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Renewal No
Code
Policy No
Expiry Date
: 4740706
: 3620972/148723 - MR
: 43/12200198/TP
: 12/02/2015
We would like to remind you that your Motor Vehicle(s) Insurance policy will expire as mentioned above, beyond which date
Tawuniya's liability will cease to attach.
Make &
Model of Vehicle(s)
Plate No(s).
Mercury-Mountaineer
Declared Values of
Vehicle(s) & Accessories
as expiring (SR.)
6530
Excess /
Deductible
(SR.)
Renewal
Contribution
(SR.)
Admin Fee
(SR)
Total
(SR)
625
25
650
I/We wish to renew my/our Policy adding the flood and hail extension .
I/We wish to renew my/our policy with the alterations shown below.
(kindly call the toll free number 920019990 for the new contribution)
Payment Methods:
As per the above, I authorize Tawuniya, to charge me the cost of renewal of this policy, by the following payment method:
SADAD service through most banks ( Biller Code 003 ).
By Credit Card as per following details:
Visa
Master Card
Expiry Date
Card No.
Month
Year
Name : ________________________________________
Signature :_________________
Date :
/ /
Telephone Office : ________________ Home : ________________ Fax : ________________ Mobile :________________
Printed by: EBNET - Printed Date: 10/02/2015