<?xml version="1.0" encoding="UTF-8"?>
<!-- schema imports come from the localdisk -->
<tb2ent:Message xmlns:tb2ent="http://www.telebib2.org/Namespace/2012/Entities" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.telebib2.org/Namespace/2012/Entities http://www.telebib2.org/Namespace/2012/Entities.xsd">
<DocumentsAttachedCounter>0</DocumentsAttachedCounter>
<MessageGUID></MessageGUID>
<MessageIssuingDateAndTime>2012-02-16T17:10:00</MessageIssuingDateAndTime>
<MessageText></MessageText>
<MessageAboutClaim>
	<aboutClaim>
		<ClaimIdentifier><Content></Content></ClaimIdentifier>
		<FileOpeningDate>2012-02-01</FileOpeningDate>
		<ClaimFileStatusCode>1</ClaimFileStatusCode>
		<FileClosingDate></FileClosingDate>
		<ClaimCommunicationText></ClaimCommunicationText>
		<inIncident>
			<withOpponentThirdParty>
				<RoleCode>1</RoleCode>
				<isParty>
					<AbbreviatedName></AbbreviatedName>
					<PhysicalPerson>
						<FamilyName></FamilyName>
						<FirstGivenName></FirstGivenName>
					</PhysicalPerson>
				</isParty>
				<OpponentThirdParty>
					<OpponentPartyCapacityCode>00</OpponentPartyCapacityCode>
					<OpponentThirdPartyBreathTestIndicator>1</OpponentThirdPartyBreathTestIndicator>
					<withCircumstanceColumn>
						<CircumstanceColumnIdentifier></CircumstanceColumnIdentifier>
						<PointOfImpactIdentifier></PointOfImpactIdentifier>
						<withCircumstance>
							<CircumstanceIdentifier></CircumstanceIdentifier>
						</withCircumstance>
						<inEuropeanAccidentNotificationForm>
							<EuropeanAccidentNotificationForm>
								<withCircumstanceColumn>
									<CircumstanceColumnIdentifier></CircumstanceColumnIdentifier>
									<PointOfImpactIdentifier></PointOfImpactIdentifier>
									<withCircumstance>
										<CircumstanceIdentifier></CircumstanceIdentifier>
									</withCircumstance>
									<ofParty>
										<RoleCode>1</RoleCode>
										<isParty>
											<AbbreviatedName></AbbreviatedName>
										</isParty>
										<Claimant>
											<ClaimingInsured>
											</ClaimingInsured>
										</Claimant>
									</ofParty>
								</withCircumstanceColumn>
							</EuropeanAccidentNotificationForm>
						</inEuropeanAccidentNotificationForm>
					</withCircumstanceColumn>
				</OpponentThirdParty>
			</withOpponentThirdParty>
			<TrafficAccident>
				<AccidentCauseText></AccidentCauseText>
				<AccidentNotificationJointlySignedIndicator>1</AccidentNotificationJointlySignedIndicator>
				<AccidentOccurredInBelgiumIndicator>1</AccidentOccurredInBelgiumIndicator>
				<KfkConventionApplicableIndicator>1</KfkConventionApplicableIndicator>
				<KfkConventionCriteriaMetIndicator>1</KfkConventionCriteriaMetIndicator>
				<OpponentInsurerKfkConventionSubscriptionIndicator>1</OpponentInsurerKfkConventionSubscriptionIndicator>
				<TPLCoverIndicator>1</TPLCoverIndicator>
				<VehicleSubjectToCompulsoryInsuranceIndicator>1</VehicleSubjectToCompulsoryInsuranceIndicator>
			</TrafficAccident>
		</inIncident>
		<inContract>
			<ContractIdentifier><Content></Content></ContractIdentifier>
			<ContractStatusTypeCode>1</ContractStatusTypeCode>
			<PaymentFrequencyCode>0</PaymentFrequencyCode>
			<PolicyTypeCode>161</PolicyTypeCode>
			<RenewalMainDate>2012-02-16</RenewalMainDate>
			<RenewalPremiumCollectionCode>3</RenewalPremiumCollectionCode>
			<MotorInsuranceContract></MotorInsuranceContract>
		</inContract>
		<withClaimAsIncurred>
			<isInsurer>
				<RoleCode>1</RoleCode>
				<isParty>
					<AbbreviatedName></AbbreviatedName>
					<withRelationToParty>
						<RelatedPartyName></RelatedPartyName>
						<toParty>
							<AbbreviatedName></AbbreviatedName>
							<withCommunicationChannel></withCommunicationChannel>
							<withAddress></withAddress>
						</toParty>
						<FileAdministrator></FileAdministrator>
					</withRelationToParty>
					<withCommunicationChannel>
						<Telephone>
							<TelephoneNumber></TelephoneNumber>
							<OfficeTelephone></OfficeTelephone>
						</Telephone>
					</withCommunicationChannel>					
				</isParty>
				<InsuranceProvider>
					<Exchanges80DestineeCode></Exchanges80DestineeCode>
					<ICBIdentifier><Content></Content></ICBIdentifier>
					<ICBRegistration>A</ICBRegistration>
					<PORTIMARegistrationNumber></PORTIMARegistrationNumber>
					<Insurer></Insurer>
				</InsuranceProvider>
			</isInsurer>
		</withClaimAsIncurred>
		<withClaimAsHeld>
			<isHolder>
				<RoleCode>1</RoleCode>
				<isParty>
					<AbbreviatedName></AbbreviatedName>
					<PhysicalPerson>
						<BirthDate>1958-07-04</BirthDate>
						<BirthPlaceCode>0</BirthPlaceCode>
						<BirthPlaceText></BirthPlaceText>
						<CEOCategoryText></CEOCategoryText>
						<ChildrenCount>1</ChildrenCount>
						<FamilyName></FamilyName>
						<FirstGivenName></FirstGivenName>
						<RemovalDate>2012-02-15</RemovalDate>
						<TitleCode>1</TitleCode>
						<TitleName></TitleName>
						<TouringClubBelgiumTypeCode>1</TouringClubBelgiumTypeCode>
						<WeddingDate>2012-02-14</WeddingDate>
						<withDrivingLicence>
							<DocumentDescriptionText></DocumentDescriptionText>
							<DocumentIssueDate>2012-02-16</DocumentIssueDate>
							<LastUpdateDate>2012-02-15</LastUpdateDate>
							<DrivingLicence>
								<DrivingLicenceCategoryCode>A</DrivingLicenceCategoryCode>
								<DrivingLicenceCountry>B</DrivingLicenceCountry>
								<DrivingLicenceExpiryDate>2012-02-18</DrivingLicenceExpiryDate>
								<DrivingLicenceLatestWithdrawalDate>2012-02-14</DrivingLicenceLatestWithdrawalDate>
								<DrivingLicenceObtainingMannerCode></DrivingLicenceObtainingMannerCode>
								<DrivingLicenceRestrictionTypeCode></DrivingLicenceRestrictionTypeCode>
								<DrivingLicenceValidityStartDate>2012-02-14</DrivingLicenceValidityStartDate>
								<DrivingLicenceWithdrawalCount>0</DrivingLicenceWithdrawalCount>
							</DrivingLicence>
						</withDrivingLicence>
					</PhysicalPerson>
				</isParty>
				<PolicyHolder></PolicyHolder>
			</isHolder>
		</withClaimAsHeld>
		<withClaimAsIntermediated>
			<BrokerClaimIdentifier><Content></Content></BrokerClaimIdentifier>
			<isIntermediary>
				<RoleCode>1</RoleCode>
				<isParty>
					<AbbreviatedName></AbbreviatedName>
					<withRelationToParty>
						<toParty>
							<AbbreviatedName></AbbreviatedName>
							<withCommunicationChannel>
								<Telephone>
									<TelephoneNumber></TelephoneNumber>
									<OfficeTelephone></OfficeTelephone>
								</Telephone>
							</withCommunicationChannel>
						</toParty>
						<FileAdministrator></FileAdministrator>
					</withRelationToParty>
				</isParty>
				<InsuranceProvider>
					<Exchanges80DestineeCode></Exchanges80DestineeCode>
					<ICBIdentifier><Content></Content></ICBIdentifier>
					<ICBRegistration>B</ICBRegistration>
					<PORTIMARegistrationNumber></PORTIMARegistrationNumber>
					<Intermediary>
						<BrokerAccountIdentifier><Content></Content></BrokerAccountIdentifier>
						<BrokerIsActiveIndicator>1</BrokerIsActiveIndicator>
						<BrokerIsPartnerIndicator>1</BrokerIsPartnerIndicator>
						<Exchanges80DestineeTypeCode>01</Exchanges80DestineeTypeCode>
						<RenewalDrawupTypeCode>1</RenewalDrawupTypeCode>
						<SplitCommissionIndicator>1</SplitCommissionIndicator>
					</Intermediary>
				</InsuranceProvider>
			</isIntermediary>
		</withClaimAsIntermediated>
		<withClaimAsClaimed>
			<isClaimant>
				<RoleCode>1</RoleCode>
				<isParty>
					<AbbreviatedName></AbbreviatedName>
					<withCommunicationChannel></withCommunicationChannel>
					<withAddress></withAddress>
					<PhysicalPerson>
						<FamilyName></FamilyName>
						<FirstGivenName></FirstGivenName>
					</PhysicalPerson>
				</isParty>
				<Claimant>
					<PartyToPolicyHolderRelationshipTypeCode>1</PartyToPolicyHolderRelationshipTypeCode>
					<PartyToOpponentPartyRelationshipTypeCode>1</PartyToOpponentPartyRelationshipTypeCode>
					<ClaimingInsured>
						<withCircumstanceColumn>
							<CircumstanceColumnIdentifier></CircumstanceColumnIdentifier>
							<inEuropeanAccidentNotificationForm>
								<DocumentIdentifier><Content></Content></DocumentIdentifier>
							</inEuropeanAccidentNotificationForm>								
						</withCircumstanceColumn>
					</ClaimingInsured>
				</Claimant>
			</isClaimant>
			<withDamage>
				<DamageAmountDeterminedIndicator>false</DamageAmountDeterminedIndicator>
				<DamageText></DamageText>
				<InvoiceIdentifier></InvoiceIdentifier>
				<withObjectDamaged>
					<isObject><MaterialObject></MaterialObject></isObject>
					<ObjectDamaged>
						<DamagedMotorisedVehicle></DamagedMotorisedVehicle>
					</ObjectDamaged>
				</withObjectDamaged>
				<MaterialDamage></MaterialDamage>
			</withDamage>
		</withClaimAsClaimed>
		<withMessage></withMessage>
		<withAction></withAction>
		<withAssessment>
			<AssessmentCategoryCode>1</AssessmentCategoryCode>
			<AssessmentClosingDate>2012-02-15</AssessmentClosingDate>
			<AssessmentDate>2012-02-15</AssessmentDate>
			<AssessmentFinalizedIndicator>1</AssessmentFinalizedIndicator>
			<AssessmentIdentifier><Content></Content></AssessmentIdentifier>
			<withAdditionalSubmissionOrRelatedDocument>
				<AdditionalSubmissionAdresseeIdentificationCode></AdditionalSubmissionAdresseeIdentificationCode>
				<AdditionalSubmissionSendingCode>C</AdditionalSubmissionSendingCode>
				<AdditionalSubmissionTotalCount>0</AdditionalSubmissionTotalCount>
				<AssessmentRelatedDocumentSenderTypeCode>C</AssessmentRelatedDocumentSenderTypeCode>
				<AssessmentRelatedDocumentsToBeDeliveredCode>0</AssessmentRelatedDocumentsToBeDeliveredCode>
				<CopiesToBeSentCount>0</CopiesToBeSentCount>
			</withAdditionalSubmissionOrRelatedDocument>
			<inDamage>
				<withGuaranteeIncurred>
					<onObjectInsured>
						<ObjectInsured>
							<inContract>
								<ContractIdentifier><Content></Content></ContractIdentifier>
								<ContractStatusTypeCode>1</ContractStatusTypeCode>
								<PaymentFrequencyCode>0</PaymentFrequencyCode>
								<PolicyTypeCode>161</PolicyTypeCode>
								<RenewalMainDate>2012-02-15</RenewalMainDate>
								<RenewalPremiumCollectionCode>3</RenewalPremiumCollectionCode>
							</inContract>
							<inIncident></inIncident>
						</ObjectInsured>
					</onObjectInsured>
				</withGuaranteeIncurred>
				<withObjectDamaged>
					<isObject>
						<MaterialObject>
							<Vehicle>
								<MakeModelTypeName></MakeModelTypeName>
								<RoadVehicle>
									<ChassisNumber></ChassisNumber>
									<MotorisedRoadVehicle>
										<ModelTypeCode>1</ModelTypeCode>
										<PrivateMotorisedRoadVehicle>
											<SportsCarIndicator>1</SportsCarIndicator>
										</PrivateMotorisedRoadVehicle>
									</MotorisedRoadVehicle>
								</RoadVehicle>
							</Vehicle>
						</MaterialObject>
					</isObject>
				</withObjectDamaged>
			</inDamage>
			<withAssessor>
				<RoleCode>1</RoleCode>
				<isParty>
					<AbbreviatedName></AbbreviatedName>
					<withCommunicationChannel></withCommunicationChannel>
					<withAddress></withAddress>
					<LegalPerson>
						<LegalPersonName></LegalPersonName>
					</LegalPerson>
				</isParty>
				<Assessor></Assessor>
			</withAssessor>
		</withAssessment>
		<withSettlement>
			<inGuarantee></inGuarantee>
			<isPayee></isPayee>
			<inDamage></inDamage>
			<Indemnification></Indemnification>
		</withSettlement>
	</aboutClaim>
	<MessageClaimOpeningAdministrative></MessageClaimOpeningAdministrative>
</MessageAboutClaim>
</tb2ent:Message>
