MOTOR INSURANCE QUOTE

PERSONAL DETAILS:
Name: Mobile No: Email: Address: Mr. Manilal Vasavan Etisalat (50) 4654470 vmanilal@yahoo.com P.O.Box. 111576, Dubai, UAE Emirates Beton

QUOTE DETAILS:
Quote No: Date: Product Selected: Price: QTE8192-23362 13/07/2013 Motor Perfect AED. 2,886.00

PERIOD OF INSURANCE:
Policy Starting Date: 13 July, 2013 Policy Expiry Date: 12 August, 2014

PAYMENT DETAILS:
Please choose the most convenient method to pay and purchase your policy: Pay online on www.axa-gulf.com and get 5% discount on your quote price Call AXA on 800 4845 (8am to 8pm on Sun to Wed, 8am to 5pm on Thu & 8am to 6pm on Sat) Visit any one of our branches

COVER DETAILS:
Loss or Damage to your vehicle Third Party Bodily Injury Third Party Property Damage Medical Expenses Due To An Accident Personal Belongings Natural Perils (Storm/Flood) Off-road cover & Oman extension Accessories Agency Repairs YES YES YES YES YES YES YES NO YES Breakdown Recovery GCC Cover Hire Car No Claims Discount Protection Oman cover Personal Accident Cover for Driver Personal Accident Cover for Passengers Pick up and Delivery (Claim Service) YES NO NO NO NO YES YES NO

DRIVERS DETAILS:
Main driver: Date of birth: First License Issuing Country: UAE Driving experience: Declared Years of NCD: Supporting Document for NCD: Mr. Manilal Vasavan 30/05/1968 India 5 year 4 year Yes Gender: Nationality: Occupation: Traffic ID: Driving License No: Male India Manager 1403005

VEHICLE DETAILS:
Make: Model: Type: First Registration Year: Seating Capacity: Engine Capacity: Vehicle Usage: JEEP WRANGLER 3.6L 2 DOORS : 4 SEATER : B 2009 4 seats 3600 Liter Vehicle value: Manufactured Year: Colour: Chassis No: Engine No: AED 57,000.00 2008 RED -

DISCLAIMER:
This is the summary of your quotation and NOT AN OFFICIAL POLICY DOCUMENT. Original policy shedule, certificate and breakdown card will be issued once your payment is processed succesfully and all the required documents have been received. This quote is valid for 30 days from the quotation date