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comp-address |
TEMPORARY COVER NOTE
MOTOR TRAFFIC ACT. NO 14 OF 1951
CERTIFICATE OF INSURANCE
We hereby certify that the following Cover Note is issued in accordance with the provisions of Part VI of the Motor Traffic Act No. 14 of 1951 as amended
Cover Note Number
:
cover-note-number
Insured name
:
insured-name
Address
:
insured-address
Date of Issue
:
date-of-issue
Time of Issue
:
time-of-issue
insured-name of insured-address having proposed for Insurance in respect of the Motor vehicle described in the schedule below and having paid the sum of Rs.sum-insured the risk is hereby held covered in terms of the company’s usual form of THIRD PARTY POLICY applicable thereto for a period of Thirty Days this is to say, from time-of-issue on the date-of-issue to the same time on the 30th day thereafter unless the cover be terminated by the company by notice in writing in which case the Insurance will thereupon cease and proportionate part of the annual premium otherwise payable for such Insurance will be charged for the time the company has been on risk.
Vehicle Registration No
:
vehicle-registration-no
Make/Model
:
vehicle-make / vehicle-model
Engine No
:
engine-no
Chassis No
:
chassis-no
Type Of Vehicle
:
type-of-vehicle
Purpose Of Use
:
purpose-of-use
Insurance Policy will be sent through Registered Post within 14 days.
Please inform us if you have not received the policy within 14 days.
Security code: sec-code
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Issued By 
On behalf of Continental Insurance Lanka Limited |
InsureMe Insurance Brokers (PVT) Ltd. |
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