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2019/6/16

Salama Online

4030169661 ‫ﺳــﺟـل ﺗـﺟـﺎري‬


‫ﺷــرﻛﺔ ﻣــﺳــﺎھـــﻣـــﺔ ﺳــــــــﻌودﯾـــﺔ‬
‫ ﷼‬250,000,000 ‫رأس ﻛﺎل ﻛدﻑوع‬
300101058600003 : ‫اﻚرﻗم اﻚﺿرﯾﺑﻲ‬

Insurance Period ‫ﻑﺗرة اﻚﺗﻏطﯾﺔ اﻚﺗﺄﻛﯾن‬


Issue Date and Time 16/07/2023 12:00 AM 16/07/2023 12:00 AM ‫ﺗﺎرﯾﺦ و وﻗت اﻹﺻدار‬
Branch 93 ‫ﺗﺎرﯾﺦ و وﻗت اﻹﺻدار‬
Region CENTRAL-OTHER REGION ‫اﻚﻛﻜطﻘﺔ‬
Insured Type ‫ﻑرد‬ ‫ﻜوع اﻚﻛؤﻛن ﻚﻞ‬
Policy Number 93/1/285885/2023 ‫رﻗم اﻚوﺛﯾﻘﺔ‬
Cover Type TPL ‫ﻜوع اﻚﺗﻏطﯾﺔ‬
Policy Type New ‫ﻜوع اﻚوﺛﯾﻘﺔ‬
From To ‫إﻟﻰ‬ ‫ﻣن‬
Date\time cover start and End 17/07/2023 12:00 AM 15/07/2024 12:00 AM 15/07/2024 12:00 AM 17/07/2023 12:00 AM ‫وﻗت ﺑداﯾﺔ وﻜﻞﺎﯾﺔ اﻚﺗﻏطﯾﺔ اﻚﺗﺄﻛﯾﻜﯾﺔ‬/‫ﺗﺎرﯾﺦ‬
Insured Details ‫ﺑﯾﺎﻜﺎت اﻚﻛؤﻛن ﻚﻞ‬
Name ‫ﻋﺑداﻚرﺣﻛن ﻋﻠﻲ ﺑن ﻋﺑدﷲ اﻚﻛﺷﯾﻘﺢ‬ ‫اﻹﺳم‬
Client VAT Account No. 300101058600003 ‫رﻗم اﻚﺣﺳﺎب اﻚﺿرﯾﺑﻲ ﻚﻠﻌﻛﯾل‬
Nationality ‫اﻚﻒرع‬
Date of Birth 25/10/1965 ‫ﺗﺎرﯾﺦ اﻚﻛﯾﻼد‬
Age 58 ‫واﻚﻌﻛر‬
Iqama or Sponsor ID 1031571472 ‫رﻗم ﻝوﯾﺔ أو اﻚﺣﺎﺳب اﻹﻚﻲ‬
Street: , Building:4289, Additional No:6947, City:
Address ‫اﻚﻌﻜوان‬
BURAYDAH
‫اﻟﻣدﯾﻧﺔ اﻟﻣﻧورة‬
Wasel Address ‫ﻋﻜوان ﺑرﯾد واﺻل‬
‫اﻟﻣدﯾﻧﺔ اﻟﻣﻧورة‬
P.O. Box ‫اﻚﻌﻜوان اﻚﺑرﯾدي‬
Home / Work / Tele No. / Mobile No. ‫ رﻗم اﻚﺟوال‬/ ‫ اﻚﻌﻛل‬/ ‫ﻝﺎﺗف اﻚﻛﻜزل‬
Additional Driver Details ‫ﺗﻒﺎﺻﯾل ﺳﺎﺋق إﺿﺎﻑﯾﺔ‬
Driver ID ‫ﻛﻌرف اﻚﺳﺎﺋق‬
Driver Name ‫اﺳم اﻚﺳﺎﺋق‬
Driver DOB ‫ﻋﻛر اﻚﺳﺎﺋق‬
Driver ID Expiry Date ‫ﺗﺎرﯾﺦ اﻜﺗﻞﺎء ﻛﻌرف اﻚﺳﺎﺋق‬
Driver Lisence Type ‫ﺳﺎﺋق ﯾﻜس ﻜوع‬
Driver Relation Code. ‫رﻛز ﻋﻼﻗﺔ اﻚﺳﺎﺋق‬
Insured Vehicle Details ‫ﺑﯾﺎﻜﺎت اﻚﻛرﻙﺑﺔ اﻚﻛؤﻛﻜﺔ‬
Vehicle Brand ASHOK LEYLAND ‫ﻛﺎرﻙﺔ اﻚﻛرﻙﺑﺔ‬
Vehicle Model Bus ‫طراز اﻚﻛرﻙﺑﺔ‬
Vehicle Color ‫اﺑﯾض‬ ‫ﻚون اﻚﻛرﻙﺑﺔ‬
Manufacture Year 2015 ‫ﺳﻜﺔ ﺻﻜﻍ‬
Type of Use Private ‫ﻎرض اﻹﺳﺗﺧدام‬
Type of Registration Private ‫ﻜوع ﺗﺳﺟﯾل اﻚﻛرﻙﺑﺔ‬
Registration Expiry Date : - ‫ﺗﺎرﯾﺦ إﻜﺗﻞﺎء رﺧﺻﺔ اﻚﺳﯾر‬
Chassis Number MB1PBEFAXFE1N8677 ‫رﻗم اﻚﻞﯾﻙل‬
Plate No. 2171 ‫أ ي ص‬ ‫رﻗم اﻚﻠوﺣﺔ‬
Sequence No. / Custom Card No. 618578310 ‫ رﻗم اﻚﺑطﺎﻗﺔ اﻚﺟﻛرﻙﯾﺔ‬/ ‫اﻚرﻗم اﻚﺗﺳﻠﺳﻠﻲ‬
Insurance Details ‫ﺗﻒﺎﺻﯾل اﻚﺗﺄﻛﯾن‬
Basic Premium ‫ﻗﯾﻛﺔ ﻗﺳط اﻚﺗﺄﻛﯾن‬
Admin Fees ‫اﻚرﺳوم اﻹدارﯾﺔ‬
NCD Amount ‫ﻗﯾﻛﺔ ﺧﺻم ﻋدم وﺟود ﻛطﺎﻚﺑﺎت‬
Value Added Tax ‫ﺿرﯾﺑﺔ اﻚﻘﯾﻛﺔ اﻚﻛﺿﺎﻑﺔ‬
Final Premium Charged ‫اﻚﻘﺳط اﻚﻜﻞﺎﺋﻲ‬
Coverage Limit ‫ﺣدود اﻚﺗﻏطﯾﺔ‬
In the event of the occurrence of an accident resulting in the payment of
indemnity in accordance with the provisions of this policy, the maximum limit of ‫ﻑﻰ ﺣﺎل وﻗوع ﺣﺎدث ﯾﺗرﺗب ﻋﻠﯾﻞ دﻑﻍ ﺗﻌوﯾض وﻑﻘﺎ ﻷﺣﻙﺎم ﻝذه اﻚوﺛﯾﻘﺔ ﻑﺈن اﻚﺣد اﻻﻗﺻﻰ ﻚﻛﺳؤوﻚﯾﺔ اﻚﺷرﻙﺔ ﻑﻰ اﻚواﻗﻌﺔ‬
the company's liability for one event for both physical damage (including blood ‫اﻚواﺣدة وﺧﻼل ﻑﺗرة ﺳرﯾﺎن وﺛﯾﻘﺔ اﻚﺗﺄﻛﯾن ﺑﺎﻚﻜﺳﺑﺔ ﻚﻸﺿرار اﻚﺟﺳدﯾﺔ )ﺑﻛﺎ ﻑﻰ ذﻚك اﻚدﯾﺎت واﻚﻛﺑﺎﻚﻐ اﻚﻛﻘدرة ﻋن اﻻﺻﺎﺑﺎت‬
money, bodily injuries damages and medical expenses) and material damages, ‫ ﷼ )ﻋﺷرة ﻛﻼﯾﯾن ﷼‬10.000.000 ‫واﻚﻛﺻﺎرﯾف اﻚطﺑﯾﺔ( واﻻﺿرار اﻚﻛﺎدﯾﺔ ﻛﻌﺎ ﻚن ﺗﺗﺟﺎوز ﻛﺑﻠﻏﺎ إﺟﻛﺎﻚﯾﺎً ﻗدره‬
shall not exceed together a total sum of SR 10,000,000 (ten million Saudi riyals) ‫ﺳﻌودى( ﺣدا أﻗﺻﻰ ﻚﻛﺳﺋوﻚﯾﺔ اﻚﺷرﻙﺔ‬.
as a coverage liability limit.

Conditions ‫اﻚﺷروط‬
Exclude the cover if the vehicle is driven by a person under the age of 18
(according to the Hijri calendar) unless the said person is the insured or is ‫( ﻋﺎﻛﺎ ﻝﺟرﯾﺎ ﻛﺎ ﻚم ﯾﻙن ﻝو اﻚﻛؤﻛن ﻚﻞ وﻛﺎ ﻚم ﯾرد اﺳﻛﻞ ﻛن أﺳﻛﺎء اﻚﺳﺎﺋﻘﯾن‬18) ‫ﯾﺳﺗﺛﻜﻰ ﻗﯾﺎدة أي ﺷﺧص ﯾﻘل ﻋﻛره ﻋن‬
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2019/6/16 Salama Online
included among the names of authorized drivers under the age of 18 in the ‫( ﺳﻜﺔ ﻑﻲ ﺟدول اﻚوﺛﯾﻘﺔ‬18) ‫اﻚﻛﺳﻛﯾن اﻚذﯾن ﺗﻘل أﻋﻛﺎرﻝم ﻋن‬.
Policy schedule.
In case the Premium is not mentioned on the certificate in digits and words
please contact us on 920023355 920023355 ‫ﻑﻲ ﺣﺎل ﻋدم وﺟود اﻚﺳﻌر ﻋﻠﻰ اﻚوﺛﯾﻘﺔ رﻗﻛﺎً وﻙﺗﺎﺑﺗﺔ ﻜرﺟو ﻛﻜﻙم اﻚﺗواﺻل ﻛﻌﻜﺎ ﻋﻠﻰ اﻚرﻗم‬

The Cover start after 24 Hours from Issuance Date and Time and no claim will be
entertained before the inception. ‫ ﺳﺎﻋﺔ ﻛن ﺗﺎرﯾﺦ و وﻗت إﺻدار اﻚﺗﺄﻛﯾن وﻚن ﯾﺗم ﻗﺑول أي ﻛطﺎﻚﺑﺔ ﻗﺑل ﺗﺎرﯾﺦ و وﻗت اﻚﺳرﯾﺎن‬24 ‫ﺗﺳري اﻚﺗﻏطﯾﺔ ﺑﻌد‬.

This Policy cover any loss or damage not excluded, for the Policyholder and/or
‫ﻝذه اﻚوﺛﯾﻘﺔ ﺗﻏطﻲ أي ﺣﺎدث أو ﺿرر ﻎﯾر ﻛﺳﺗﺛﻜﻰ ﻚﻠﻛؤﻛن ﻚﻞ أو اﻚﺳﺎﺋق اﻚﻛﺳﻛﻰ )اﻹﺿﺎﻑﻲ( ﻙﻛﺎ ﻝو ﻛذﻙور ﻑﻲ ﺟدول‬
Named driver (additional) mentioned in the policy schedule only, and exclude ‫ وﺗﻘﯾداﻚﻛطﺎﻚﺑﺔ‬، ‫اﻚوﺛﯾﻘﺔ ﻑﻘط وﯾﺳﺗﺛﻜﻰ ﻎﯾر ذﻚك ﻛن اﻚﺗﻏطﯾﺔ ﻑﻲ ﺣﺎل ﻙﺎن اﻚﺳﺎﺋق ﻎﯾر ﻛﺳﻛﻰ ﻛﺳؤوﻻً ﻋن وﻗوع اﻚﺣﺎدث‬
from the cover if an unnamed driver was responsible of the accident and
‫اﻚﺗﺄﻛﯾﻜﯾﺔ ﻋﻠﻰ ﺳﺟل اﻚﻛؤﻛن ﻚﻞ وﻚﯾس ﻋﻠﻰ ﺳﺟل اﻚﺳﺎﺋق اﻚﻏﯾر ﻛﺳﻛﻰ ﻛﻛﺎ ﯾؤﺛر ﻋﻠﻰ إﺳﺗﺣﻘﺎﻗﻞ ﻚﺧﺻم ﻋدم وﺟود ﻛطﺎﻚﺑﺎت‬.
register the claim on the policyholder record which may will affect his NCD.
This Certificate deemed Null and void in case of written off /Modified/Change. ‫ﺗﻏﯾﯾر ﺑﯾﺎﻜﺎﺗﻞﺎ‬/‫ﺗﻌدﯾﻠﻞﺎ‬/‫ﺗﻌﺗﺑر ﻝذه اﻚﺷﻞﺎدة ﻻﻎﯾﺔ ﻑﻲ ﺣﺎل ﺗم ﺷطﺑﻞﺎ‬.
Police report and repair permission is essential for any claims to settle. ‫وﺟود رﺧﺻﺔ ﻗﯾﺎدة ﺳﺎرﯾﺔ ﻋﻜد ﻗﯾﺎدة اﻚﻛرﻙﺑﺔ اﻚﻛؤﻛﻜﺔ‬..
Valid Driving License at time of driving the insured vehicle. ‫ﺗﻘرﯾر اﻚﻛرور و ورﻗﺔ اﻹﺻﻼح إﻚزاﻛﯾﺔ ﻚﻘﺑول اﻚﻛطﺎﻚﺑﺔ‬.
This Certificate is a part of the Unified Compulsory Motor Insurance Policy ‫ﺗﻌﺗﺑر ﺷﻞﺎدة اﻚﺗﺄﻛﯾن ﻝذه ﺟزء ﻻ ﯾﺗﺟزأ ﻛن اﻚوﺛﯾﻘﺔ اﻚﻛوﺣدة ﻚﻠﺗﺄﻛﯾن اﻹﻚزاﻛﻲ ﻋﻠﻰ اﻚﻛرﻙﺑﺎت‬.
In the event of discrepancy between the two context, the Arabic text prevails the
English. ‫ﻋﻜد اﺧﺗﻼف اﻚﻜص ﺑﯾن اﻚﻠﻏﺗﯾن ﯾﻌﺗﻛد اﻚﻜص ﺑﺎﻚﻠﻏﺔ اﻚﻌرﺑﯾﺔ‬.

Admin Fees do not considared at Policy Cancellation. ‫ﻻ ﯾﺗم إﺣﺗﺳﺎب ﻛﺑﻠﻐ اﻚرﺳوم اﻹدارﯾﺔ واﻚﻛﺑﺎﻚﻐ اﻹﺿﺎﻑﯾﺔ ﻋﻜد إﻚﻏﺎء اﻚوﺛﯾﻘﺔ ﻷي ﺳﺑب ﻙﺎن‬..
All vehicles used in general transportation or Rent A Car or Limousines are
‫أو ﻛرﻙﺑﺎت أﺟرة ﻛﺳﺗﺛﻜﺎة ﻛن اﻚﺗﻏطﯾﺔ وﻚن ﯾﺗم‬/‫أو اﻹﯾﺟﺎر اﻚﯾوﻛﻲ و‬/‫ﺟﻛﯾﻍ اﻚﻛرﻙﺑﺎت اﻚﻛﺳﺗﺧدﻛﺔ أو ﻛﺳﺟﻠﺔ ﻑﻲ اﻚﻜﻘل اﻚﻌﺎم و‬
excluded from the cover and no Claim will be entertained related to this types of
‫ﻗﺑول أي ﻛطﺎﻚﺑﺔ ﻛﺗﺻﻠﺔ ﻛﻍ اﻷﻜواع اﻚﻛذﻙورة‬.
vehicles.
Head Office Bin Hamran Center 2nd Floor Tahlia St. P.O Box 122392 Jeddah 21332 Saudi Arabia T +966 (12) 66 47877 F +966 (12) 6647387 Unified No 92002335
920023355 ‫ اﻚرﻗم اﻚﻛوﺣد‬966+ (12) 6647387 ‫ ﻑﺎﻙس‬966+ (12)6647877 : ‫ اﻚﻛﻛﻠﻙﺔ اﻚﻌرﺑﯾﺔ اﻚﺳﻌودﯾﺔ ﻝﺎﺗف‬21332 ‫ ﺟدة‬122392 ‫ ﺷﺎرع اﻚﺗﺣﻠﯾﺔ ص ب‬-‫اﻚﻛرﻙز اﻚرﺋﯾﺳﻲ ﻛرﻙز ﺑن ﺣﻛران – اﻚطﺎﺑق اﻚﺛﺎﻜﻲ‬
www.salama.com.sa - Salamainsurance Facebook/Twitter - @salamaco - customer.care@salama.com.sa

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