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Allianz Insurance Lanka Ltd.

TEMPORARY INSURANCE CERTIFICATE


Motor Traffic Act No. 14 of 1951

04/03/2022 15:10:07

Mr. T Weerathunga,
287/7C
Panadura.

Registration Number : WP KO-9343


Validity of Temporary certificate : 60 Days

From: 04/03/2022 17:34 Hrs To: 3/05/2022 Midnight

Policy No : LP8013937177
Reason for issuing Temporary certificate : Pending document from the insured

Financial Interests : NATIONAL DEVELOPMENT BANK KALUTARA


Policy holder/Insured person : Mr. T S Weerathunga
287/7C
Panadura

Use Of Vehicle : Private


Sum insured : 4,665,000.00LKR
Insured object : Make : SUZUKI
Model : SWIFT
Year of Manufacturing : 2008
Engine Number : K12B-1115507
Chassis No/. Frame : ZC71S453521
Engine/Carrying Capacity : 1240 ccm

Having Proposed for insurance in respect of the Motor Vehicle described above and having paid/agreed to pay a sum of LKR 60,616.30
the risk is hereby held covered in terms of Company's standard Policy form of COMPREHENSIVE Unless the cover be terminated by the
company by giving notice in writing, in which case this insurance will cease and a proportionate part of the annual premium will be
charged for the time the company has been on risk.

For and on Behalf of Allianz Insurance Lanka Ltd


Head of Customer Care

Allianz Insurance Lanka Limited, No: 675 Dr Danister De Silva Mawatha, Colombo - 09, Sri Lanka.
Tel: 0112303300 Email: info@allianz.lk

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