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[TD="class: clsDivLabel, colspan: 2"]Poliçe Bilgileri |
[TD="class: clsDivLabel, colspan: 2"]Araç Bilgileri |
[TD="class: clsDivLabel, colspan: 2"]Geçmiş Dönem İçin Alınmış Tramer Bilgileri |
[TD="class: clsDivLabel, colspan: 2"]Bu Poliçe İçin Alınmış Tramer Bilgileri |
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[TD="class: clsFooterRed"] Transfer Tarihi: 13/08/2010 [/TD]
[TD="class: clsFooterRed"] Güncelleme Tarihi: 13/08/2010 [/TD]
[TD="class: clsDivLabel, colspan: 3"]
[/TD]
[TD="width: 1%"][/TD]
[TD="class: clsInputLabel, width: 15%"]Sigorta Şirketi:[/TD]
[TD="class: clsInputText"]002 - EUREKO SİGORTA A.Ş.[/TD]
[TD="width: 1%"][/TD]
[TD="class: clsInputLabel, width: 15%"]Acente:[/TD]
[TD="class: clsInputText"]1513 - İZMİT KELEŞLER SİGORTA ARACILIK HİZMETLERİ TİC.LTD.ŞTİ.[/TD]
[TD="width: 1%"][/TD]
[TD="class: clsInputLabel, width: 15%"]Sigortalı:[/TD]
[TD="class: clsInputText"]HALUK ÇAĞLAYANGİL[/TD]
[TD="width: 1%"][/TD]
[TD="class: clsInputLabel, width: 15%"]T.C. Kimlik Numarası:[/TD]
[TD="class: clsInputText, colspan: 5"]*******8824[/TD]
[TD="class: clsInputLabel, width: 15%"]Vergi Kimlik Numarası:[/TD]
[TD="class: clsInputText, colspan: 5"]0[/TD]
[TD="width: 1%"][/TD]
[TD="class: clsInputLabel, width: 15%"]Poliçe No:[/TD]
[TD="class: clsInputText"]11585048[/TD]
[TD="class: clsInputLabel, width: 17%"]Yenileme No:[/TD]
[TD="class: clsInputText, colspan: 3"]0[/TD]
[TD="width: 1%"][/TD]
[TD="class: clsInputLabel, width: 15%"]Tanzim Tarihi:[/TD]
[TD="class: clsInputText"]12/08/2010[/TD]
[TD="class: clsInputLabel, width: 17%"]Başlama Tarihi:[/TD]
[TD="class: clsInputText, width: 10%"]12/08/2010[/TD]
[TD="class: clsInputLabel, width: 18%"]Bitiş Tarihi:[/TD]
[TD="class: clsInputText, width: 18%"]12/08/2011[/TD]
[TD="width: 1%"][/TD]
[TD="class: clsInputLabel, width: 15%"]Poliçe İptal Durumu:[/TD]
[TD="class: clsInputText"]0-Yürürlükte [/TD]
[TD="class: clsInputLabel, width: 17%"]İptal Tarihi:[/TD]
[TD="class: clsInputText, width: 10%"][/TD]
[TD="class: clsInputLabel, width: 18%"]İptal Nedeni:[/TD]
[TD="class: clsInputText, width: 18%"]-[/TD]
[TD="width: 1%"][/TD]
[TD="class: clsInputLabel, width: 15%"]Uygulanan Kademe No:[/TD]
[TD="class: clsInputText"]0[/TD]
[TD="class: clsInputLabel, width: 17%"]Sigorta Bedeli:[/TD]
[TD="class: clsInputText, colspan: 6"]***[/TD]
[/TD]
[TD="class: clsDivLabel, colspan: 5"]
[/TD]
[TD="width: 1%"][/TD]
[TD="class: clsInputLabelReq, width: 15%"]Araç Tarife Grubu:[/TD]
[TD="class: clsInputLabelReq, colspan: 5"]01 - OTOMOBİL [/TD]
[TD="width: 1%"][/TD]
[TD="class: clsInputLabel, width: 15%"]Plaka:[/TD]
[TD="class: clsInputText"]041 HE584[/TD]
[TD="class: clsInputLabel, width: 18%"]Şasi No:[/TD]
[TD="class: clsInputText, width: 18%"]*************9487[/TD]
[TD="class: clsInputLabel, width: 18%"]Motor No:[/TD]
[TD="class: clsInputText, width: 18%"]*****3417[/TD]
[TD="width: 1%"][/TD]
[TD="class: clsInputLabel, width: 15%"]Marka:[/TD]
[TD="class: clsInputText, colspan: 3"]019281 - SEATLEON 1.4 TSI (125) STYLE [/TD]
[TD="class: clsInputLabel, width: 13%"]Model:[/TD]
[TD="class: clsInputText, width: 19%"]2011[/TD]
[TD="width: 1%"][/TD]
[TD="class: clsInputLabel, width: 15%"]Kullanım Şekli:[/TD]
[TD="class: clsInputText"]0[/TD]
[TD="class: clsInputLabel, width: 18%"][/TD]
[TD="class: clsInputText, width: 18%"][/TD]
[TD="class: clsInputLabel, width: 18%"][/TD]
[TD="class: clsInputText, width: 18%"][/TD]
[TD="width: 1%"][/TD]
[TD="class: clsInputLabel, width: 15%"]Yolcu Sayısı:[/TD]
[TD="class: clsInputText"]4[/TD]
[TD="class: clsInputLabel, width: 18%"][/TD]
[TD="class: clsInputText, width: 18%"][/TD]
[TD="class: clsInputLabel, width: 18%"][/TD]
[TD="class: clsInputText, width: 18%"][/TD]
[/TD]
[TD="class: clsDivLabel, colspan: 5"]
[/TD]
[TD="width: 1%"][/TD]
[TD="class: clsInputLabel, width: 15%"]SBM Tramer No:[/TD]
[TD="colspan: 5"][/TD]
[/TD]
[TD="class: clsDivLabel, colspan: 5"]
[/TD]
[TD="width: 1%"][/TD]
[TD="class: clsInputLabel, width: 15%"]SBM Tramer No:[/TD]
[TD="colspan: 5"][/TD]
[/TD]
[TD="align: right"]
[/TD]