Motor Insurance Quotation Schedule

Customer Details

Customer NEW AGE INSURANCE BROKER LLC

Name Of Insured CYRIL PADIYATHU JOSEPH JOSEPH Email

PADIYATHU

PO Box / Emirate Phone

Quotation Details
Quote No: Q/MOT/619576 Policy Type Tokio Must Premium 1,695.00

Period of Insurance 01/04/2024 - 30/04/2025 Quote Issue Date 01/04/2024 VAT 5% 84.75

Excess 250 Total Payable 1,779.75

Insured vehicle
Make TOYOTA Model CAMRY Body Type SEDAN

Manufature Year 2016 Date of First Reg 25/01/2016 Place of Reg. SHARJAH

Chasis No 6T1BF9FK4GX643649 Engine No Seating Capacity 5

Plate No Color Insured Value AED 35,000.00

Vehicle Trim SE Engine Capacity 2.5 L No: of Cylinders 4 Cylinder

Hire Purchase Vehicle Use PRIVATE PURPOSE Nationality Indian

ONLY
Driver Details
Main Driver Date of Birth 15/01/1988
Claim Free Years 3 License Issue Date 16/03/2018

License Expiry Date

TABLE OF BENEFITS
BENEFITS LIMITS (AED)
 Third Party Limit for Property Damage 3,000,000

 Excess Deductible in case of Flood/Rain water/Earthquake/Hailstorm INCLUDED

damage: Maximum amount as per Unified Motor Policy Wordings of UAE of
Schedule No.(3) will apply
 Fire and Theft Cover INCLUDED

 Personal Injury Cover 10,000

 Emergency Medical Expenses 3,000

LATA01 NEW AGE INSURANCE BROKER LLC

  Loss of Personal Belongings 2,500

 Self Authorisation Repairs 1,000

 New Car replacement (Brand new vehicles only) EXCLUDED

 24hrs Roadside Side Assistance: AAA cover : 600 50 8181 INCLUDED

 Waiver of Excess for Windscreen Damage WAVIED ONCE

 Off Road Cover for 4WD Vehicles (Excluding Safari Activities) INCLUDED

 Third Party Liability to Non Owned Cars INCLUDED

 Unauthorised Driver for Own Damage INCLUDED

 Loss or Damage to the Insured Vehicle (As per the Insured Value INCLUDED

 Motor Garage and/or Valet parking INCLUDED

 Geographical Area UAE

 Geographical Area for Oman (Own Damage) INCLUDED

 Personal Accidents Benefits - Driver (As per Endorsement No.1) INCLUDED

 Personal Accidents Benefits - Passengers (As per Endorsement No.1) INCLUDED

 Hire Car Benefit (applicable if stated in your schedule ) -15 Days INCLUDED

 No Claim Discount INCLUDED

 Unlimited Third Party Liability for Bodily Injury INCLUDED

 Legal Liablity to Family Members and Passengers INCLUDED

 Natural Disaster cover as per Unified Motor Policy Wordings of UAE INCLUDED

 Riot, Strike and Civil Commotion INCLUDED

 National Ambulance Cover INCLUDED

 Agency Repairs (from the date of first registration as Brand New) EXCLUDED

Disclaimer

In the event that any untrue or mismatching or incomplete or un-updated information has formed the basis of underwriting
and issuance of this Quotation and subsequently the policy issuance, then Tokio Marine & Nichido Fire Insurance Co.,
LTD at its sole discretion shall retain the full right to reject Quote/any claim(s) submitted under such issued Quote/Policy
and/or treat the Quote/Policy or any section of it as voidable. Should there be any issue arise out of the above, please
refer to the Terms and Conditions that form part of this insurance policy and shall prevail in case of dispute.

This quotation becomes invalid (unless accepted by Tokio Marine & Nichido Fire Insurance Co., LTD) if you have an
existing motor policy with Tokio Marine & Nichido Fire Insurance Co., LTD for this vehicle and with claim(s)"

No claim letter from previous insurer is mandatory and to be uploaded if insured wish to avail No claim discount.

Tokio Marine & Nichido Fire Insurance Co. Ltd.

LATA01 NEW AGE INSURANCE BROKER LLC

 Agents for UAE : Al Futtaim Development Services Co.LLC

Tokio Marine reserve the right to decline any Proposal .

LATA01 NEW AGE INSURANCE BROKER LLC

 TOKIO MARINE
NICHIDO
Motor Insurance
SPECIAL TERMS & CONDITIONS
1. Young and Novice Drivers - Drivers below the age of 25 or with less than 12 months driving experience need to be declared on
the proposal form.

2. Repairs at Tokio Marine Approved Panel Garages - We will pay for your vehicle to be repaired at one of our approved
workshops within the UAE following an accident covered under your policy. (Not applicable for Tokio Third Party Policy)

3. Vehicle Specification - Your vehicle is in good condition, as per GCC specifications and first purchased from an UAE local
authorized dealer. The vehicle has not been modified from the manufacturer original specifications. The vehicle do not have any
Chassis repairs and damage remarks mentioned on the Vehicle Inspection Report (issued by the UAE Traffic Authorities).

4. Additional Excess (Not applicable for Tokio Third Party Policy): a. Young Driver: If the Driver at the time of the accident is
below 25 years, an additional deductible of 10% of the claim amount shall be paid by the Driver or the Insured over and above the
excess stated on the Policy Schedule. b. Factory Modified Vehicles: The Insured or the Driver shall pay the first 15% of the
claim amount in addition to the standard policy excess stated on the Policy Schedule. c. Non Factory Modified Vehicles: The
Insured or the Driver shall pay the first 20% of the amount of compensation in addition to the standard policy excess stated on
the Policy Schedule. d. Sports car (including any vehicle with 8 or more cylinders): The Insured or the Driver shall pay the first
15% of the claim amount in addition to the standard policy excess stated on the Policy Schedule. This is not applicable to
4WDs.

5. Value Added Tax (VAT) Clause - The insured accepts and agrees to pay any taxes due on this policy including tax on the
policy excess where applicable, in compliance with the laws and regulations applicable in the United Arab Emirates, including,
but not limited to, value added tax ("VAT"), within ten working days of the date of any tax invoice sent from or on behalf of Tokio
Marine or its approved agent, to the Insured or, as per agreed credit terms. In the event of the applicable tax arising from the
policy not being paid on time, the Insurer may cancel the Policy, provided such cancellation is in accordance with any laws or
regulations in place from time to time. Cancellation of the Policy is at the discretion of the Insurer.

6. No Claim Discount - Proof of No Claim Letter from the previous Insurance Company to be provided at the time of purchasing
the policy with no claim discounts.

Please click on the Motor Insurance Policy Wordings for full terms, conditions and exclusions of the policy and to know more
about our other motor products.

IMPORTANT INFORMATION:
You confirm the following statements which form the basis of the contract between You and Tokio Marine:
1. You have not had previous Motor Insurance cover Declined, Cancelled or Imposed with special conditions/terms.
2. You have not been convicted, during the last 3 years, for any offence involving a Motor Accident.
3. The vehicle is not being used for business or commercial use.
4. The insured value indicated on the quotation represents the correct market value of the vehicle.
5. If 'No Claims Discount' is applied. You are required to submit the proof of 'no claims' from your current insurance provider.
Unless stated otherwise. Tokio Marine reserves the right to amend the premium and extent of your cover in case of non-receipt of
Proof of 'No Claims'.

NON DISCLOSURE OR MISREPRESENTATION: You must inform us immediately if any of the information stated in your
quotation is incorrect. Failure to do so your policy stands void.

DOCUMENTS REQUIRED:

LATA01 NEW AGE INSURANCE BROKER LLC

 1. Brand New Vehicles:
a. Purchase Agreement/ Vehicle Invoice Copy from the Dealer,
b. UAE Driver’s License,
c. Home Country Driver’s license (if applicable) and
d. Proof of claims free driving experience (if applicable).

2. Second-Hand Purchases:
a. Existing Registration card (if it is a private purchase) OR
b. Purchase Agreement/ Vehicle Invoice Copy from the Dealer,
c. UAE Driver’s License,
d. Vehicle Inspection Report,
e. Home Country Driver’s license (if applicable) and
f. Proof of claims free driving experience (if applicable).

3. Current Owners (Not Insured with Tokio Marine):

a. Existing Registration card,
b. UAE Driver’s License,
c. Vehicle Inspection Report,
d. Home country Driver’s license (if applicable) and
e. Proof of claims free driving experience (if applicable).

In addition to any details supplied to the Insurers, I, the undersigned, declare that all the details outlined in this proposal are an
integral part of the proposed motor vehicle insurance policy and are true to the best of my knowledge & belief and I also agree
that this application shall be the basis of the contract between me and the insurance company.
I understand and accept that the insurers reserve the right to accept or reject a proposal at their discretion. I will give notice to the
company of any change in the information relating to the insured, as stated above.

Date: ....... / ....... /...............

It is recommended to the applicant to keep the documents and his/her correspondence with the company. In the absence of
Insured’s signature, Insured’s Emirate ID number and email confirmation would be mandatory.

DECLARATION BY THE INSURED (PLEASE READ CAREFULLY):

This Quote is valid for 30 Days from Issue Date

Please note that Tokio Marine reserve the right to ask for any additional information, impose special terms or decline. The liability of
the Company does not commence until the acceptance of the Proposal has been intimated by the Company or official cover note
(Motor Insurance Certificate) has been issued.
Tokio Marine & Nichido Fire Insurance Co. Ltd.

Agents for UAE : Al Futtaim Development Services Co.LLC

DUBAI OFFICE ABU DHABI OFFICE Website: www.tmnf.ae

P.O.Box 152, Office # 302-305, Single Unit-101, ADCP Building (opp. Claim Call Center: 600-503030
Business Tower, Business Bay, Sheikh Al Masraf H.O) Email: claim@tmnf.ae
Zayed Road, Dubai, UAE Hamdan Street, Abu Dhabi, UAE Report A Claim: https://www.tmnf.ae/main/report-a-claim
Tel: +971 4 3502 777

LATA01 NEW AGE INSURANCE BROKER LLC