IMPORTANT CERTIFICATE OF MOTOR INSURANCE

THESE NOTES ARE FOR YOUR

GUIDANCE 1. Policyholder Cover Note No. : WEBTEMP07-319952
To ensure full protection under your policy it Abdirahman Ahmed Hussein Effective Date : 16 December 2017 11:38
is essential to notify your Agent with whom 44 Ashburnham Road Expiry Date : 23 December 2017 11:37
you arranged this insurance of any change to
London
the details previously supplied such as:
NW10 5SD Issue Date : 15 December 2017
(a) Change of address, occupation,
Reason for Issue : Renewal
vehicle(s) declared or use of your
car/vehicle.

(b) The drivers covered (especially the 2. Vehicle Insured :

inclusion of any person under 25
years of age).
(c) Motoring convictions and/or
summons pending /accidents/
physical condition of any person
likely to drive.
WARNING
If any person for the purpose of
obtaining the grant of any licence to
himself/herself or any other person
knowingly makes any false statement,
or for the purpose of obtaining the
issue of a certificate of insurance or of
a certificate of security under the
relevant law applicable in Great
Britain, Northern Ireland, the Isle of
Man, the Island of Guernsey, the Island
of Jersey and the Island of Alderney,
makes any false statement or withholds
any material information, he/she shall
be liable to a fine or to imprisonment
or to both.
If you wish to cancel the policy you
must return the certificate. If you are
replacing your vehicle, this certificate
must be returned to your Agent with
whom you arranged this insurance.
Registration : LT63YTS
VIN (If Known):
Vehicle Details : VAUXHALL ZAFIRA
Cover : Third Party
Having applied for the insurance of the motor vehicle(s) described above the insurance is hereby held in
force in the terms of the Companys usual form of Policy applicable thereto, provided always that the
Company shall on giving notice in writing to the last known address of the Policyholder be entitled to
cancel this insurance immediately and a proportionate part of the premium will be charged for the time
this insurance has been in force.
3. Persons or classes of persons entitled to drive.
Mr Abdirahman Ahmed Hussein
4. Limitations as to use
Social, domestic and pleasure including commuting by the Insured to a permanent place of
work. For the carriage of passengers or goods for hire and reward by prior appointment only
(private hire) provided such use complies with the laws and regulations of the appropriate
licensing authority.
But excluding use for :
Racing competitions, pacemaking, rallies, or use in any contest, reliability or speed trial, or use for any
purpose in connection with the motor trade.
I hereby certify that the policy to which this certificate relates satisfies the requirements of the relevant
law applicable in Great Britain, Northern Ireland, Isle of Man, the Island of Guernsey, the Island of
Jersey and the Island of Alderney.
For and on behalf of Haven Insurance Company Limited
No.1 Grand Ocean Plaza, Ocean Village, Gibraltar, GX11 1AA

Advice to Third Parties Authorised Insurer

Nothing contained in this certificate
affects your rights as a Third Party to
make a Claim.

Emergency Tel. Contacts Chris Lathey

Claims Line Managing Director
0330 331 0716
Windscreen
0345 092 0703 Note: For full details of the insurance cover reference should be made to the policy.