[Regulations 3, 5, 6 and 14] |
FORM A |
[Regulation 3(1)(a)] |
MOTOR VEHICLES INSURANCE (THIRD-PARTY RISKS) REGULATIONS |
CERTIFICATE OF INSURANCE |
Certificate No. | Policy No. |
1. | Index mark and registration number of vehicle | |
2. | Name of policy holder | |
3. | Date of the commencement of insurance | |
4. | Date of expiry of insurance | |
5. | Persons or classes of persons entitled to drive | |
6. | Limitation as to use* | |
I/We hereby certify that the policy to which this certificate relates is issued in accordance with the provisions of the Motor Vehicles Insurance (Third-party Risks) Act. |
______________________ |
Date of issue |
______________________ |
Time of issue |
______________________ |
INSURER |
* Limitations rendered inoperative by section 11 of the Motor Vehicles Insurance (Third-party Risks) Act are not to be included under this heading. |