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    Bax7681 Insurance

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    ezzaddanial2101

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    © All Rights Reserved
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    Bax7681 Insurance

    Uploaded by

    ezzaddanial2101
    2 views1 page

    Original Title

    -bax7681 insurance

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    2 views1 page

    Bax7681 Insurance

    Uploaded by

    ezzaddanial2101

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    JADUAL /SCHEDULE

    TAKAFUL MOTOR PERSENDIRIAN / Motor Private Takaful


    BUTIR-BUTIR PESERTA / PARTICULARS OF THE PARTICIPANT
    Nama Penuh : Haji Muhammad Faiz Bin Haji Ismail No. K/P : 01-053216(Y)
    Full Name I/C No.
    Alamat : No 9, Spg 491 No. Pendaftaran Syarikat :
    Address Kg Kapok, Jln Muara Company Registration No.
    Negara Brunei Darussalam BT2328
    Pekerjaan / Perniagaan : No. Akaun Peserta : WY179890
    Occupation or Trade Participant Account No.

    BUTIR-BUTIR PERLINDUNGAN / DETAILS OF COVER


    Jenis Perlindungan : Komprehensif Tarikh Cadangan dan Akuan : 20/04/2023
    Type of Cover MP Comprehensive Date of Proposal and Declaration
    No. Sijil : MP/0011460/20/AGE/R3 No. Nota Perlindungan :
    Certificate No. Cover Note No.
    Tempoh Takaful / Period of Takaful
    Dari : 11/05/2023 00:00 AM Hingga : 10/05/2024 23:59 PM (termasuk kedua-dua tarikh)
    From To (both dates inclusive)

    Mana-mana tempoh takaful kemudiannya dimana Peserta kena bayar dan Takaful Brunei AM Sdn Bhd bersetuju menerima sumbangan takaful bagi pembaharuan Sijil ini.
    Any subsequent period for which the Participant shall pay and Takaful Brunei AM Sdn Bhd shall agree to accept payment of takaful contribution for the renewal of this certificate.
    No. Perkhidmatan Penarikan :673 2444442 Dari : Hingga :
    Towing Service No. From To

    BUTIR-BUTIR KENDERAAN YANG DILINDUNGI / DETAILS OF VEHICLE COVERED

    No. Pendaftaran Kenderaan / Vehicle Registration No. : BAX7681 Bonus Tiada Tuntutan / No Claim Bonus : 30.00 %
    Buatan & Jenis / Make & Model : Suzuki S-Presso Jenis Badan / Body Type : Hatch Back
    No. Injin / Engine No. : K10BN2303122 Ruang Duduk / Seating Capacity :4
    No. Rangka / Chasis No. : MA3RFL41S00147967 Keupayaan Padu / Cubic Capacity : 998
    Tahun dikeluarkan / Year of Make : 2019 Tahun Pendaftaran / Registration Year : 2020
    Anggaran Nilai Sekarang / Estimated Present Value : BND 11,000.00 Cermin / Windscreen : BND 0.00
    Berat Kenderaan / Vehicle Weight : Alat-Alat Tambahan / Accessories : BND 0.00
    Perlindungan Tambahan / Extension of Cover : MKSR

    ENDOSMEN-ENDOSMEN / ENDORSEMENTS SUMBANGAN TAKAFUL / TAKAFUL CONTRIBUTION


    Akses / Excess Sumbangan Takaful / Takaful Contribution : BND 227.00
    Peserta / Participant : BND 500.00 Pulangan Wang / Refund : BND 0.00
    Pemandu Yang Dibenarkan / Authorised Driver : BND 700.00 Bayaran Perkhidmatan / Service Charge : BND 0.00
    Cermin / Windscreen : BND 0.00 Perkhidmatan Penarikan Bkb Towing Service : BND 26.00
    Syarikat Sewa Beli / Hire Purchase Company : Baiduri Finance Duti Setem / Stamp Duty : BND 0.10
    Berhad
    Hibah / Hibah : BND 47.00
    Pemandu dinamakan 1 / Named Driver 1 : Mohammad Khairulanuar Bin Jainudin
    Pemandu dinamakan 2/ Named Driver 2 : 2) Muhammad Aliezzad Dani Jumlah Bayaran / Total Payable : BND 206.10

    Syarat - Syarat / Conditions : M2, M15, MA, MB, M99, MTS, M2A

    Ditandatangani untuk dan bagi pihak


    Takaful Brunei AM Sdn Bhd
    Signed for and on behalf of
    Takaful Brunei AM Sdn Bhd

    Penandatangan yang dibenarkan


    Authorised Signatory

    User ID : AGNT-041 Date/Time : 20/04/2023 14:46 Agent ID : AGCN1016


    Department : Operation Branch : Agency Agent Name : Dotks Insurance Agency
    Printed By : Date/Time : 20/04/2023 14:46

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