‫ﺑﻄﺎﻗﺔ ﺍﻟﺘﺎﻣﻴﻦ ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﻤﻮﺣﺪﺓ‬

‫ﻋﻦ ﺳﻴﺮ ﺍﻟﺴﻴﺎﺭﺍﺕ )ﺍﻟﻤﺮﻛﺒﺎﺕ( ﻋﺒﺮ ﺍﻟﺒﻼﺩ ﺍﻟﻌﺮﺑﻴﺔ‬

‫ﻟﻠﻤﺮﻛﺒﺎﺕ ﺍﻟﺠﺰﺍﺋﺮﻳﺔ‬

‫ﺍﻟﺸﺮﻛﺔ‪Société Nationale d'Assurance (SAA) :‬‬

‫ﺍﻟﻤﻜﺘﺐ ﺍﻟﻤﻮﺣﺪ ‪ :‬ﺍﻟﻤﻜﺘﺐ ﺍﻟﻤﻮﺣﺪ ﺍﻟﺠﺰﺍﺋﺮﻱ ﻟﻠﺴﻴﺎﺭﺍﺕ‬
‫ﺍﻟﻤﺼﺪﺭﺓ‬
‫ﺍﻟﻮﻛﺎﻟﺔ‪HAMMA BOUZIANE :‬‬

‫ﺍﻟﻌﻨﻮﺍﻥ‪Cite 1er Novembre Bt.h Hamma Bouziane, :‬‬

‫ﺍﻟﻌﻨﻮﺍﻥ ‪ :‬ﺇﻗﺎﻣﺔ ﺷﻌﺒﺎﻧﻲ ‪ /‬ﻭﺍﺩ ﺣﻴﺪﺭﺓ ‪ -‬ﺣﻴﺪﺭﺓ ‪ -‬ﺍﻟﺠﺰﺍﺋﺮ‬

‫ﺻﻨﺪﻭﻕ ﺍﻟﺒﺮﻳﺪ‪:‬‬ ‫ﺻﻨﺪﻭﻕ ﺍﻟﺒﺮﻳﺪ‪16033 :‬‬

‫ﺍﻟﻬﺎﺗﻒ‪07 70 19 42 92 :‬‬ ‫ﺍﻟﻬﺎﺗﻒ‪+21321601295 / +21321601207 :‬‬
‫ﺍﻟﻔﺎﻛﺲ‪031.84.02.87 :‬‬ ‫ﺍﻟﻔﺎﻛﺲ‪+21321606475 :‬‬
‫ﺍﻟﺒﺮﻳﺪ_ﺍﻹﻟﻜﺘﺮﻭﻧﻲ‪benkahoul.sabrina@saa.dz :‬‬ ‫‪DZA/24/3839520‬‬ ‫ﺍﻟﺒﺮﻳﺪ_ﺍﻹﻟﻜﺘﺮﻭﻧﻲ‪bua.algerie@gmail.com :‬‬

‫ﺍﻟﻬﺎﺗﻒ‬ ‫ﺍﻟﻌﻨﻮﺍﻥ‬ ‫ﺍﺳﻢ ﺍﻟﻤؤﻣﻦ ﻟﻪ‬

‫‪HAMMA BOUZIANE‬‬ ‫‪HEDOUAS RABAH‬‬

‫‪Algérie‬‬ ‫ﺟﻨﺴﻴﺔ ﺍﻟﻤﺮﻛﺒﺔ‬ ‫‪Véhicule de golf‬‬ ‫ﻧﻮﻉ ﺍﻟﻤﺮﻛﺒﺔ‬

‫‪VF1KGOGO626888242‬‬ ‫ﺭﻗﻢ ﺍﻟﻬﻴﻜﻞ )ﺍﻟﺸﺎﺳﻴﻪ(‬ ‫‪2002‬‬ ‫ﺳﻨﺔ ﺍﻟﺼﻨﻊ‬
‫‪10943-102-25‬‬ ‫ﺭﻗﻢ ﺍﻟﻤﺤﺮﻙ )ﺍﻟﻤﻮﺗﻮﺭ(‬ ‫‪10943-102-25‬‬ ‫ﺭﻗﻢ ﺍﻟﻠﻮﺣﺔ‬
‫‪Renault Laguna‬‬ ‫ﻋﻼﻣﺔ ﺍﻟﻤﺮﻛﺒﺔ‬ ‫‪PV - Private‬‬ ‫ﺍﻟﻐﺮﺽ ﻣﻦ ﺍﻹﺳﺘﻌﻤﺎﻝ‬

‫‪2024/03/14‬‬ ‫ﺍﻟﻤﻮﺍﻓﻖ‬ ‫ﺍﻟﺨﻤﻴﺲ‬ ‫ﻳﻮﻡ‬ ‫‪08:46‬‬ ‫ﻣﻦ ﺍﻟﺴﺎﻋﺔ‬

‫ﺳﺮﻳﺎﻥ ﺍﻟﺘﺄﻣﻴﻦ‬
‫‪2024/04/12‬‬ ‫ﺍﻟﻤﻮﺍﻓﻖ‬ ‫ﺍﻟﺠﻤﻌﺔ‬ ‫ﻳﻮﻡ‬ ‫‪23:59‬‬ ‫ﺇﻟﻰ ﺍﻟﺴﺎﻋﺔ‬

‫ﺍﻟﺒﻼﺩ ﺍﻟﺘﻲ ﺗﺴﺮﻱ ﻓﻴﻬﺎ ﺍﻟﺒﻄﺎﻗﺔ‬

‫ﺍﻟﺠﺰﺍﺋﺮﻳﺔ‬ ‫ﺍﻟﻤﺼﺮﻳﺔ‬ ‫ﺍﻟﺒﺤﺮﻳﻨﻴﺔ‬ ‫ﺍﻟﻌﺮﺍﻗﻴﺔ‬ ‫ﺍﻷﺭﺩﻧﻴﺔ‬ ‫ﺍﻟﻜﻮﻳﺘﻴﺔ‬
‫ﺍﻟﻠﺒﻨﺎﻧﻴﺔ‬ ‫ﺍﻟﻠﻴﺒﻴﺔ‬ ‫ﺍﻟﻌﻤﺎﻧﻴﺔ‬ ‫ﺍﻟﻘﻄﺮﻳﺔ‬ ‫ﺍﻟﺴﻮﺭﻳﺔ‬ ‫ﺍﻟﺘﻮﻧﺴﻴﺔ‬ ‫ﺍﻹﻣﺎﺭﺍﺗﻴﺔ‬

‫ﺑﻴﺎﻥ ﻣﺨﺘﺼﺮ ﻋﻦ ﻧﻮﻋﻴﺔ ﺍﻟﺘﻐﻄﻴﺎﺕ ﻃﺒﻘﺎ ﻟﻘﻮﺍﻧﻴﻦ ﺍﻟﺘﺄﻣﻴﻦ ﺍﻹﻟﺰﺍﻣﻲ ﻓﻲ ﺍﻟﺒﻼﺩ ﺍﻟﻌﺮﺑﻴﺔ‬ ‫ﻋﻨﺎﻭﻳﻦ ﺍﻟﻤﻜﺎﺗﺐ ﺍﻟﻤﻮﺣﺪﺓ ﺍﻟﺘﻲ ﻳﺮﺟﻊ ﺇﻟﻴﻬﺎ ﺣﺎﻣﻞ ﺍﻟﺒﻄﺎﻗﺔ ﻓﻲ ﺣﺎﻟﺔ ﺣﺪﻭﺙ ﺣﺎﺩﺙ ﺃﻭ ﻏﻴﺮﻩ‬ ‫ﺍﻟﺒﻠﺪ‬
‫ﺍﻟﻤﻜﺘﺐ ﺍﻟﻤﻮﺣﺪ ﺍﻟﺘﻮﻧﺴﻲ ﻟﻠﺴﻴﺎﺭﺍﺕ‬
‫ﺍﻟﻌﻨﻮﺍﻥ‪ 85-87 :‬ﻧﻬﺞ ﻓﻠﺴﻄﻴﻦ ‪ -‬ﺍﻟﺒﻠﻔﻴﺪﻳﺮ ‪ 1002 /‬ﺗﻮﻧﺲ‬
‫ﺍﻷﺿﺮﺍﺭ ﺍﻟﺠﺴﻤﺎﻧﻴﺔ ﺑﻘﻴﻤﺔ ﻣﺤﺪﺩﺓ ﻭﺍﻷﺿﺮﺍﺭ ﺍﻟﻤﺎﺩﻳﺔ ﺑﻘﻴﻤﺔ ﻏﻴﺮ ﻣﺤﺪﺩﺓ‬ ‫ﺗﻮﻧﺲ‬
‫ﺕ‪ +216 71 841784 :‬ﻑ‪+216 71 845124 :‬‬
‫‪E.mail: buat@planet.tn‬‬
‫ﺍﻟﻤﻜﺘﺐ ﺍﻟﻤﻮﺣﺪ ﺍﻟﻠﻴﺒﻲ‬
‫ﺍﻟﻌﻨﻮﺍﻥ‪ :‬ﺷﺎﺭﻉ ﻣﻴﺰﺭﺍﻥ ‪ /‬ﻗﺮﺏ ﺟﺎﻣﻊ ﻣﻴﺰﺭﺍﻥ ‪ /‬ﻋﻤﺎﺭﺓ ﺭﻗﻢ )‪(246‬‬
‫ﺍﻷﺿﺮﺍﺭ ﺍﻟﺠﺴﻤﺎﻧﻴﺔ ﺑﻘﻴﻤﺔ ﻏﻴﺮ ﻣﺤﺪﺩﺓ‬ ‫ﻟﻴﺒﻴﺎ‬
‫ﺻ‪.‬ﺐ‪ 4784 :‬ﺑﺮﻳﺪ ﻣﻴﺪﺍﻥ ﺍﻟﺠﺰﺍﺋﺮ ﺕ‪ +218 21 3332306 :‬ﻑ‪+218 21 3608024 :‬‬
‫‪E.mail: Iffic2@Ittnet.net‬‬

‫ﺇﺭﺷﺎﺩﺍﺕ ﻭﺷﺮﻭﻁ ﻋﺎﻣﺔ‬

‫)‪ (1‬ﻳﻘﺼﺪ ﺑﻠﻔﻆ ﺳﻴﺎﺭﺓ )ﻣﺮﻛﺒﺔ( ﻛﻞ ﻣﺮﻛﺒﺔ ﺃﻟﻴﺔ ﻳﻠﺰﻡ ﺍﻟﻘﺎﻧﻮﻥ ﻓﻲ ﺍﻟﺒﻠﺪ ﺍﻟﻤﺼﺪﺭ ﻟﻠﺒﻄﺎﻗﺔ ﻭ ‪/‬ﺃﻭ ﺍﻟﺒﻠﺪ ﺍﻟﻤﺰﺍﺭ ﺑﻮﺟﻮﺏ ﺇﺑﺮﺍﻡ ﻣﺎﻟﻜﻬﺎ ﻟﻮﺛﻴﻘﺔ ﺍﻟﺘﺄﻣﻴﻦ ﺍﻹﻟﺰﺍﻣﻲ ﻟﻬﺎ‬
‫)‪ (2‬ﺗﻐﻄﻲ ﻫﺬﻩ ﺍﻟﺒﻄﺎﻗﺔ ﺃﺿﺮﺍﺭ ﺍﻟﺸﺨﺺ ﺍﻟﺜﺎﻟﺚ )ﺍﻟﻐﻴﺮ( ﺍﻟﻨﺎﺟﻤﺔ ﻋﻦ ﺍﻟﺤﻮﺍﺩﺙ ﺍﻟﺘﻲ ﺗﺴﺒﺒﻬﺎ ﺍﻟﻤﺮﻛﺒﺔ ﺍﻟﻤؤﻣﻨﺔ ﻭﻓﻘﺎ ﻟﻘﺎﻧﻮﻥ ﺍﻟﺒﻠﺪ ﺍﻟﻤﺰﺍﺭ‪ ,‬ﻭﻝ ﺗﻀﻤﻦ ﺍﻟﻀﺮﺍﺭ ﺍﻟﻠﺤﻘﺔ ﺑﻬﺎ ﺃﻳﺎ ﻛﺎﻥ ﺳﺒﺒﻬﺎ‪.‬‬
‫)‪ (3‬ﺣﺎﻟﺔ ﺯﻳﺎﺭﺓ ﺍﻟﻤﺮﻛﺒﺔ ﺍﻟﻤؤﻣﻦ ﻋﻠﻴﻬﺎ ﺑﻤﻮﺟﺐ ﻫﺬﻩ ﺍﻟﺒﻄﺎﻗﺔ ﻟﻲ ﺑﻠﺪ ﻋﺮﺑﻲ ﺗﺸﻤﻠﻪ ﻫﺬﻩ ﺍﻟﺒﻄﺎﻗﺔ ﻓﺈﻥ ﺍﻟﻤﻜﺘﺐ ﺍﻟﻤﻮﺣﺪ ﻓﻲ‬
‫ﻫﺬﺍ ﺍﻟﺒﻠﺪ ﻳﺘﻠﻘﻲ ﺍﻟﻤﻄﺎﻟﺒﺎﺕ ﺍﻟﻨﺎﺟﻤﺔ ﻋﻦ ﺣﻮﺍﺩﺙ ﺍﻟﻤﺮﻛﺒﺎﺕ ﺍﻟﺘﻲ ﺗﻘﻊ ﻓﻲ ﺍﻟﺪﻭﻟﺔ ﺍﻟﻜﺎﺋﻦ ﻓﻴﻬﺎ ﻫﺬﺍ ﺍﻟﻤﻜﺘﺐ‬
‫)‪ (4‬ﻳﻠﺘﺰﻡ ﺍﻟﻤؤﻣﻦ ﻟﻪ ﺑﺎﻟﺘﺼﺎﻝ ﺑﺎﻟﻤﻜﺘﺐ ﺍﻟﻤﻮﺣﺪ ﻓﻲ ﺍﻟﺒﻠﺪ ﺍﻟﺬﻱ ﻭﻗﻊ ﻓﻴﻪ ﺍﻟﺤﺎﺩﺙ‪ ,‬ﻭﻓﻲ ﺣﺎﻟﺔ ﻭﻗﻮﻉ ﺍﻟﺤﺎﺩﺙ ﻓﻲ ﺍﻟﻤﻨﻄﻘﺔ ﺍﻟﺤﺪﻭﺩﻳﺔ‬
‫)ﺍﻟﻤﺴﺎﻓﺔ ﺍﻟﺠﻐﺮﺍﻓﻴﺔ ﺍﻟﻮﺍﻗﻌﺔ ﻓﻴﻤﺎ ﺑﻴﻦ ﺍﻟﺤﺪﻭﺩ ﺍﻟﺮﺳﻤﻴﺔ ﻟﺒﻠﺪﻳﻦ ﻣﺘﺄﺟﻮﺭﻳﻦ( ﺍﻹﺗﺼﺎﻝ ﺑﺎﻟﻤﻜﺘﺐ ﺍﻟﻤﻮﺣﺪ‬
‫ﺍﻟﺘﺎﺑﻊ ﻟﻠﺒﻠﺪ ﺍﻟﺬﻱ ﺧﺮﺟﺖ ﻣﻨﻪ ﺍﻟﻤﺮﻛﺒﺔ ﺃﻭ ﺍﻟﻤﻜﺘﺐ ﺍﻟﻤﻮﺣﺪ ﻓﻲ ﺑﻠﺪ ﺍﻟﺴﻠﻄﺔ ﺍﻟﺮﺳﻤﻴﺔ ﺍﻟﺘﻲ ﺗﺘﻮﻟﻲ ﺍﻟﺴﻴﻄﺮﺓ ﻭﺍﻟﺘﺤﻘﻴﻖ ﻓﻲ ﺍﻟﺤﺎﺩﺙ‬
‫ﻭﻳﻌﺘﺒﺮ ﺍﻟﻤﻜﺘﺐ ﺍﻟﻤﻮﺣﺪ ﻣﻮﻃﻨﺎ ﻣﺨﺘﺎﺭﺍ ﻟﻜﺎﻓﺔ ﺍﻟﻤﻜﺎﺗﺐ ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﻤﻮﺣﺪﺓ ﺍﻟﺨﺮﻯ ﻭﺍﻟﺸﺮﻛﺎﺕ ﺍﻟﻌﻀﺎﺀ ﺑﻬﺎ‪.‬‬
‫)‪ (5‬ﻓﻲ ﺣﺎﻟﺔ ﺇﻧﺘﻬﺎﺀ ﻣﺪﺓ ﻫﺬﻩ ﺍﻟﺒﻄﺎﻗﺔ ﺃﺛﻨﺎﺀ ﺗﻮﺍﺟﺪ ﺍﻟﻤؤﻣﻦ ﻟﻪ ﻓﻲ ﺍﻟﺒﻠﺪ ﺍﻟﻤﺰﺍﺭ ﻓﺈﻥ ﻋﻠﻴﻪ ﺍﻟﺤﺼﻮﻝ ﻋﻠﻲ ﻭﺛﻴﻘﺔ ﺗﺄﻣﻴﻦ ﻣﺤﻠﻴﺔ ﻣﻦ ﺍﻟﺒﻠﺪ ﺍﻟﻤﺬﻛﻮﺭ‪.‬‬
‫)‪ (6‬ﻝ ﻳﺤﻖ ﻟﻠﻤؤﻣﻦ ﻟﻪ ﺇﻟﻐﺎﺀ ﻫﺬﻩ ﺍﻟﺒﻄﺎﻗﺔ‪.‬‬
‫)‪ (7‬ﻳﺤﻖ ﻟﻠﻤؤﻣﻦ ﺍﻟﺮﺟﻮﻉ ﻋﻠﻰ ﺍﻟﻤؤﻣﻦ ﻟﻪ ﺑﻤﺎ ﺃﺩﺍﻩ ﻣﻦ ﺗﻌﻮﻳﻀﺎﺕ ﻓﻲ ﺣﺎﻟﺔ ﻣﺨﺎﻟﻔﺔ ﺍﻟﻤؤﻣﻦ ﻟﻪ ﻟﻠﻘﻮﺍﻧﻴﻦ ﺍﻟﻨﺎﻓﺬﺓ ﻓﻲ ﺍﻟﺒﻠﺪ ﺍﻟﻤﺼﺪﺭ ﻟﻠﺒﻄﺎﻗﺔ ﻭ ‪ /‬ﺃﻭ ﺍﻟﺒﻠﺪ ﺍﻟﻤﺰﺍﺭ‪.‬‬
‫ﺇﺟﻤﺎﻟﻲ ﺍﻟﻘﺴﻂ ﻭ ﺍﻟﺮﺳﻮﻡ )ﺷﺎﻣﻞ ﺍﻟﺮﺳﻮﻡ ﻭﺍﻟﻀﺮﺍﺋﺐ ﺍﻟﺤﻜﻮﻣﻴﺔ( ‪0.00 :‬‬
‫ﺗﻘﻮﻡ ﺍﻟﺸﺮﻛﺔ ﺍﻟﻤﺼﺪﺭﺓ ﻟﻠﺒﻄﺎﻗﺔ ﺑﻤﺤﺎﺳﺒﺔ ﻣﺼﻠﺤﺔ ﺍﻟﻀﺮﺍﺋﺐ ﻋﻠﻰ ﺍﻟﺮﺳﻮﻡ ﺍﻟﻤﺴﺘﺤﻘﺔ‪.‬‬
‫ﺳﻨﺔ ‪2024 :‬‬ ‫ﻣﻦ ﺷﻬﺮ ‪ :‬ﻣﺎﺭﺱ‬ ‫ﺍﻟﻤﻮﺍﻓﻖ ‪14 :‬‬ ‫ﺗﺤﺮﻳﺮ ﻓﻲ ﻳﻮﻡ ‪ :‬ﺍﻟﺨﻤﻴﺲ‬
 ‫ﻫﺎﻡ ‪ :‬ﺃﻱ ﻛﺸﻂ ﺃﻭ ﺷﻄﺐ ﺃﻭ ﺗﻌﺪﻳﻞ ﻓﻲ ﻫﺬﻩ ﺍﻟﺼﻔﺤﺔ ﻳﺒﻄﻞ ﺍﻟﺒﻄﺎﻗﺔ ﻭﺗﻌﺪ ﻟﻐﻴﺔ‪.‬‬

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