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Insurance

This document is an insurance quotation for vehicle insurance renewal. It provides details of the policy holder such as name, address, vehicle information including make, model, year, and coverage details such as the insurance period from December 18th, 2023 to December 17th, 2024. The total payable premium is RM57.20, which includes basic premium, loading, No Claim Discount subtracted amount, service tax and stamp duty. It also notes that the quotation is valid until February 7th, 2024 provided the details provided to generate the quote are accurate.

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Tiong Ing Houng
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60 views2 pages

Insurance

This document is an insurance quotation for vehicle insurance renewal. It provides details of the policy holder such as name, address, vehicle information including make, model, year, and coverage details such as the insurance period from December 18th, 2023 to December 17th, 2024. The total payable premium is RM57.20, which includes basic premium, loading, No Claim Discount subtracted amount, service tax and stamp duty. It also notes that the quotation is valid until February 7th, 2024 provided the details provided to generate the quote are accurate.

Uploaded by

Tiong Ing Houng
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Allianz General Insurance Company (Malaysia) Berhad 200601015674 (735426-V) Quotation No : QKK23120004260

B-1-73, B-1-73A, B-1-75 & B-1-76, Block B Level 1 Riverson Walk, Lorong
Riverson@Sembulan off Jalan Coastal, 88100 Kota Kinabalu
Issued Date : 09-12-2023
Tel No: 0 8 8 -Fax No: 088-224870 E-Mail:
221397/221606

Motor Quotation
Quotation To MIAN BAHADAR
Client Gender MALE Client NRIC / Busn. Reg AJ317165xxxx
Client Marital Status MARRIED Client Postcode 89008
Client City KENINGAU Client State SABAH
Client HP / Phone No 6016-5256218 Client Email -

Vehicle No. SYD4321 Agent Code KK47434


Cover Note Type RENEWAL
Vehicle Class MOTORCYCLE PLUS
Vehicle Use MOTORCYCLE PLUS - PRIVATE USE(ALL RIDER)
Type of Cover THIRD PARTY
Inception Date 18-12-2023 Expiry Date 17-12-2024
Make & Model YAMAHA LAGENDA 115Z
Capacity 114.00 CC No. of Seats 2
Year of Manufacturing 2019
Sum Insured RM 0.00

NCD 15.00 %
Basic Premium (Vehicle) 19.95

Basic Premium (Trailer) + 0.00 19.95


+ Loading 75.00 % + 22.44
- NCD 15.00 - 7.86
ADD BENEFIT SUM INSURED
DEATH/PD - INSURED RM 10,000.00
DEATH/PD - PILLION RIDER RM 10,000.00
DEATH/PD - AUTHORISED RIDER RM 10,000.00
HOSPITAL INCOME - INSURED (RM100) RM 0.00
HOSPITAL INCOME - AUTHORISED RIDER (RM100) RM 0.00
HOSPITAL INCOME - PILLION RIDER (RM100) RM 0.00
FLOOD RELIEF BENEFIT RM 1,000.00
Gross Premium 44.51
+ Service Tax 6.00 % + 2.67
+ Stamp Duty + 10.00
Total Payable 57.18
Amount Payable (Rounded) 57.20
Excess 0.00

Page 1 18-12-2023 17:10:42


Quotation No : QKK23120004260

Issued Date : 09-12-2023

Excess is the first amount that you are required to pay towards a claim you make on your car.
Voluntary excess is the amount of excess you may opt in return of lower basic premium.
Risk excess is the amount of excess determined by the company based on your risk criteria.
Disclaimer: This quotation is valid until 07/02/2024 subject to the details provided to generate this quotation are accurate.Our Company's
acceptance of your offer based on a valid quotation is subject to our Company's Underwriting Guidelines
Kindly notify us immediately if any of the details given in this quotation is inaccurate. Please note that any misrepresentation may result
in avoidance of your contract of insurance, refusal or reduction of your claim, change of terms or termination of your contract of insurance
in accordance with Schedule 9 of the Financial Services Act 2013.
Any policy issuance, entitlement or claims submitted arising from the insurance contract issued shall be subjected to the requirements of
Economic Sanctions, Terrorism Financing, Proliferation Financing and other UN-sanction Regimes.

Page 2 18-12-2023 17:10:42

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