻣن اﻟﺟﮭﺎت اﻟﻣﺧﺗﺻﺔ أ‪،‬و ﻛﺎﻧت ﻣﻧﺗﮭﯾﺔ وﻗت اﻟﺣﺎدث ﻣﺎﻟم ﯾﺟدد‬
‫اﻟرﺧﺻﺔ اﻟﻣﻧﺗﮭﯾﺔ ﺧﻼل ‪ 50‬ﯾوم ﻋﻣل ﻣن ﺗﺎرﯾﺦ اﻟﺣﺎدث‬
‫ز‪ -‬ھروب اﻟﺳﺎﺋﻖ ﻣن ﻣوﻗﻊ اﻟﺣﺎدث دون ﻋذر ﻣﻘﺑول‬
‫ح‪ -‬ﺗﺟﺎوز اﻻﺷﺎرة اﻟﺣﻣراء‬
‫اﻻدﻻء ﺑﺑﯾﺎﻧﺎت ﻏﯾر ﺻﺣﯾﺣﺔ او إﺧﻔﺎء ﺣﻘﯾﻘﺔ ﺟوھرﯾﺔ ﻓﻲ ﻧﻣوذج طﻠب اﻟﺗﺎﻣﯾن‬
‫‪ .2‬اذا ﺛﺑت وﻗوع اﻟﺣﺎدث ﻋﻣدا‬
‫‪ .3‬ﻋدم اﺑﻼغ اﻟﻣؤﻣن ﻟﺔ ﻟﻠﺷرﻛﺔ ﺧﻼل ﻋﺷرﯾن ﯾوم ﻋﻣل ﻋن اي ﺗﻐﯾﯾر ﺟوھري ﺻرح ﺑﺔ ﻓﻲ ﻧﻣوذج طﻠب اﻟﺗﺄﻣﯾن ﻣﻊ ﻣراﻋﺎة اﻟﻔﻘرة رﻗم ) ‪ (1‬ﻣن اﻟﻣﺎدة اﻟﺳﺎﺑﻌﺔ ﻟﻠوﺛﯾﻘﺔ اﻟﻣوﺣدة‬
‫‪ ، .4‬ﻓﺈن ﻟﻠﺷرﻛﺔ اﻟﺣﻖ اﻟرﺟوع ﻋﻠﻲ اﻟﻣﺗﺳﺑب ﻓﻲ اﻟﺣﺎدث أو اﻟﻣؤﻣن ﻟﺔ ﻓﻲ ﺣﺎل ﻟم ﯾﺧطر اﻟﺟﮭﺎت اﻟﻣﺧﺗﺻﺔ ﻋن اﻟﺳرﻗﺔ ﻻﺳﺗرداد ﺛﺎﻧﯾﺎ‪ :‬إذا ﻛﺎﻧت اﻟﻣرﻛﺑﺔ ﻣﺳروﻗﺔ او ﻣﺄﺧوذة ﻏﺻﺑﺎن‬

‫‪Important Notes:‬‬ ‫ﻣﻼﺣظﺎت ھﺎﻣﺔ‬

‫‪Please make sure that the personal data contained in the policy is correct‬‬
‫‪and notify the company by calling the unified number 920006088 should you‬‬
‫‪need any corrections.‬‬
‫‪This certificate is subject to the terms and conditions and the general‬‬
‫‪exceptions and limitations set forth as printed on the back of Saudi Central‬‬
‫‪Bank (The Unified Compulsory Motor Insurance Policy) and policy schedule.‬‬
‫ﻧظرا ﻷھﻣﯾﺔ اﻟﺑﯾﺎﻧﺎت اﻟواردة ﻓﻲ ھذه اﻟﺷﮭﺎدة اﻟرﺟﺎء اﻟﺗﺄﻛد ﻣﻧﮭﺎ واﻟﺗواﺻل ﻣﻊ اﻟﺷرﻛﺔ ﻋﻠﻰ اﻟرﻗم اﻟﻣوﺣد‬
‫‪ 920006088‬ﻓﻲ ﺣﺎل وﺟود أي إﺧﺗﻼف‬
‫ﺗﺧﺿﻊ ھذه اﻟﺷﮭﺎدة ﻟﻠﺷروط واﻷﺣﻛﺎم واﻹﺳﺗﺛﻧﺎءات اﻟﻌﺎﻣﺔ واﻟﺣدود اﻟﻣﻧﺻوص ﻋﻠﯾﮭﺎ ﺑﺎﻟوﺛﯾﻘﺔ اﻟﻣوﺣدة ﺑﺎﻟﺑﻧك ‪.‬‬
‫اﻟﻣرﻛزي اﻟﺳﻌودي واﻟﻣرﻓﻘﺔ ﻣﻊ اﻟﺷﮭﺎدة وﺟدول اﻟوﺛﯾﻘﺔ‬
 ‫ﺟدول وﺛﯾﻘﺔ ﺗﺄﻣﯾن ﺷﺎﻣل‬
Policy Information ‫ﺑﯾﺎﻧﺎت اﻟوﺛﯾﻘﺔ‬
Policy No 4220006600 ‫رﻗم اﻟوﺛﯾﻘﺔ‬
Customer No. ‫رﻗم اﻟﻌﻣﯾل‬
Point Of Sale Online ‫ﻧﻘطﺔ اﻟﺑﯾﻊ‬
From 29/03/2022 ‫ﻣن‬
Period ‫ﻓﺗرة اﻟﺗﺄﻣﯾن‬
To 28/03/2023 ‫اﻟﻰ‬
Issue date 28/03/2022 ‫ﺗﺎرﯾﺦ إﺻدار اﻟوﺛﯾﻘﺔ‬
Business Source TAMEENI ‫اﻟوﺳﯾط‬/ ‫اﺳم اﻟوﻛﯾل‬
Number of vehicles 1 ‫ﻋدد اﻟﻣرﻛﺑﺎت‬
Total Sum Insured 69,967.00 ‫اﺟﻣﺎﻟﻲ ﻗﯾﻣﺔ اﻟﻣرﻛﺑﺎت‬
Issuance fees ‫رﺳوم اﻻﺻدار‬
GWP 1,904.83 ‫اﺟﻣﺎﻟﻲ اﻟﻘﺳط ﻗﺑل اﻟﺿرﯾﺑﺔ‬
VAT 285.72 ‫ﺿرﯾﺑﺔ اﻟﻘﯾﻣﺔ اﻟﻣﺿﺎﻓﺔ‬
Total 2,190.55 ‫اﺟﻣﺎﻟﻲ اﻟﻘﺳط ﺑﻌد اﻟﺿرﯾﺑﺔ‬

Policy Holder Information ‫ﺑﯾﺎﻧﺎت ﺣﺎﻣل اﻟوﺛﯾﻘﺔ‬

Policy Holder Name ‫ﻋﺑداﻻﻟﮫ ﻋﺑداﻟﻌزﯾز ﻋﺑدﷲ اﻟﻌﺛﯾﻣﯾن‬ ‫اﺳم اﻟﻣؤﻣن ﻟﮫ‬
Insured Type ‫ﻓرد‬ ‫ﻧوع اﻟﻣؤﻣن ﻟﮫ‬
Individual
Phone 0549999329 ‫رﻗم اﻟﮭﺎﺗف‬
ID No. 1099409896 ‫رﻗم اﻟﮭوﯾﺔ‬
Address ‫اﻟرﯾﺎض‬ ‫اﻟﻌﻧوان‬

Limit of Liability ‫ﺣدود اﻟﻣﺳؤوﻟﯾﺔ‬

In the event of an accident giving rise to payment of indemnity in
accordance with the terms of this policy,the company's liability ,for any
one occurrance and durang the period of the insurance policy for bodily
damages (including blood money and the estimated amounts for injuries
and medical expenses ) together with material damages , will not exceed
atotal amount of 10,000,000 SR (ten million saudi Riyals), as the maximum
libility of the company
Territorial Limit :Kingdom of saudi Arabia
‫ﻓﻲ ﺣﺎﻟﺔ وﻗوع ﺣﺎدث ﯾﺗرﺗب ﻋﻠﯾﺔ دﻓﻊ ﺗﻌوﯾض وﻓﻘﺎ ﻷﺣﻛﺎم ھذة اﻟوﺛﯾﻘﺔ ﻓﺈن اﻟﺣد اﻻﻗﺻﻲ ﻟﻣﺳﺋوﻟﯾﺔ اﻟﺷرﻛﺔ ﻓﻲ‬
‫اﻟواﻗﻌﺔ اﻟواﺣدة وﺧﻼل ﻓﺗرة ﺳرﯾﺎن وﺛﯾﻘﺔ اﻟﺗﺎﻣﯾن ﺑﺎﻟﻧﺳﺑﺔ ﻟﻼﺿرار اﻟﺟﺳدﯾﺔ ﺑﻣﺎ ﻓﻲ ذﻟك اﻟدﯾﺎت واﻟﻣﺑﺎﻟﻎ‬
‫اﻟﻣﻘدرة ﻋن اﻻﺻﺎﺑﺎت واﻟﻣﺻﺎرﯾف اﻟطﺑﯾﺔ واﻻﺿرار اﻟﻣﺎدﯾﺔ ﻣﻌﻧﺎ ﻟن ﺗﺗﺟﺎوز ﻣﺑﻠﻐﺎ اﺟﻣﺎﻟﯾﺎ ﻗدرة‬
‫ ﷼ )ﻋﺷرة ﻣﻼﯾﯾن ﷼ ﺳﻌودي (ﺣد اﻗﺻﻲ ﻟﻣﺳﺋوﻟﯾﺔ اﻟﺷرﻛﺔ‬10,000,000
‫ اﻟﻣﻣﻠﻛﺔ اﻟﻌرﺑﯾﺔ اﻟﺳﻌودﯾﺔ‬: ‫اﻟﺣدود اﻟﺟﻐراﻓﯾﺔ‬

Natural Perils coverage ‫ﺗﻐطﯾﺔ اﻟﻌواﻣل اﻟطﺑﯾﻌﯾﺔ‬

Under this section ,coverage extended to loss or damage covered under
the section one of this policy shall be extended to any insured vehicle (s) ‫ﺑﻣوﺟب ھذا اﻟﻘﺳم ﺗﻣﺗد اﻟﺗﻐطﯾﺔ اﻟﻣﻣﻧوﺣﺔ ﻟﺗﺷﻣل اﻟﺧﺳﺎرة او اﻟﺿرر اﻟﻣﻐطﺎة ﺗﺣت اﻟﻘﺳم اﻻول ﻣن ھذة اﻟوﺛﯾﻘﺔ‬
resulting from any of the following natural climatic perils (Rain water , ‫اﻟﺳﯾول‬،‫اﻟﺑرد‬،‫اﻟﻔﯾﺿﺎﻧﺎت‬،‫ﻣﯾﺎة اﻻﻣطﺎر‬:‫ﻟﻠﻣرﻛﺑﺔ اﻟﻣؤﻣﻧﺔ واﻟﻧﺎﺗﺟﺔ ﻋن اي ﻣن اﻻﺧطﺎر اﻟطﺑﯾﻌﯾﺔ اﻟﻣﻧﺎﺧﯾﺔ اﻟﺗﺎﻟﯾﺔ‬
floods, Hail, Torrents)

Signed from the company ‫اﻟﺗوﻗﯾﻊ ﻋن اﻟﺷرﻛﺔ‬

company stamp ‫ﺧﺗم اﻟﺷرﻛﺔ‬

User Id : Tameeni Issue Date : 28/03/2022

Extra Benefits

Limit of amount of the Company’s liability towards third parties’ bodily injury ‫اﻟﺣد اﻷﻗﺻﻰ ﻟﻣﺳؤوﻟﯾﺔ اﻟﺷرﻛﺔ ﻓﻲ اﻟواﻗﻌﺔ اﻟواﺣدة وﺧﻼل ﻓﺗرة ﺳرﯾﺎن وﺛﯾﻘﺔ اﻟﺗﺄﻣﯾن ﺑﺎﻟﻧﺳﺑﺔ ﻟﻸﺿرار اﻟﺟﺳدﯾﺔ )ﺑﻣﺎ‬
(including blood money and all estimated amounts for bodily injuries and ً ‫ﻓﻲ ذﻟك اﻟدﯾﺎت واﻟﻣﺑﺎﻟﻎ اﻟﻣﻘدرة ﻋن اﻹﺻﺎﺑﺎت واﻟﻣﺻﺎرﯾف اﻟطﺑﯾﺔ( واﻷﺿرار اﻟﻣﺎدﯾﺔ ﻣﻌﺎ ً ﻟن ﺗﺗﺟﺎوز ﻣﺑﻠﻐﺎ ً إﺟﻣﺎﻟﯾﺎ‬
medical expenses) and property damages, any one accident and during the ‫ ﷼ )ﻋﺷرة ﻣﻼﯾﯾن ﷼ ﺳﻌودي( ﺣداً أﻗﺻﻰ ﻟﻣﺳﺋوﻟﯾﺔ اﻟﺷرﻛﺔ‬10,000,000 ‫ﻗدره‬
period of the policy, shall not exceed SR 10,000,000 ‫ﻣﺳؤوﻟﯾﺔ اﻟطرف اﻟﺛﺎﻟث ﻋن اﻻﺿرار اﻟﺟﺳدﯾﺔ‬
Third party liability for bodily damages ‫ﺗﻐطﯾﺔ اﻟﺣراﺋﻖ‬
Fire ‫ﺗﻐطﯾﺔ اﻟﺧﺳﺎرة اﻟﻛﻠﯾﺔ أو اﻟﺟزﺋﯾﺔ ﻟﻠﻣرﻛﺑﺔ‬
Coverage for total or partial loss of Vehicle ‫اﻻﺿرار اﻟﻌرﺿﯾﺔ‬
Accidental damage ‫ﺗﻐطﯾﺔ اﻟﺳرﻗﺎت‬
Theft ‫)اﻟﻣﺻﺎرﯾف اﻟطﺑﯾﺔ )ﻟﻼﺳﻌﺎﻓﺎت اﻷوﻟﯾﺔ‬
Medical expenses ‫اﻟﻛوارث اﻟطﺑﯾﻌﯾﺔ‬
Natural Perils
 List of Vehicles

Policy No End. # :1 End. Type:Initial Name of Insured :‫ﻋﺑداﻻﻟﮫ ﻋﺑداﻟﻌزﯾز ﻋﺑدﷲ‬

:4220006600 ‫اﻟﻌﺛﯾﻣﯾن‬
Year Plate Seating Seq./Cust. Premium Declared Type of Deductible
# Manufacturer Use Model Chassis type Chassis Number
Manufactured Number Capacity # SR Amount SR. Repair SR.
4 ‫ﺳﯾﺎرة ﺻﻐﯾرة‬ ‫دعص‬
‫اﻟورﺷﺎت‬
‫ﺷﺧﺻﻲ‬ ‫ﺑﺎب‬ 2880
1 ‫ﺷﯾﻔورﻟﯾﺔ‬ ‫ﻣﺎﻟﯾﺑو‬ 2019 KL1ZA5CS5KB109938 5 863321710 2,190.55 69,967.00 ‫اﻟﻣﻌﺗﻣدة‬ 10,000.00
Private Small Car 4 2880 X E
Workshop
Doors D