Scribd Logo
Upload

Welcome to Scribd!

  • 62 views

    Ann Throng

    Uploaded by

    Masnah Insyirah Anneski
    This document is a cover note for a private car takaful certificate issued to Herman Bin Renreng for his 2012 Toyota Fortuner. The certificate provides comprehensive coverage for private use from June 13, 2013 to June 12, 2014 for an annual contribution of RM2465.80 with a RM1500 excess.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Ann Throng

    Uploaded by

    Masnah Insyirah Anneski
    62 views1 page
    This document is a cover note for a private car takaful certificate issued to Herman Bin Renreng for his 2012 Toyota Fortuner. The certificate provides comprehensive coverage for private use from June 13, 2013 to June 12, 2014 for an annual contribution of RM2465.80 with a RM1500 excess.

    Original Description:

    not important

    Original Title

    ann throng

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is a cover note for a private car takaful certificate issued to Herman Bin Renreng for his 2012 Toyota Fortuner. The certificate provides comprehensive coverage for private use from June 13, 2013 to June 12, 2014 for an annual contribution of RM2465.80 with a RM1500 excess.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    62 views1 page

    Ann Throng

    Uploaded by

    Masnah Insyirah Anneski
    This document is a cover note for a private car takaful certificate issued to Herman Bin Renreng for his 2012 Toyota Fortuner. The certificate provides comprehensive coverage for private use from June 13, 2013 to June 12, 2014 for an annual contribution of RM2465.80 with a RM1500 excess.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    COVER NOTE

    STAMP DUTY PAID

    Participant HERMAN BIN RENRENG


    LOT 604B KG PASIR PUTIH P.O BOX 1674 TAWAU 91041 SABAH

    Cover Note No. : K5024527 Account No. : V0004964 Agent Name : ABDUL RAHMAN BIN MUNUR Product Type : PRIVATE CAR - PRIVATE USE Period of Takaful from 13/06/2013 To 12/06/2014 (both Dates Inclusive). Any subsequent period for which the Participant shall pay and the Takaful Operator shall agree to accept a renewal contribution..

    NRIC No Business/Occupation Vehicle Information JPJ Document No Vehicle Reg No Make Model Engine No Chassis No

    : 790402-12-5885 : Teacher : : : : : :

    Business Reg No : Other ID No :

    Vehicle Estimated Value Gross Contribution Less: No Claim Discount 25.00% Add: Loading 0.00%

    RM RM RM RM RM RM RM RM

    150000.0 0 3274.40 818.60 0.00 ______ 2455.80 0.00 0.00 10.00 2465.80

    ST8558N Log Book No TOYOTA Fortuner 2.5G (D) A/T 2KDU005917 Cover Type PN111JV500000570 Vehicle Type 4 Year of Manufacture : 2012 License Type Cubic Capacity : 2494 Use For

    : B2529924

    : Comprehensive : Private Car : Normal Vehicle : PRIVATE CAR PRIVATE USE

    Less : Discount/Rebate 0.00% Add : Service Tax Stamp Duty

    TOTAL AMOUNT DUE RM

    Seating Capacity : 7 Financial Interest : AFFIN BANK BERHAD Authorised Driver Subject to the following warranties, endorsements and clauses incorporated herein and forming part of the Policy. Clause Code Clause Name

    Excess

    RM

    1500.00

    IMPORTANT NOTICE This Takaful Certificate (including this schedule) is issued to you based on the information transmitted to us/our agents/representatives by you. If you find any of the information stated herein is inconsistent with your disclosure, kindly provide us with the correct information for revision, and if we do not hear from you within fourteen (14) days from the commencement date of your certificate, we shall deem that the information is correct. In line with the provisions of S.28 of the Takaful Act 1984, we shall have the right to invalidate your certificate and/or deny your claim should we later discover that your disclosure was not made in good faith and/or was fraudulently and/or falsely and/or deceivingly made.

    Issue Date Issue At Issue By

    : 12-06-2013 : F2 : v0004964

    For and on behalf of Etiqa Takaful Berhad

    Visit www.etiqa.com.my or our nearest branch to obtain the full policy wordings. Help preserve the countrys natural resources.

    You might also like