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(NW44EP1HV)
Mr C Badulet
19 Somerset Road
London
NW4 4EP
Duplicate Certificate
Insurance for your Volkswagen Passat

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Your policy number
119218079-01
Please keep this certificate in a safe
place.
It is an important legal document and
may need to be returned to us in certain
circumstances. If you lose this
certificate or it is destroyed, we will
charge you 10 to send a duplicate
certificate.
Certificate of Motor Insurance
Your certificate number
119218079 01 001 02
Issued by BISL Limited on behalf of CIS General Insurance Limited
1 Registration mark of vehicle:
T879SCH
2 Policyholder Mr C Badulet
3 Effective date for the start of insurance (for the purposes of the relevant law)
15:26 on 16 June 2011
4 Date of expiry 24:00 on 15 June 2012
5 Persons or classes of persons entitled to drive (Provided that the
person holds a licence to drive the vehicle or has held and is not disqualified from holding such
a licence)
Mr Claudiu Badulet
Mr Claudiu Badulet is also insured to drive with the owner's consent any motor car not
belonging to him and not hired to him under a hire purchase or lease agreement and provided
that the motor car is being used within the limitations listed below. This cover is restricted to
Third Party Liability only
6 Limitations as to use.
This car is insured while being used for social, domestic and pleasure purposes only. There will
be no cover if the car is used for commuting between home and work, for racing, speed trials
or rallies or for any business purpose or any use for hire or reward. There will also be no cover
if this car is used in connection with the motor trade. Any cover you have for loss or damage to
your car continues while the car is being serviced by a member of the motor trade or being
parked by an employee of a hotel or restaurant.
I hereby certify that the Policy to which this certificate relates satisfies
the requirements of the relevant law applicable in Great Britain, Northern
Ireland, the Isle of Man, the Island of Guernsey, the Island of Jersey and
the Island of Alderney.
for CIS General Insurance Limited
Authorised Insurers
The Co-operative Insurance
Miller Street
Manchester
M60 0AL

Signed
Stuart Roberts, Director of Customer Services
Note: This certificate is evidence of insurance as
required by the Road Traffic Acts or Orders only.
Please refer to the policy documents for full details
of the insurance cover.
Advice to Third Parties. Nothing contained in this
certificate affects your rights as a Third Party to
make a claim.
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Our phone numbers
Customer services
0844 412 2101
Mon to Fri 8am-9pm, Sat 9am-5pm
Please call this number if you have
any questions, or to tell us about
changes
Accident recovery
0845 602 4508
From outside the UK:
0044 161 930 8808
24 hours a day, 7 days a week
Your policy number
119218079-01
Please tell us this number if you
contact us
Our address
CIS General Insurance Limited
Fusion House
Bretton Way
Bretton
Peterborough
PE3 8BG
For friends who would like a quote
0800 294 3833
Mon to Fri 8am-9pm, Sat 9am-5pm

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