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(Schedule)
Cover Note No. Business Class Agency The Insured Code The Insured Address Validity Period of Insurance Geographical Area The Motor Car : : : : : : : : : : :
2011/08/09VPCDT00562
PRIVATE CAR (COMPREHENSIVE)
2211000002
: : : :
1300131189 COL. MUHAMMAD AIZAZ SAFITY SERCURTIY SERVICES. CHAKLALA SCHEME-III, Rawalpindi This Covernote is valid for 15 days only from the issuance date and stands automatically cancelled unless converted on policy on receipt. a) From 23/08/2011 To 22/08/2012 (Both dates inclusive) (366) days b) Any subsequent period for which the Insured shall pay and Company shall agree to accept a renewal premium. Pakistan As described hereunder MW-086 4GR0084349 GRX120-0033608 TOYOTA MARK II Black 2,700,000.00
Registration No : Engine No : : Chassis No Make : Color : Insured's Estimated Value Rs. : Accessories : Accessories value Rs. :
Type Of Body : ubic Capacity C : Year of Manufacture Sub Make : Seating Capacity Keeper/ Emp No. (including accessories)
: : : : : :
(including driver)
SUBJECT TO NO LOSS TILL DATE. SUBJECT TO PREMIUM PYAMENT. SUBJECT TO DEDUCTIBLE RS.200,000/= IN CASE OF TOTAL LOSS AND THEFT.
Description
61,534 1,000
Gross Premium
Administrative Surcharges
Rs.
5.00 % Rs.
61,534
3,077
Sub Total
Federal Excise Duty Federal Insurance Fee Stamp Duty 16.000% 1.000% 0.000 Rs. Rs. Rs.
64,611
10,338 646 5
Gross Premium :
Rs.
61,534
Net Premium
Rs.
75,600
Note : Calculation of 16.00% FED and 1.00% FIF is on Gross Premium inclusive of 5.00% Admin Surcharge.
In WITNESS whereof the undersigned acting on behalf of and with the authority of the Company has hereto set his hand at Islamabad 23/08/2011.