Motor Abdul Latif Jameel TPL Schedule - Policy Number P1216-ALT-ALJ-000003/R3 - / 79711

Channel ALJ Branch ALJ Expiry Date 31/12/2020 Start Date 01/01/2020 Issue Date 01/01/2020
Insured, Owner and drivers Information
Insured Type Age Insured Name Insured ID / C Insured Email Address Insured Mobile
Entity - Abdul Latif Jameel 7001715155 - -
United Finance Co.
Owner's Information Main Driver Information
Owner = Leasing Company Insured =Main Driver ID Age Date of Birth City of Residence
YES NO - 27 - Ahsaa

Vehicle Information
Make Model/Version Body Type Year Make Sum Insured Number of Seats Plate Number
Toyota COROLLA - GLi SEDAN 2015 - 5 6147
Vehicle Use Chassis Number Sequence Number Custom ID
Private Vehicles RKLBB9HE7F5069614 971590410 1014510426
Covers, Products, Packages, Premiums and Limits

Third Party Liability Wafi Package

Covers / Package Basic Limits

Third Party Liability Yes Up to SR 10 million per any one occurrence
Personal Accident (Driver) Yes Up to SR 100,000
Natural Perils Yes Market Value not exceeding declared Sum Insured

Conditions
• Annual Contribution payable in full advance
• Excluding cover whilst the vehicle is used for the purpose not legally meant for
• Every Claim must be accompanied by a Police report
• Excluding cover while the vehicle is being driven by others different than main driver or additional drivers which age below the one mentioned in Driver
information Section
• Excluding cover if vehicle use different than one mentioned in vehicle information Section
• Excluding cover if vehicle driven by a person that is not holding a valid driving license as so required by the Saudi Authorities
• All other terms and conditions as per AlRajhi Takaful standard policy
I confirm that the data and information in the application form are correct and complete to the best of my knowledge. i do agree to the terms and conditions of
AlRajhi Takaful Products approved by SAMA. Also I understand that premium quoted is based on driver information, vehicle information and use of the vehicle,
and any wrong information provided by me will lead to policy cancelation and the company will not be liable for any claim.
 06/05/1441
01/01/2020

P1216-ALT-ALJ-000003/R3
31/12/2020 01/01/2020

79711
6147
971590410
1014510426
RKLBB9HE7F5069614

2015
5