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(‫ﺗﺄﻣﻴﻦ ﺍﻟﻤﺮﻛﺒﺎﺕ ﺍﻹﻟﺰﺍﻣﻲ )ﻣﺠﻤﻮﻋﺎﺕ‬

Motor Compulsory Insurance (Group)


A-AZSF-1-B-15-023 :‫ﺭﻗﻢ ﺗﻌﺮﻳﻒ ﺍﻟﻤﻨﺘﺞ‬
Product ID: A-AZSF-1-B-15-023
Motor Vehicle information ‫ﺑﻴﺎﻧﺎﺕ ﺍﻟﻤﺮﻛﺒﺔ‬
Certificate Number: 10 10:‫ﺭﻗﻢ ﺍﻟﺸﻬﺎﺩﺓ‬
Policy No: MFT/3971215/Endors#208705 MFT/3971215/Endors#208705 :‫ﺭﻗﻢ ﺍﻟﻮﺛﻴﻘﺔ‬
Name of Insured: Tawkelat for Financing Company ‫ﺷﺮﻛﺔ ﺗﻮﻛﻴﻼﺕ ﻟﻠﺘﻤﻮﻳﻞ ﺷﺮﻛﺔ ﺷﺨﺺ ﻭﺍﺣﺪ‬ :‫ﺍﺳﻢ ﺍﻟﻤﺆﻣﻦ ﻟﻪ‬
Registration Plate No.: :‫ﺭﻗﻢ ﻟﻮﺣﺔ ﺍﻟﻤﺮﻛﺒﺔ‬
Chassis No.: BCEHH100PBHL00970 BCEHH100PBHL00970 :‫ﺭﻗﻢ ﺍﻟﻬﻴﻜﻞ‬
Vehicle Color: Yellow Yellow :‫ﻟﻮﻥ ﺍﻟﻤﺮﻛﺒﺔ‬
Vehicle Registration Expiry 00-00-0000 00-00-0000 :‫ﺗﺎﺭﻳﺦ ﺍﻧﺘﻬﺎﺀ ﺭﺧﺼﺔ ﺍﻟﺴﻴﺮ‬
Date:
Type of Chassis: Equipment Equipment :‫ﻧﻮﻉ ﻫﻴﻜﻞ ﺍﻟﻤﺮﻛﺒﺔ‬
Customs Card No.: 3023197465 3023197465 : ‫ﺭﻗﻢ ﺍﻟﺒﻄﺎﻗﺔ ﺍﻟﺠﻤﺮﻛﻴﺔ‬
Vehicle Make: BULL BULL :‫ﻣﺎﺭﻛﺔ ﺍﻟﻤﺮﻛﺒﺔ‬
Year of Manufacture: 2024 2024 :‫ﺳﻨﺔ ﺍﻟﺘﺼﻨﻴﻊ‬
Vehicle Model: AV490 AV490 :‫ﻃﺮﺍﺯ ﺍﻟﻤﺮﻛﺒﺔ‬
Type of registration plate: Public Transport Public Transport :‫ﻧﻮﻉ ﺗﺴﺠﻴﻞ ﺍﻟﻤﺮﻛﺒﺔ‬
Type of insurance: Third Party Liability Insurance ‫ﺗﺄﻣﻴﻦ ﺍﻟﻤﺴﺆﻭﻟﻴﺔ ﺍﻟﻤﺪﻧﻴﺔ ﺿﺪ ﺍﻟﻄﺮﻑ ﺍﻟﺜﺎﻟﺚ‬ :‫ﻧﻮﻉ ﺍﻟﺘﻐﻄﻴﺔ‬
Geographic borders: On Saudi Arabia territories ‫ﺩﺍﺧﻞ ﺃﺭﺍﺿﻲ ﺍﻟﻤﻤﻠﻜﺔ ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﺴﻌﻮﺩﻳﺔ‬ :‫ﺍﻟﺤﺪﻭﺩ ﺍﻟﺠﻐﺮﺍﻓﻴﺔ‬
Coverage period: From day: Wednesday ‫ ﺍﻷﺭﺑﻌﺎﺀ‬:‫ﻣﻦ ﻳﻮﻡ‬ :‫ﻓﺘﺮﺓ ﺍﻟﺘﻐﻄﻴﺔ‬
Dated: 08/11/2023 2023/11/08 :‫ﺗﺎﺭﻳﺦ‬
Time: 12:00 AM AM 12:00 :‫ﺍﻟﺴﺎﻋﺔ‬
To day: Tuesday ‫ ﺍﻟﺜﻼﺛﺎﺀ‬:‫ﺍﻟﻰ ﻳﻮﻡ‬
Dated: 18/06/2024 2024/06/18 :‫ﺗﺎﺭﻳﺦ‬
Time: 11:59 PM PM 11:59 :‫ﺍﻟﺴﺎﻋﺔ‬
Serial Number 0 0 ‫ﺍﻟﺮﻗﻢ ﺍﻟﺘﺴﻠﺴﻠﻲ‬
(‫ﺗﺄﻣﻴﻦ ﺍﻟﻤﺮﻛﺒﺎﺕ ﺍﻹﻟﺰﺍﻣﻲ )ﻣﺠﻤﻮﻋﺎﺕ‬
Motor Compulsory Insurance (Group)
A-AZSF-1-B-15-023 :‫ﺭﻗﻢ ﺗﻌﺮﻳﻒ ﺍﻟﻤﻨﺘﺞ‬
Product ID: A-AZSF-1-B-15-023

Optional insurance :‫ﺍﻟﺘﻐﻄﻴﺎﺕ ﺍﻻﺧﺘﻴﺎﺭﻳﺔ‬


coverages:
Death and physical injuries Covered ‫ﻣﻐﻄﻰ‬ ‫ﺍﻟﻮﻓﺎﺓ ﻭﺍﻹﺻﺎﺑﺔ ﺍﻟﺠﺴﺪﻳﺔ ﻭﺍﻟﻤﺼﺎﺭﻳﻒ‬
and Medical expenses for :‫ﺍﻟﻄﺒﻴﺔ ﻟﻠﻤﺆﻣﻦ ﻟﻪ ﺃﻭ ﺍﻟﺴﺎﺋﻖ ﺍﻟﻤﺴﻤﻰ‬
the Insured or Named
Driver:

Disclosure ‫ﺍﻹﻓﺼﺎﺡ‬
Using the Motor Vehicle for any No ‫ﻛﻼ‬ ‫ﺍﺳﺘﺨﺪﺍﻡ ﺍﻟﻤﺮﻛﺒﺔ ﻟﻐﺮﺽ ﺍﻟﺴﺒﺎﻗﺎﺕ ﺃﻭ‬
type of racing, speed trial, or ‫ﺗﺤﺪﻳﺪ ﺳﺮﻋﺔ ﺍﻻﻧﻄﻼﻕ ﺃﻭ ﺗﺠﺮﺑﺔ ﺍﺧﺘﺒﺎﺭ‬
speed or power testing: :‫ﺍﻟﻘﺪﺭﺓ ﺃﻭ ﺍﻟﺴﺮﻋﺔ‬
Other Requested Material Not Declared ‫ﻻ ﻳﻮﺟﺪ‬ ‫ﺍﻟﺤﻘﺎﺋﻖ ﺍﻟﺠﻮﻫﺮﻳﺔ ﺍﻷﺧﺮﻯ ﺍﻟﺘﻲ ﺗﻄﻠﺒﻬﺎ‬
Facts by the Company: :‫ﺍﻟﺸﺮﻛﺔ‬

Allianz Saudi Fransi Cooperative Insurance Company

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