Motor Insurance Certificate ﺷﻬﺎﺩﺓ ﺗﺄﻣﻴﻦ ﻣﺮﻛﺒﺎﺕ
Insurance details ﺑﻴﺎﻧﺎﺕ ﺍﻟﺘﻐﻄﻴﺔ ﺍﻟﺘﺄﻣﻴﻨﻴﺔ
Issue Date and Time : 30-01-2022 27-06-1443 : ﺗﺎﺭﻳﺦ ﻭ ﻭﻗﺖ ﺍﻹﺻﺪﺍﺭ
11:15:40
Branch : TELESALES : ﺍﻟﻔﺮﻉ
Policy Number : 402000073282 : ﺭﻗﻢ ﺍﻟﻮﺛﻴﻘﺔ
Cover Type : ﻭﺛﻴﻘﺔ ﺗﺄﻣﻴﻦ ﺍﻟﻤﺴﺌﻮﻟﻴﺔ ﺍﻟﻤﺪﻧﻴﺔ ﺗﺠﺎﻩ ﺍﻟﻐﻴﺮ ﻟﻠﻤﺮﻛﺒﺎﺕ : ﻧﻮﻉ ﺍﻟﺘﻐﻄﻴﺔ
Package Type : null : ﻧﻮﻉ ﺍﻟﺒﺎﻗﺔ
From To ﺇﻟﻰ ﻣﻦ
Date\time cover start ﺗﺎﺭﻳﺦ/ﻭﻗﺖ ﺑﺪﺍﻳﺔ
: 31-01-2022 31-01-2023 09-07-1444 ـه28-06-1443 :
and End ﻭﻧﻬﺎﻳﺔ ﺍﻟﺘﻐﻄﻴﺔ ﺍﻟﺘﺄﻣﻴﻨﻴﺔ
11:15:31 11:14:31
Insured Details ﺑﻴﺎﻧﺎﺕ ﺍﻟﻤﺆﻣﻦ ﻟﻪ
AMAL ABDU BIN MOHAMMED ABUMESMAR
Insured Name : : ﺍﻹﺳﻢ ﺍﻟﻌﻤﻴﻞ
ﺃﻣﻞ ﻋﺒﺪﻩ ﺑﻦ ﻣﺤﻤﺪ ﺍﺑﻮﻣﺴﻤﺎﺭ
Date of Birth / Age : 11-11-1984/37 : ﺗﺎﺭﻳﺦ ﺍﻟﻤﻴﻼﺩ /ﺍﻟﻌﻤﺮ
Saudi ID / Iqama Number : ١٠٠٢٤٨٢٦٠٠ : ﺭﻗﻢ ﻫﻮﻳﺔ ﺍﻟﻮﻃﻨﻴﺔ /ﺍﻹﻗﺎﻣﺔ
Address : ﺍﻻﻣﺎﻡ ﻣﺤﻤﺪ ﺑﻦ ﺳﻌﻮﺩ ﺣﻲ ﺍﻟﻔﻴﺼﻠﻴﺔ ﺍﺑﻬﺎ 62521 : ﺍﻟﻌﻨﻮﺍﻥ
Home / Work / Tele No. /
: 0531696663 ﻫﺎﺗﻒ ﺍﻟﻤﻨﺰﻝ /ﺍﻟﻌﻤﻞ /ﺭﻗﻢ ﺍﻟﺠﻮﺍﻝ :
Mobile No.
Insured Vehicle Details ﺑﻴﺎﻧﺎﺕ ﺍﻟﻤﺮﻛﺒﺔ ﺍﻟﻤﺆﻣﻨﺔ
Vehicle Brand : ﻫﻮﻧﺪﺍﻱ : ﻣﺎﺭﻛﺔ ﺍﻟﻤﺮﻛﺒﺔ
Vehicle Model : ﺍﻛﺴﻨﺖ : ﻃﺮﺍﺯ ﺍﻟﻤﺮﻛﺒﺔ
Vehicle Color : ﺑﺮﺗﻘﺎﻟﻲ : ﻟﻮﻥ ﺍﻟﻤﺮﻛﺒﺔ
Manufacture Year : 2019 : ﺳﻨﺔ ﺻﻨﻊ
Vehicle Body Type : Sedan : ﻧﻮﻉ ﻫﻴﻜﻞ ﺍﻟﻤﺮﻛﺒﺔ
Type of Use : Social : ﻏﺮﺽ ﺍﻹﺳﺘﺨﺪﺍﻡ
Type of Registration : Private Car : ﻧﻮﻉ ﺗﺴﺠﻴﻞ ﺍﻟﻤﺮﻛﺒﺔ
Chassis Number : MALC741B3KM121629 : ﺭﻗﻢ ﺍﻟﻬﻴﻜﻞ
3715 R H D
Plate No. : ﺩ ﻩ ﺭ 3715 : ﺭﻗﻢ ﺍﻟﻠﻮﺣﺔ
Sequence No./Custom Card 527312810 ﺍﻟﺮﻗﻢ ﺍﻟﺘﺴﻠﺴﻠﻲ /
: :
No. ﺭﻗﻢ ﺍﻟﺒﻄﺎﻗﺔ ﺍﻟﺠﻤﺮﻛﻴﺔ
0
Vehicle Sum Insured : : ﻗﻴﻤﺔ ﺍﻟﻤﺮﻛﺒﺔ ﺍﻟﺘﺄﻣﻴﻨﻴﺔ
Repair Type : NA : ﻧﻮﻉ ﺍﻹﺻﻼﺡ
Deductible on each claim : : ﺍﻟﺘﺤﻤﻞ ﻋﻦ ﻛﻞ ﺣﺎﺩﺙ
Patial Loss Depreciation : % : ﺍﻟﻬﻼﻙ ﺍﻟﺠﺰﺋﻲ
Monthly total Loss
: % : ﺍﻟﻬﻼﻙ ﺍﻟﻜﻠﻲ ﺍﻟﺸﻬﺮﻱ
Depreciation
Yealry total Loss
: % : ﺍﻟﻬﻼﻙ ﺍﻟﻜﻠﻲ ﺍﻟﺴﻨﻮﻱ
Depreciation
)Premium Details (Invoice ﺑﻴﺎﻧﺎﺕ ﻗﺴﻂ ﺍﻟﺘﺄﻣﻴﻦ )ﺍﻟﻔﺎﺗﻮﺭﺓ(
Gross Premium :
961.84
: ﺍﻟﻘﺴﻂ ﺍﻷﺳﺎﺳﻲ
No Claim Discount : 96.18 : ﻗﻴﻤﺔ ﺧﺼﻢ ﻋﺪﻡ ﻭﺟﻮﺩ ﻣﻄﺎﻟﺒﺎﺕ
Commission : 17.31 : ﺍﻟﻌﻤﻮﻟﺔ
Package premium : 0 : ﻗﻴﻤﺔ ﺍﻟﺒﺎﻗﺔ
Additional Services
: 0 : ﻗﻴﻤﺔ ﺍﻟﺨﺪﻣﺎﺕ ﺍﻹﺿﺎﻓﻴﺔ
Premium
Vaule added Tax : 132.45 : ﺿﺮﻳﺒﺔ ﺍﻟﻘﻴﻤﺔ ﺍﻟﻤﻀﺎﻓﺔ
Final Prmeium : 1015.42 : ﺍﻟﻘﺴﻂ ﺍﻟﻨﻬﺎﺋﻲ
Salama Cooperative ﺍﻟﺮﻗﻢ ﺍﻟﻀﺮﻳﺒﻲ ﻟﺸﺮﻛﺔ
: 300101058600003 :
Insurance Co Vat No. ﺳﻼﻣﺔ ﻟﻠﺘﺄﻣﻴﻦ ﺍﻟﺘﻌﺎﻭﻧﻲ
Additional Driver Details ﺑﻴﺎﻧﺎﺕ ﺍﻟﺴﺎﺋﻖ ﺍﻹﺿﺎﻓﻲ
Driver Name : NA : ﺇﺳﻢ ﺍﻟﺴﺎﺋﻖ
Additional Driver ID No. : NA : ﺭﻗﻢ ﻫﻮﻳﺔ ﺍﻟﺴﺎﺋﻖ ﺍﻹﺿﺎﻓﻲ
Date of birth : NA : ﺍﻟﺠﻮﺍﻝ/ ﺗﺎﺭﻳﺦ ﺍﻟﻤﻴﻼﺩ
License Type : NA : ﻧﻮﻉ ﺍﻟﺮﺧﺼﺔ ﺍﻟﻘﻴﺎﺩﺓ
Premium. : : ﺍﻟﻘﺴﻂ
Conditions ﺍﻟﺸﺮﻭﻁ
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 ( ﻋﺎﻣﺎ ﻫﺠﺮﻳﺎ ﻣﺎ ﻟﻢ ﻳﻜﻦ ﻫﻮ ﺍﻟﻤﺆﻣﻦ ﻟﻪ ﻭﻣﺎ ﻟﻢ١٨) ﻳﺴﺘﺜﻨﻰ ﻗﻴﺎﺩﺓ ﺃﻱ ﺷﺨﺺ ﻳﻘﻞ ﻋﻤﺮﻩ ﻋﻦ
included among the names of authorized drivers under the age of 18 in the ( ﺳﻨﺔ ﻓﻲ ﺟﺪﻭﻝ ﺍﻟﻮﺛﻴﻘﺔ١٨) ﻳﺮﺩ ﺍﺳﻤﻪ ﻣﻦ ﺃﺳﻤﺎء ﺍﻟﺴﺎﺋﻘﻴﻦ ﺍﻟﻤﺴﻤﻴﻦ ﺍﻟﺬﻳﻦ ﺗﻘﻞ ﺃﻋﻤﺎﺭﻫﻢ ﻋﻦ.
Policy schedule.
This Policy cover any loss or damage not excluded, for the Policyholder and/or (ﻫﺬﻩ ﺍﻟﻮﺛﻴﻘﺔ ﺗﻐﻄﻲ ﺃﻱ ﺣﺎﺩﺙ ﺃﻭ ﺿﺮﺭ ﻏﻴﺮ ﻣﺴﺘﺜﻨﻰ ﻟﻠﻤﺆﻣﻦ ﻟﻪ ﺃﻭ ﺍﻟﺴﺎﺋﻖ ﺍﻟﻤﺴﻤﻰ )ﺍﻹﺿﺎﻓﻲ
Named driver (additional) mentioned in the policy schedule only, and exclude ﻛﻤﺎ ﻫﻮ ﻣﺬﻛﻮﺭ ﻓﻲ ﺟﺪﻭﻝ ﺍﻟﻮﺛﻴﻘﺔ ﻓﻘﻂ ﻭﻳﺴﺘﺜﻨﻰ ﻏﻴﺮ ﺫﻟﻚ ﻣﻦ ﺍﻟﺘﻐﻄﻴﺔ ﻓﻲ ﺣﺎﻝ ﻛﺎﻥ ﺍﻟﺴﺎﺋﻖ
from the cover if an unnamed driver was responsible of the accident and ﻭﺗﻘﻴﺪ ﺍﻟﻤﻄﺎﻟﺒﺔ ﺍﻟﺘﺄﻣﻴﻨﻴﺔ ﻋﻠﻰ ﺳﺠﻞ ﺍﻟﻤﺆﻣﻦ ﻟﻪ، ﻏﻴﺮ ﻣﺴﻤﻰ ﻣﺴﺆﻭﻻ ﻋﻦ ﻭﻗﻮﻉ ﺍﻟﺤﺎﺩﺙ
register the claim on the policyholder record which may will affect his NCD. ﻭﻟﻴﺲ ﻋﻠﻰ ﺳﺠﻞ ﺍﻟﺴﺎﺋﻖ ﺍﻟﻐﻴﺮ ﻣﺴﻤﻰ ﻣﻤﺎ ﻳﺆﺛﺮ ﻋﻠﻰ ﺇﺳﺘﺤﻘﺎﻗﻪ ﻟﺨﺼﻢ ﻋﺪﻡ ﻭﺟﻮﺩ ﻣﻄﺎﻟﺒﺎﺕ.
Deductible and Partial Loss Depreciation aaplied on all spare parts for all claims ﻳﺘﻢ ﺗﻄﺒﻴﻖ ﺍﻟﺘﺤﻤﻞ ﻭﺷﺮﻁ ﺍﻹﺳﺘﻬﻼﻙ ﺍﻟﺠﺰﺋﻲ ﻋﻠﻰ ﻗﻄﻊ ﺍﻟﻐﻴﺎﺭ ﻭﻟﺠﻤﻴﻊ ﺍﻟﻤﻄﺎﻟﺒﺎﺕ ﺑﻨﺎء
based on vehicle age at accident time regardless insured fault percentage in ﻋﻠﻰ ﻋﻤﺮ ﺍﻟﻤﺮﻛﺒﺔ ﻋﻨﺪ ﺍﻟﺤﺎﺩﺙ ﻭﻻ ﻳﺘﻢ ﺍﻷﺧﺬ ﺑﻨﺴﺒﺔ ﻣﺴﺌﻮﻟﻴﺔ ﺍﻟﻤﺆﻣﻦ ﻟﻪ ﻓﻲ ﺍﻟﺤﺎﺩﺙ
accident and 50% Depreciation applied on Batteries and Tyres ﻋﻠﻰ ﺍﻟﺒﻄﺎﺭﻳﺎﺕ ﻭﺍﻟﻜﻔﺮﺍﺕ ﻟﺠﻤﻴﻊ ﻣﻄﺎﻟﺒﺎﺕ ﺍﻟﺘﺄﻣﻴﻦ ﺍﻟﺸﺎﻣﻞ%٥٠ ﻭﻳﺘﻢ ﺗﻄﺒﻴﻖ ﺇﺳﺘﻬﻼﻙ
The indemnity is based on the sum insured or market value which ever is less
ﻳﺘﻢ ﺍﺇﺣﺘﺴﺎﺏ ﺍﻟﺘﻌﻮﻳﺾ ﻓﻲ ﺣﺎﻟﺔ ﺍﻟﻬﻼﻙ ﺍﻟﻜﻠﻲ ﺑﻨﺎء ﻋﻠﻰ ﻗﻴﻤﺔ ﺍﻟﻤﺮﻛﺒﺔ ﺍﻟﺘﺄﻣﻴﻨﻴﺔ ﺍﻭ ﺍﻟﻘﻴﻤﺔ ﺍﻟﺴﻮﻗﻴﺔ ﺃﻭ ﺍﻳﻬﻤﺎ ﺃﻗﻞ
in case of total loss
The Cover start after 24 Hours from Issuance Date and Time and no claim will ﺳﺎﻋﺔ ﻣﻦ ﺗﺎﺭﻳﺦ ﻭ ﻭﻗﺖ ﺇﺻﺪﺍﺭ ﺍﻟﺘﺄﻣﻴﻦ ﻭﻟﻦ٢٤ ﺗﺴﺮﻱ ﺍﻟﺘﻐﻄﻴﺔ ﺑﻌﺪ
be entertained before the inception. ﻳﺘﻢ ﻗﺒﻮﻝ ﺃﻱ ﻣﻄﺎﻟﺒﺔ ﻗﺒﻞ ﺗﺎﺭﻳﺦ ﻭ ﻭﻗﺖ ﺍﻟﺴﺮﻳﺎﻥ.
In Case the city of accident is different from Client national address city the ﻓﻲ ﺣﺎﻝ ﺇﺧﺘﻠﻔﺖ ﻣﺪﻳﻨﺔ ﺍﻟﺤﺎﺩﺙ ﻋﻦ ﻣﺪﻳﻨﺔ ﺍﻟﻤﺬﻛﻮﺭﺓ ﻓﻲ ﺍﻟﻌﻨﻮﺍﻥ ﺍﻟﻮﻃﻨﻲ ﻟﻠﻌﻤﻴﻞ
company has the right to ask for prove of residence at claim processing time ﻳﺤﻖ ﻟﺸﺮﻛﺔ ﻃﻠﺐ ﺇﺛﺒﺎﺕ ﺍﻟﻌﻨﻮﺍﻥ ﺍﻟﻮﻃﻨﻲ ﻟﻠﻌﻤﻴﻞ ﻋﻨﺪ ﺇﺟﺮﺍءﺍﺕ ﺍﻟﻤﻄﺎﻟﺒﺔ.
No refund for deletion of vehicle on which claim has been reported. ﻻ ﻳﺘﻢ ﺇﺭﺟﺎﻉ ﺃﻱ ﻣﺒﺎﻟﻎ ﻣﺎﻟﻴﺔ ﻓﻲ ﺣﺎﻝ ﺗﻘﺪﻳﻢ ﻃﻠﺐ ﺇﻟﻐﺎء ﻟﻤﺮﻛﺒﺔ ﺗﻮﺟﺪ ﻋﻠﻴﻬﺎ ﻣﻄﺎﻟﺒﺎﺕ.
All Vehicles used in general transportation or Rent A Car or Limousines are
/ﺃﻭ ﻣﺮﻛﺒﺎﺕ ﺃﺟﺮﺓ ﻭ/ﺃﻭ ﺍﻹﻳﺠﺎﺭ ﺍﻟﻴﻮﻣﻲ ﻭ/ﺟﻤﻴﻊ ﺍﻟﻤﺮﻛﺒﺎﺕ ﺍﻟﻤﺴﺘﺨﺪﻣﺔ ﺃﻭ ﻣﺴﺠﻠﺔ ﻓﻲ ﺍﻟﻨﻘﻞ ﺍﻟﻌﺎﻡ ﻭ
excluded
ﺃﻭ ﺍﻟﻤﺮﻛﺒﺎﺕ ﻣﺴﺘﺜﻨﺎﺓ ﻣﻦ ﺍﻟﺘﻐﻄﻴﺔ ﻭﻟﻦ ﻳﺘﻢ ﻗﺒﻮﻝ ﺃﻱ ﻣﻄﺎﻟﺒﺔ ﻣﺘﺼﻠﺔ ﻣﻊ ﺍﻷﻧﻮﺍﻉ ﺍﻟﻨﻘﻞ ﺍﻟﻤﺬﻛﻮﺭﺓ ﺃﻋﻼﻩ
from the cover and no claim will be entertained related to this type of vehicles
Admin fees of SR. 25/- will be deducted from refund premium at policy
ﻗﻴﻤﺔ ﺭﺳﻮﻡ ﺇﺩﺍﺭﻳﺔ ﻋﻨﺪ ﺇﻟﻐﺎء ﺍﻟﻮﺛﻴﻘﺔ، ﺭﻳﺎﻝ٢٥ ﻳﺘﻢ ﺧﺼﻢ ﻣﺒﻠﻎ.
cancelation time
This Certificate deemed Null and void in case of written off /Modified/Change. ﺗﻐﻴﻴﺮ ﺑﻴﺎﻧﺎﺗﻬﺎ/ﺗﻌﺪﻳﻠﻬﺎ/ﺗﻌﺘﺒﺮ ﻫﺬﻩ ﺍﻟﺸﻬﺎﺩﺓ ﻻﻏﻴﺔ ﻓﻲ ﺣﺎﻝ ﺗﻢ ﺷﻄﺒﻬﺎ.
Valid Driving License at time of driving the insured vehicle and Police report ﻭﺟﻮﺩ ﺭﺧﺼﺔ ﻗﻴﺎﺩﺓ ﺳﺎﺭﻳﺔ ﻋﻨﺪ ﻗﻴﺎﺩﺓ ﺍﻟﻤﺮﻛﺒﺔ ﺍﻟﻤﺆﻣﻨﺔ ﻭﺗﻘﺮﻳﺮ ﺍﻟﻤﺮﻭﺭ
and repair permission is essential for any claims to settle. ﻭ ﻭﺭﻗﺔ ﺍﻹﺻﻼﺡ ﺇﻟﺰﺍﻣﻴﺔ ﻟﻘﺒﻮﻝ ﺍﻟﻤﻄﺎﻟﺒﺔ.
This Certificate is a part of the Unified Compulsory Motor Insurance Policy ﺗﻌﺘﺒﺮ ﺷﻬﺎﺩﺓ ﺍﻟﺘﺄﻣﻴﻦ ﻫﺬﻩ ﺟﺰء ﻻ ﻳﺘﺠﺰﺃ ﻣﻦ ﺍﻟﻮﺛﻴﻘﺔ ﺍﻟﻤﻮﺣﺪﺓ ﻟﻠﺘﺄﻣﻴﻦ ﺍﻹﻟﺰﺍﻣﻲ ﻋﻠﻰ ﺍﻟﻤﺮﻛﺒﺎﺕ.
In the event of discrepancy between the two context, the Arabic text prevails
ﻋﻨﺪ ﺍﺧﺘﻼﻑ ﺍﻟﻨﺺ ﺑﻴﻦ ﺍﻟﻠﻐﺘﻴﻦ ﻳﻌﺘﻤﺪ ﺍﻟﻨﺺ ﺑﺎﻟﻠﻐﺔ ﺍﻟﻌﺮﺑﻴﺔ.
the English.
You May visit Salama Insurance Co. web site to view the Complete Policy ﻳﻤﻜﻨﻚ ﺯﻳﺎﺭﺓ ﺍﻟﻤﻮﻗﻊ ﺍﻹﻟﻜﺘﺮﻭﻧﻲ ﻟﺸﺮﻛﺔ ﺳﻼﻣﺔ ﻟﻠﺘﺄﻣﻴﻦ ﺍﻟﺘﻌﺎﻭﻧﻲ ﻟﻺﻃﻼﻉ
wording ﻋﻠﻰ ﺍﻟﺼﻴﺎﻏﺔ ﺍﻟﻜﺎﻣﻠﺔ ﻟﻠﻮﺛﻴﻘﺔ ﺍﻟﺘﺄﻣﻴﻦ
ﺧﺘﻢ ﺍﻟﺸﺮﻛﺔ ﺧﺘﻢ ﺍﻟﻬﻴﺌﺔ ﺍﻟﺸﺮﻋﻴﺔ
