Insurance Certificate for Domestic Worker ﺷﻬﺎﺩﺓ ﺗﺄﻣﻴﻦ ﺍﻟﻌﺎﻣﻞ ﺍﻟﻤﺴﺎﻋﺪ
Certificate of Insurance No.: :ﺷﻬﺎﺩﺓ ﺗﺄﻣﻴﻦ ﺭﻗﻢ
1042/2024/V2/000000578633 1042/2024/V2/000000578633
Covered Domestic Worker: :ﺍﻟﻌﺎﻣﻞ ﺍﻟﻤﺴﺎﻋﺪ ﺍﻟﻤﺸﻤﻮﻝ ﺑﺎﻟﺘﻐﻄﻴﺔ
LEAH PANIS AQUINO ﻟﻴﺎ ﺑﺎﻧﻴﺲ ﺃﻛﻴﻨﻮ
Employer: :ﺻﺎﺣﺐ ﺍﻟﻌﻤﻞ
RASHED ALI SALEM MUBARAK ALSUWAIDI RASHED ALI SALEM MUBARAK ALSUWAIDI
Address of Employer: :ﻋﻨﻮﺍﻥ ﺻﺎﺣﺐ ﺍﻟﻌﻤﻞ
Coverage Period: :ﻣﺪﺓ ﺍﻟﺘﻐﻄﻴﺔ
From : 29-11-2024 2024-11-29 :ﻣﻦ
To : 28-05-2027 2027-05-28 :ﺇﻟﻰ
Coverage: :ﺍﻟﺘﻐﻄﻴﺔ
1- Unpaid End of Service ﻣﻜﺎﻓﺄﺓ ﻧﻬﺎﻳﺔ ﺍﻟﺨﺪﻣﺔ ﻏﻴﺮ ﺍﻟﻤﺪﻓﻮﻋﺔ-1
2- Unpaid Salaries up to a maximum of the last 120 days prior to the last ﻳﻮﻡ ﺍﻟﺴﺎﺑﻘﺔ ﻵﺧﺮ ﻳﻮﻡ120 ﺍﻷﺟﻮﺭ ﻏﻴﺮ ﺍﻟﻤﺪﻓﻮﻋﺔ؛ ﻭﺑﺤﺪ ﺃﻗﺼﻰ ﺃﺟﺮ ﺁﺧﺮ-2
working day of the worker .ﻋﻤﻞ ﻟﻠﻌﺎﻣﻞ
3- Unpaid Return Costs to Homeland ﺗﻜﺎﻟﻴﻒ ﺍﻟﻌﻮﺩﺓ ﺇﻟﻰ ﺍﻟﻮﻃﻦ ﻏﻴﺮ ﺍﻟﻤﺪﻓﻮﻋﺔ-3
4- Unpaid Work Related Injuries ﺍﻟﺘﻜﺎﻟﻴﻒ ﺍﻟﻤﺘﻌﻠﻘﺔ ﺑﺈﺻﺎﺑﺎﺕ ﻭﺃﻣﺮﺍﺽ ﺍﻟﻌﻤﻞ ﻏﻴﺮ ﺍﻟﻤﺪﻓﻮﻋﺔ-4
5- Unpaid Repatriation of mortal remains. ﺗﻜﺎﻟﻴﻒ ﻧﻘﻞ ﺍﻟﺠﺜﻤﺎﻥ ﻓﻲ ﺣﺎﻟﺔ ﺍﻟﻮﻓﺎﺓ-5
6- Flight tickets for workers who absconded from work if the absconding ﺗﺬﺍﻛﺮ ﺍﻟﺴﻔﺮ ﻟﻠﻌﻤﺎﻟﺔ ﺍﻟﻤﻨﻘﻄﻌﺔ ﻋﻦ ﺍﻟﻌﻤﻞ ﻭﺫﻟﻚ ﻓﻲ ﺣﺎﻝ ﻗﻴﺪ ﺷﻜﻮﻯ-6
was reported and the worker was arrested, within a period of 5 years from ﺳﻨﻮﺍﺕ ﻣﻦ ﺗﺎﺭﻳﺦ ﺳﺮﻳﺎﻥ5 ﺍﻻﻧﻘﻄﺎﻉ ﻋﻦ ﺍﻟﻌﻤﻞ ﻭﺿﺒﻂ ﺍﻟﻌﺎﻣﻞ ﺧﻼﻝ ﻓﺘﺮﺓ
the Coverage inception date . ﺍﻟﺘﻐﻄﻴﺔ ﺍﻟﺘﺄﻣﻴﻨﻴَّﺔ
7- Flight tickets in addition to the provision of subsistence, (for example ﺗﺬﺍﻛﺮ ﺍﻟﺴﻔﺮ ﺑﺎﻹﺿﺎﻓﺔ ﻟﺘﻮﻓﻴﺮ ﺍﻹﻋﺎﺷﺔ ﻋﻠﻰ ﺳﺒﻴﻞ ﺍﻟﻤﺜﺎﻝ ) ﺗﻮﻓﻴﺮ ﺍﻟﻐﺬﺍﺀ-7
providing food and housing) with a maximum of AED 700 and for a period ﻭﻟﻤﺪﺓ ﻻ ﺗﺰﻳﺪ ﻋﻦ ﺷﻬﺮ ﻟﻜﻞ ﻋﺎﻣﻞ؛ ﻭﺫﻟﻚ ﻓﻲ ﺣﺎﻝ700 ﻭﺍﻟﻤﺴﻜﻦ( ﺑﺤﺪ ﺃﻗﺼﻰ
not exceeding one month for each worker. This coverage is only for 3 ﻃﻠﺐ ﺍﻹﻋﺎﺷﺔ ﺧﻼﻝ ﻣﺪﺓ/ ﻗﻴﺪ ﺷﻜﻮﻯ ﺍﻻﻧﻘﻄﺎﻉ ﻋﻦ ﺍﻟﻌﻤﻞ ﻭﺿﺒﻂ ﺍﻟﻌﺎﻣﻞ
workers who absconded provided (the absconding was reported & The .ﺳﻨﻮﺍﺕ ﻣﻦ ﺗﺎﺭﻳﺦ ﺷﺮﺍﺀ ﺍﻟﻤﻨﺘﺞ ﺍﻟﺘﺄﻣﻴﻨﻲ
worker was arrested) within a period of 3 years from the date of purchase
of the insurance product.
8- Any unpaid other financial labor rights mentioned in Federal Law No. ﺃﻱ ﻣﺴﺘﺤﻘﺎﺕ ﻋﻤﺎﻟﻴﺔ ﻣﺎﻟﻴﺔ ﺃﺧﺮﻯ ﻏﻴﺮ ﺍﻟﻤﺪﻓﻮﻋﺔ ﻭﺍﻟﻮﺍﺭﺩﺓ ﻓﻲ ﺍﻟﻤﺮﺳﻮﻡ-8
(9) of 2022, amendments and decisions issued to implement its provisions. ﻭﻻﺋﺤﺘﻪ، ﺑﺸﺎﻥ ﻋﻤﺎﻝ ﺍﻟﺨﺪﻣﺔ ﺍﻟﻤﺴﺎﻋﺪﺓ2022 ( ﻟﺴﻨﺔ9 ) ﺑﻘﺎﻧﻮﻥ ﺍﺗﺤﺎﺩﻱ ﺭﻗﻢ
ﺍﻟﺘﻨﻔﻴﺬﻳﺔ ﻭﺍﻟﻘﺮﺍﺭﺍﺕ ﺍﻟﻤﻨﻔﺬﺓ ﻟﻪ
Coverage Limit: :ﺣﺪﻭﺩﺍﻟﺘﻐﻄﻴﺔ
AED 20,000/- Any One Claim and in the Aggregate during the Coverage . ﺩﺭﻫﻢ ﺇﻣﺎﺭﺍﺗﻲ ﻟﻠﻤﻄﺎﻟﺒﺔ ﺍﻟﻮﺍﺣﺪﺓ ﻭ ﻟﻤﺠﻤﻮﻉ ﺍﻟﻤﻄﺎﻟﺒﺎﺕ ﺧﻼﻝ ﻓﺘﺮﺓ ﺍﻟﺘﻐﻄﻴﺔ20,000
For inquiries: 04 - 260 4333 04 - 260 4333 :ﻟﻠﺘﻮﺍﺻﻞ ﻭﺍﻻﺳﺘﻔﺴﺎﺭﺍﺕ
Subject to Policy Terms & Conditions ﺧﺎﺿﻌﺔ ﻟﺸﺮﻭﻁ ﻭ ﺃﺣﻜﺎﻡ ﻭﺛﻴﻘﺔ ﺍﻟﺘﺄﻣﻴﻦ
DUBAI INSURANCE COMPANY(PSC) ﻉ.ﻡ.ﺷﺮﻛﺔ ﺩﺑﻲ ﻟﻠﺘﺄﻣﻴﻦ ﺵ
For and on Behalf of the Insurance Pool of Workers
ﺑﺎﻷﺻﺎﻟﺔ ﻭ ﺑﺎﻟﻨﻴﺎﺑﺔ ﻋﻦ ﺍﻟﻤﺠﻤﻊ ﺍﻟﺘﺄﻣﻴﻨﻲ ﻟﺒﺮﻧﺎﻣﺞ ﺣﻤﺎﻳﺔ ﺍﻟﻌﻤﺎﻝ
Protection Program
