Professional Documents
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CertificationCard 4
CertificationCard 4
Wafi Basic
ﺑﯾﺎﻧﺎت اﻟوﺛﯾﻘﺔ
ﺗﺟﺎه اﻟﻐﯾر اﻟﻣﺳؤوﻟﯾﺔ ﺗﺟﺎه اﻟﻐﯾر /اﻟﺷﺎﻣل 499965008303208 رﻗم اﻟوﺛﯾﻘﺔ
ﺿد اﻟﻐﯾر اﻟﻣﻧﺗﺞ 2024-01-19 ﺗﺎرﯾﺦ ﺑدء اﻟوﺛﯾﻘﺔ
اﻟﻣﻣﻠﻛﺔ اﻟﻌرﺑﯾﺔ اﻟﺳﻌودﯾﺔ اﻟﻧطﺎق اﻟﺟﻐراﻓﻲ ﻟﻠﺗﻐطﯾﺔ: 2025-01-18 ﺗﺎرﯾﺦ اﻧﺗﮭﺎء اﻟوﺛﯾﻘﺔ
ﺑﯾﺎﻧﺎت اﻟﻣﺷﺗرك
اﻟﻣﺎﻟك ﻓرد ﻧوع اﻟﻣﺎﻟك
ﻧﺠﺮﺍﻥ ﻣدﯾﻧﺔ اﻹﻗﺎﻣﺔ ﻓﻬﺪ ﺫﻳﺐ ﺍﻝ ﻓﻄﻴﺢ اﻻﺳم
14-05-1990 ﺗﺎرﯾﺦ اﻟﻣﯾﻼد 1066627850 رﻗم اﻟﮭوﯾﺔ/اﻟﺳﺟل اﻟﺗﺟﺎري
اﻟﺑرﯾد اﻹﻟﻛﺗروﻧﻲ 0566005981 رﻗم اﻟﺟوال
اﻟﻣؤﻣن ﻋﻠﯾﮫ ﻓرد اﻟﻣﺎﻟك
ﻣﻌﻠوﻣﺎت اﻟﺳﺎﺋﻖ
ﻣدﯾﻧﺔ اﻹﻗﺎﻣﺔ رﻗم اﻟﮭوﯾﺔ ﺗﺎرﯾﺦ اﻟﻣﯾﻼد ﻧوع اﻟﺳﺎﺋﻖ )اﺳﺎﺳﻲ/إﺿﺎﻓﻲ( اﻻﺳم
ﻧﺠﺮﺍﻥ 1066627850 14-05-1990 اﺳﺎﺳﻲ ﻓﻬﺪ ﺫﻳﺐ ﺍﻝ ﻓﻄﻴﺢ
ﺑﯾﺎﻧﺎت اﻟﻣرﻛﺑﺔ
ﺣﺎﻓﻠﺔ ﺣﺘﻰ 21ﻣﻘﻌﺪ ﻧوع ھﯾﻛل اﻟﻣرﻛﺑﺔ ﻫﺎﻱ ﺍﻳﺲ طراز /ﻣودﯾل اﻟﻣرﻛﺑﺔ ﺗﻮﻳﻮﺗﺎ
ﻣﺎرﻛﺔ اﻟﻣرﻛﺑﺔ )اﻟﻌﻼﻣﺔ
اﻟﺗﺟﺎرﯾﺔ(
ﺍﺑﻴﺾ ﻟون اﻟﻣرﻛﺑﺔ 15 ﻋدد اﻟﻣﻘﺎﻋد 2014 ﺳﻧﺔ اﻟﺻﻧﻊ
ﻧﻘﻞ ﺭﻛﺎﺏ اﺳﺗﺧداﻣﺎت اﻟﻣرﻛﺑﺔ 60000 ﻣﺑﻠﻎ اﻟﺗﻐطﯾﺔ اﻟﺗﺄﻣﯾﻧﯾﺔ ﺃ ﻱ ﻡ 8670 رﻗم اﻟﻠوﺣﺔ
- رﻗم اﻟﺑطﺎﻗﺔ اﻟﺟﻣرﻛﯾﺔ 761670410 اﻟرﻗم اﻟﺗﺳﻠﺳﻠﻲ JTGJS02P2E0048473 رﻗم ھﯾﻛل اﻟﻣرﻛﺑﺔ
ﯾﺟب ﻋﻠﻰ اﻟﻣؤﻣن ﻟﮫ أن ﯾﺳﺗﺧدم اﻟﻣرﻛﺑﺔ ﻟﻠﻐرض اﻟﻣرﺧص ﻻﺟﻠﮫ ﻗﯾد اﻹﺳﺗﻌﻣﺎل ﻧﻘﻞ ﺧﺎﺹ ﻧوع اﻟﻠوﺣﺔ
ﻣﻠﺧص ﻟﻠﺗﻐطﯾﺔ
ﺣدود اﻟﺗﻐطﯾﺔ ﯾﺷﻣل ﻣﻧﺎﻓﻊ اﻟﺗﻐطﯾﺔ اﻟﺗﺄﻣﯾﻧﯾﺔ
ﻐطﯾﺔ اﻟطرف اﻟﺛﺎﻟث ﺣﺗﻰ 10ﻣﻠﯾون ﷼ ﻧﻌم ﻐطﯾﺔ اﻟطرف اﻟﺛﺎﻟث ﺣﺗﻰ 10ﻣﻠﯾون ﷼
رﻓﻊ اﻟﻣطﺎﻟﺑﺔ إﻟﻛﺗروﻧﯾﺎ دون اﻟﺣﺎﺟﺔ ﻟزﯾﺎرة اﻟﻔرع ﻧﻌم ﺳرﻋﺔ رﻓﻊ اﻟﻣطﺎﻟﺑﺔ
ﺗﻐطﯾﺎت ﺗﺄﻣﯾﻧﯾﺔ إﺿﺎﻓﯾﺔ )اﺧﺗﯾﺎرﯾﺔ(
ﺗﻐطﯾﺔ اﻟﺣوادث اﻟﺷﺧﺻﯾﺔ ﻟﻠﺳﺎﺋﻖ و اﻟرﻛﺎب ﺣﺗﻰ 100,000﷼ ﻟﻠﻔرد ﻛﺣد اﻗﺻﻰ ال ﺗﻐطﯾﺔ اﻟﺣوادث اﻟﺷﺧﺻﯾﺔ ﻟﻠﺳﺎﺋﻖ و اﻟرﻛﺎب
ﺧط اﺳﺗﻘﺑﺎل ﻣﻛﺎﻟﻣﺎت ﻣﺧﺻص 24ﺳﺎﻋﺔ ﻟﻣدة 7أﯾﺎم ﻹﺳﺗﻘﺑﺎل طﻠﺑﺎﺗﻛم داﺧل ﺣدود ﺗﻐطﯾﺗﻧﺎ ال اﻟﻣﺳﺎﻋدة ﻋﻠﻰ اﻟطرﯾﻖ
اﻟﺗﻌوﯾض ﺑﺣﺳب ﻗﯾﻣﺔ اﻟﻣرﻛﺑﺔ اﻟﺳوﻗﯾﺔ ﻋﻠﻰ أن ﻻ ﺗﺗﻌدى اﻟﻘﯾﻣﺔ اﻟﺗﺎﻣﯾﻧﺔ ال ﺗﻐطﯾﺔ ﺿد ﻛﺳر اﻟزﺟﺎج واﻟﺣراﺋﻖ واﻟﺳرﻗﺔ
اﻟﺗﻌوﯾض ﺑﺣﺳب ﻗﯾﻣﺔ اﻟﻣرﻛﺑﺔ اﻟﺳوﻗﯾﺔ ﻋﻠﻰ أن ﻻ ﺗﺗﻌدى اﻟﻘﯾﻣﺔ اﻟﺗﺎﻣﯾﻧﺔ ال ﺗﻐطﯾﺔ اﻟﻛوارث اﻟطﺑﯾﻌﯾﺔ )اﻟﻔﯾﺿﺎﻧﺎت /اﻟﺳﯾول /اﻷﻣطﺎر(
ﺑﯾﺎﻧﺎت
اﻟﻣﺑﻠﻎ )ﺑﺎﻟ﷼ اﻟﺳﻌودي( اﻻﺳﺗﻘطﺎع )اﻟﺧﺻوﻣﺎت(
942.26 ﺻﺎﻓﻲ اﻻﺷﺗراك
0.00 0 ﺧﺻم ﺧﺎص 0.00 ﺧﺻم اﻟﻣرﻛﺑﺎت اﻟﻣﺗﻌددة 0.00 ﺧﺻم اﻟوﻻء اﻟﺧﺻوﻣﺎت
104 1 اﻟﻣﺳﺗوى 10 % ﺧﺻم ﻋدم وﺟود ﻣطﺎﻟﺑﺎت
0.00 0.00 اﻟﺗﻐطﯾﺎت اﻷﺿﺎﻓﯾﺔ
141.34 15.00 % ﺿرﯾﺑﺔ اﻟﻘﯾﻣﺔ اﻟﻣﺿﺎﻓﺔ
1,083.60 ﻣﺟﻣوع اﻻﺷﺗراك ) ﺻﺎﻓﻰ اﻻﺷﺗراك +اﻟﺧﺻوﻣﺎت +ﺧﺻم ﻋدم وﺟود ﻣطﺎﻟﺑﺎت +ﺿرﯾﺑﺔ اﻟﻘﯾﻣﺔ اﻟﻣﺿﺎﻓﺔ +اﻟﺗﻐطﯾﺎت اﻻﺿﺎﻓﯾﺔ (
ﻣﻌﻠوﻣﺎت إﺿﺎﻓﯾﺔ
Policy Details
Policy # 499965008303208 Plan Type Third Party Liability
Start Date 2024-01-19 Product Wafi Basic
End Date 2025-01-18 Geographical Scope Kingdom of Saudi Arabia
Participant Details
Type Individual Owner
Name FAHAD THEEB ALFATAIH City of Residence ﻧﺠﺮﺍﻥ
ID / CR # 1066627850 DOB 14-05-1990
Mobile # 0566005981 Email
Owner Individual Insured
Driver Information
Name(s) Main/Additional DOB ID # City of Residence
FAHAD THEEB ALFATAIH Main 14-05-1990 1066627850 ﻧﺠﺮﺍﻥ
Vehicle Details
Make Toyota Model Body Type Bus Up To 12 Benches
Model Year 2014 No. of Seats 15 Color White
Plate # 8670 ﺃ ﻱ ﻡ Sum Insured 60000 Vehicle Use Passengers Transport
Chassis # JTGJS02P2E0048473 Sequence # 761670410 Custom ID -
Plate Type Private Transport Use Restrains The Insured should not use the vehicle for other than the authorized purpose
Summary of Cover
Benefit Include Limit
Third Party Liability up to 10 Million riyals Yes Third Party Liability up to 10 Million riyals
Claim in a Click Yes Report a claim digitally without need to visit any Claims Branch.
Optional Cover(s)
Personal Accident (Driver and Passengers) No Personal Accident For Driver and Passengers Up to SAR 100,000 Per Individual
Road Side Assistance No Road Side Assistance
Windscreen, Fire and Theft No Market value not exceeding declared Sum Insured
Natural Hazards (rain, hail & flood) No Market value not exceeding declared Sum Insured
Contribution Information
Description Amount (in SAR)
Net Contribution 942.26
Discount - Loyalty 0.00 Multi Vehicle 0.00 Special 0 0.00
No Claims Discount (NCD) 10 % Level 1 104
Additional Cover(s) 0.00 0.00
Value Added Tax (VAT) 15.00 % 141.34
Total Contribution (Net Contribution + Discount + NCD + VAT + Optional Covers) 1,083.60
Additional Information
1. Annual contribution must be fully paid in advance.
2. Every claim must be accompanied by a concerned parties report.
3. In case of third party liability claim whilst the insured vehicle is being driven by a person below 18 years of age, Al Rajhi Takaful reserves the
right of recourse upon indemnifying the third party, unless anyone below 18 years of age is stated in the policy schedule. Al Rajhi Takaful
reserves the right to decline own damage claims if any, whilst the insured vehicle is being driven by anyone whose age is below the age of the
Main Driver or Additional Driver mentioned in the policy schedule.
4. This Policy Schedule contains a Summary of Cover only. For full Terms & Conditions, please read the policy wording carefully, to ensure your
understanding of what is covered, what is not covered and what to do if you need to apply for a claim.
5. This policy is based on driver's & vehicle's information and Vehicle's use as provided. Excludes cover if Vehicle Use is different from what is
mentioned in Vehicle Details section.
6. This motor insurance is underwritten by Al Rajhi Company for Co-operative Insurance (ARCCI).
7. Value Added Tax (VAT) has been charged on behalf of the Government of the Kingdom of Saudi Arabia in accordance with the VAT Act
announced by General Authority of Zakat and Tax (GAZT) in H1438.
8. As per SAMA rules, an administrative fee of SAR 30 will be charged on policy cancelation
For any assistance and/or claims,
To report a Claim Working hours: (except public holidays) 8AM to 5PM, Sunday Call 920004414 or 8001184444
to Thursday
Channel websales 032 Branch Damen broker
Date of Issue 1/18/2024 Place of Issue
Issued by Damen broker License #