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    Ti Pol Wxe206

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    Ti Pol Wxe206

    Uploaded by

    mudrizwan
    17 views2 pages

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    Ti.pol.Wxe206

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    17 views2 pages

    Ti Pol Wxe206

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    TAKAFUL IKHLAS GENERAL BERHAD

    201701019705 (1233870-A)
    5th Floor, Bangunan Malaysian Re, No.17, Lorong Dungun, Damansara Heights, 50490 Kuala Lumpur
    Telephone No : 03-2723 9696
    Fax No : 03-2723 9998
    Website : www.takaful-ikhlas.com.my
    (Dilesenkan di bawah Akta Perkhidmatan Kewangan Islam 2013 dan dikawal selia oleh Bank Negara Malaysia / Licensed under
    Islamic Financial Services Act 2013 and regulated by Bank Negara Malaysia)

    CERTIFICATE OF TAKAFUL
    JPJA1MX1
    Road Transport Act, 1987 ( Malaysia )
    Motor Vehicles (Third Party Risks) Rules, 1959 (Malaysia)
    Motor Vehicles (Third Party Risks & Compensation) Act (Cap 189) Republic of Singapore
    Motor Vehicles (Third Party Risks& Compensation) Rules 1960 (Republic of Singapore)
    Motor Vehicles Insurance ( Third Party Risks) Act (Cap 90) Negara Brunei Darulsalam

    Certificate No.:MV7343462
    1.Index Mark and Vehicle Registration No. WXE206
    2.Name of Participant WAN NAJMUDDIN BIN WAN HASAN
    3.I/C No. 641207-09-5079
    4.Effective date of Commencement of Takaful for the purposes of the Ordinance 12/10/2023
    5.Date of Expiry of Takaful 11/10/2024
    6. Persons or Classes of Person Entitled to Drive. *
    (a) The Participant
    (b) Any other person who is driving on the Participant's order or with his permission.
    Provided that the person driving is permitted in accordance with the licensing or other laws or regulations to drive the Motor Vehicle or has been so permitted
    and is not disqualified by order of a Court of Law or by reason of any enactment or regulation in that behalf from driving the Motor Vehicle.
    7. Limitation as to Use. *
    Use only for social, domestic and pleasure purposes and for the Policyholder's business.
    The Policy does not cover use for hire or reward, racing, pacemaking, reliability trial speed-testing,the carriage of goods other than samples in connection with
    any trade or business.
    *Limitation rendered inoperative by Section 95 of the Road Transport Act 1987 (Malaysia) or Section 8 of the Motor Vehicles (Third Party Risks and
    Commpensation) Act (Cap 189) Republic of Singapore or Section 7 of the Motor Vehicles Insurance (Third Party Risks) Act (Cap 90) Negara Brunei
    Darussalam are not included under this heading.

    I/WE CERTIFY THAT THIS COVERING NOTE IS ISSUED IN ACCORDANCE WITH THE PROVISIONS OF PART IV OF THE ROAD TRANSPORT ACT,
    1987 (MALAYSIA), MOTOR VEHICLES (THIRD PARTY RISKS & COMPENSATION) ACT (CAP 189) REPUBLIC OF SINGAPORE AND THE MOTOR
    VEHICLES INSURANCE (THIRD PARTY RISKS) ACT (CAP 90) NEGARA BRUNEI DARUSSALAM
    Untuk dan bagi pihak / For and on behalf of
    TAKAFUL IKHLAS GENERAL BERHAD

    -----------------------------------------------------------
    Tandatangan Diberi Kuasa / Authorised Signatory
    TAKAFUL IKHLAS GENERAL BERHAD
    201701019705 (1233870-A)
    5th Floor, Bangunan Malaysian Re, No.17, Lorong Dungun, Damansara Heights, 50490 Kuala Lumpur
    Telephone No : 03-2723 9696
    Fax No : 03-2723 9998
    Website : www.takaful-ikhlas.com.my
    (Dilesenkan di bawah Akta Perkhidmatan Kewangan Islam 2013 dan dikawal selia oleh Bank Negara Malaysia / Licensed under
    Islamic Financial Services Act 2013 and regulated by Bank Negara Malaysia)

    Bantuan Ikhlas Toll-Free Number : 1800 88 1186

    STAMP DUTY PAID

    THE SCHEDULE MX1


    Peserta : WAN NAJMUDDIN BIN WAN NRIC : 641207-09-5079
    The Participant : HASAN NRIC :
    Alamat : NO 8 JALAN UP 5/2, No Pendaftaran Perniagaan :
    Address : UKAY PERDANA, Business Registration No :
    68000 AMPANG,
    SELANGOR
    Perkerjaan atau berniaga : OFFICER
    Profession or Business :
    Jenis Sijil : PRIVATE CAR COMPREHENSIVE Pada : 11-10-2023
    Class of Certificate : PLUS On :
    Dikeluarkan & ditandatangani di : Kod Agensi : GG06536-KGB
    Issued & signed at : Agency Code :
    Rujukan Sijil : MV7343462
    Certificate Ref. No. :
    Tempoh Takaful : Tarikh tandatangan
    Period of Takaful : Pengakuan &
    borang :
    a) Mula 12/10/2023 Tamat 11/10/2024 Date of signature of
    From To Proposal & declaration :
    (Termasuk kedua-dua tarikh ) (both dates inclusive )
    b)Mana-mana tempoh selanjutnya Peserta membayar dan Syarikat bersetuju menerima sumbangan pembaharuan.
    Any subsequent period for which the participant shall pay and the Companyshall agree to accept a renewal contribution.
    BUTIR KENDERAAN SUMBANGAN SIJIL (RM)
    THE MOTOR VEHICLE THE CERTIFICATE'S CONTRIBUTION (RM)
    No. Pendaftaran : WXE206 Sumbangan Asas : 1,298.73
    Registration No : Basic Contribution :
    Buatan & Model : STAREX 2.5CRDI
    Make & Type of body :
    Keupayaan Padu : 2497CC Kelayakan NCD (55.00) : 714.30
    Cubic Capacity : NCD (55.00) :
    Ruang duduk termasuk pemandu : 8 Perlindungan Tambahan :
    Seating capacity including driver : Extra-Benefits :
    Tahun di buat : 2012 INCLUSION OF SPECIAL PERILS 60.00
    Year of Manufacture :
    WINDSCREEN ( RM 2500.00 ) 375.00
    No. Enjin : D4CBC031999 Jumlah Kecil : 1,019.43
    Engine No : Sub-Total :
    No. Casis : KMJWA37KMCU478319 Rebat (0.00%): 0.00
    Chassis No : Rebate (0.00%):
    Jumlah Perlindungan : 30,000.00 Cukai Perkhidmatan (6.00%): 61.17
    Sum Covered : Service Tax (6.00%):
    Ekses : 300.00 Cukai setem : 10.00
    Excess : Stamp Duty :
    No. Pembaharuan Sijil : KGB221MT22110410-1 Jumlah Pembayaran : 1090.60
    Renewal of Certificate No : Total Payable :
    Sumbangan Akta : 267.38
    Act Contribution :
    Sewa beli / Syarikat menyewa / Majikan : NIL
    Hire Purchase/Leasing Company/Employer :
    Nama Pemandu : ALL AUTHORISED DRIVERS
    Named Drivers :
    Tertakluk kepada endorsemen-endorsemen berikutnya :
    Subject to the following operative endorsements attached :
    M02 - EXCESS DAMAGE CLAIM
    M89 - BREAKAGE OF GLASS IN WINDSCREEN OR WINDOW
    M57 - INCLUSION OF SPECIAL PERILS
    M113 - REFERENCE TO MOTOR VEHICLE MARKET VALUATION SYSTEM
    MTD002B - WAIVER OF COMPULSORY EXCESS FOR UNNAMED DRIVER - PRIVATE CAR FOR PRIVATE USE (NON TARIFF)
    MTD004B - COMPLIMENTARY PERSONAL ACCIDENT COVER FOR PARTICIPANT(PRIVATE CAR FOR PRIVATE USE) (NON-TARIFF)
    MTD006A - TRANSPORTATION FEE REIMBURSEMENT (NON-TARIFF)
    P65 - WAQAF / ENDOWMENT
    Mana-mana orang yang dibenarkan memandu dan had atas kegunaan adalah termaktub dalam Sijil Untuk dan bagi pihak / For and on behalf of
    Takaful yang dikeluarkan sehubungan dengan Sijil ini. TAKAFUL IKHLAS GENERAL BERHAD
    Person or classes of persons entitled to Drive and limitations as to use, are as Specified in the
    Certificate of Takaful Issued in relation to this Certificate

    _______________________________
    Tandatangan Diberi Kuasa / Authorised Signatory

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