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mt¥m¾ c’É ¼ ሶስተኛ ወገን ¼

WK?Ç lØ` : _____________________________________

V}` lØ` : _____________________________________

‰c= lØ` : _____________________________________

ªeƒ“ lØ` : _______________ ¾"X lØ` :___________

´`´\ ŸLÃ ¾}Ökc¨< ”w[ƒ’~ ¾ ኢንሹራንስ ኩባንያዉ ደንበኛ የ የሆነ ተሸከርካሪ ¾ እኔ በ


የሰሌዳ ቁጥር }iŸ`"] ላይ በ k” ¯.M. u¡MM ¨[Ç M¿ eS<
_____________ u}vK xታ ባ Å[cuƒ የግጭት ›ÅÒ U¡”Áƒ የ ØÑ“ ዋጋዉን ብር

eK}ቀበኩ በዚህ አደጋ ምክንያት MNM xYnT t=¥¶ "X ከደንበኛችሁም ሆነ ŸQw[ƒ ›=”g<^”e ኩባንያ ›.T
¾TMÖÃp SJ’@” u}KSŨ< ò`TÂ/ò`T‹” ›[ÒÓ×KG</እ“[ÒÓ×K”::

k” _______________________________ ò`T _______________________

እ T™‹

______________________
____________ ò`T _______________________

__________________________________ ò`T _______________________

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_____________ ò`T _______________________

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