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Policy Underwritten By:

U K Insurance Limited
Darwin Platinum
Policy Number: 00660750
Operator: IDavies Brokers ID: 2270
CDL Version: 1.09 Client: YU/4172960/001
Printed: 20/05/24 @ 13:47 A_Y0PCXPRO
© Copyright 2017 Cheshire Datasystems Limited

Customer Hotline
01733 300017
Claims Hotline
0345 246 2089

Motor Proposal
Confirmation - Darwin Issued 20/05/24

Platinum
POLICY NUMBER 00660750 Reference: 4172960/001

WHAT TO DO Please check this form and If all the information is correct, keep this form in a safe place with
ensure that the information your policy.
provided is correct.You must If any of these details are incorrect, no longer entirely accurate
take care to provide us with or if you are unsure about them, then please call us immediately
accurate information. as incorrect information could adversely affect your policy,
including invalidating your policy and causing claims to be
rejected or not fully paid. Please keep this document in a safe
place with your other policy documents.
You can call us on 01733 300017 to advise us of any
inaccuracies.

POLICYHOLDER Name Mr Ramelle Curtis-Braithwaite

Date of Birth 06/05/97
Marital Status Single
Correspondence Address 8 Norwich Road
Dereham
NR20 3AE
Legal Owner of the car Mr Ramelle Curtis-Braithwaite
Registered Keeper of the car Mr Ramelle Curtis-Braithwaite
Home owner No
Total No. of cars at home 1
Contact Number 07767 056719 Home
07767 056719 Work

POLICY DETAILS Period of Insurance 20/05/24 (13:47 hours) to 19/05/25 (23:59 hours)
Cover Comprehensive

Use Social, domestic and pleasure purposes & Hire and

Reward

Main Driver Mr Ramelle Curtis-Braithwaite

Other Drivers Miss Cheryl Curtis (Parent)

All drivers have NEVER had insurance cancelled by an insurer.

Please check the information about drivers on the next page of this document.
Please check the information and read the declaration on the
next page of this document.
Darwin® insurance policies are underwritten by U K Insurance Limited. Registered office:The Wharf, Neville Street, Leeds LS1 4AZ Registered in England and Wales No.1179980. U K
Insurance Limited is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential
Regulation Authority. Calls may be recorded.
Policy Underwritten By:
U K Insurance Limited
Darwin Platinum
Policy Number: 00660750
Operator: IDavies Brokers ID: 2270
CDL Version: 1.09 Client: YU/4172960/001
Printed: 20/05/24 @ 13:47 A_Y0PCXPRO
© Copyright 2017 Cheshire Datasystems Limited

CAR DETAILS Make and Model of car VAUXHALL CORSA LIFE

Registration Number NC58JFY

Manufactured 2009

Estimated Value Market Value (not exceeding £75,000)

We will not pay more than the market value of your car
at the time of loss (less any excess that may apply).

Purchase Date 17/05/24

Modifications None

Postcode where vehicle kept NR20 3AE

Estimated Annual Mileage Not more than 8,000

NO CLAIM DISCOUNT No Claim Discount Entitlement 0 years

DETAILS OF SPECIFIC Mr Ramelle Curtis-Braithwaite (main driver): 27 years old

DRIVERS • Construction Worker • No convictions, endorsements, fixed penalties or
If any details are incorrect, • Full Licence issued in UK, held for less than 1 year disqualifications including points in the last 5 years.
• UK resident since birth • No accidents, claims or losses in the last 5 years.
please notify us immediately.
• Driving Licence Number: CURTI905067RF9US
• No. of children at home: Information not supplied

Miss Cheryl Curtis (additional driver) 58 years old

• Cleaning Supervisor • No convictions, endorsements, fixed penalties or
• Full Licence issued in UK, held for over 25 years disqualifications including points in the last 5
• UK resident since birth years.
• No accidents, claims or losses in the last 5 years.

IMPORTANT NOTES • The Road Traffic Act states that it is an offence to make a false statement, or to withhold
information, to obtain a certificate of motor insurance.
• If anything on the Motor Proposal Confirmation is incorrect, no longer entirely accurate, or if you are
unsure about any details, please notify us immediately. Failure to do so could invalidate your policy.
• If you give us any additional information, for instance in a letter, please keep a copy for yourself.

DECLARATION Please check that this policy meets your needs. It is based on the most up to date information provided by
you.You must take care to provide us with accurate information and you should notify us
immediately if anything is incorrect or if you are unsure about any details. Providing inaccurate
information could adversely affect your policy, including invalidating your policy and causing
claims to be rejected or not fully paid.
Should any of the information contained in this Motor Proposal Confirmation and your Policy
Schedule change during the period of insurance you should notify us immediately.
I accept the insurance, subject to the terms and conditions set out in the Policy I have received.
Darwin® insurance policies are underwritten by U K Insurance Limited. Registered office:The Wharf, Neville Street, Leeds LS1 4AZ Registered in England and Wales No.1179980. U K
Insurance Limited is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. Calls may be recorded.