Document N° 028135 MOTOR INSURANCE COVER NOTE colected for such insurance after due allowance forthe perio the company has been at risk Code VIB Third Party Policy NOx... 8&702/SU/ £07090 Teritoval Lit Cover Thailand Compulsory POICY NO. nae A] privatouse [1] commercial use The Insured | Name anu KMAMRLL AZHAR BIN AimAD stage Address :...N@.24.3N SEMAN! 20 TMN sel MELA. ¢Bioo BATH CAVES sELaNCoR Period of insurance | From POLO nme Siar Datnnnnt2/81202% ng Date,....7/2/2023 Particulars of The Insured Vehicle Make/Model Year | Body Type | No.of SeatsiC.c/Gww | License No Chassis NoJEngine No. suzuki vstoam | 2019. | motor cus vec Gag fsievs3azeTiese73 COMPANY'S LIMITS OF LIABILITY Bodily injury or death for Third Party Coverage Bodily injury or death for Compulsory Coverage 500,000 Baht/Per Person 500,000 Baht/Per Person, 10,000,000 Baht/Per Accident 5,000,000 Baht/Per Accident not exceed 7 seats Property Damage : 1,000,000 Bath/Per Accident 10,000,000 Bath/Per Accident exceed 7 seats Property Damage : Not Covered Party Ci Compulsory Cover Handling fe Total Pram rcs Samp anat) |_TWsPanycone | compan cov sie in Baht i394. se. 1299-56 ' understand the terms of this cover note as stated here in. ‘ANAS AND FAIRUZ ASIA SERVICES = (0028421289) AA: “OHD FAIRUZ BIN MOHD YUSOF Applicant's Signature. GH AND CEO. ‘As evident the Company ha E4080 this policy to be signed by duty authorized persons and the company’s seal to be affected at ts Office, v1