THE SCHEDULE

Participant EN. MOHD RIZAL BIN JAAFAR NO 4-2-18, FLAT SUNGAI BATU, 11920 TELUK KUMBAR Pulau Pinang Malaysia

STAMP DUTY PAID

Certificate No. : TGPC-PC746125-BRTNAST Replacing Certificate No. : Account No. : 0012562 Agent Name : MOHD ZAHARI BIN ZAKARIA Product Type : Motor Private Car Period of Takaful from 05/03/2013 To 04/03/2014 (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

: 811111-08-5385 :

Business Reg No

Vehicle Information JPJ Document No : 11998523 Vehicle Reg No : PGX104 Log Book No : N/A Make : PROTON Model : Wira 1.5 (M) A/B Engine No : 4G15P-MY4713 Cover Type : Comprehensive Chassis No : PL1C97LNR6B156769 Vehicle Type : Private Car Year of Manufacture : 2006 License Type : Normal Vehicle Cubic Capacity : 1468 Use For : Private Use Seating Capacity :5 Financial Interest : HONG LEONG BANK BERHAD Authorised Driver 1. MOHD RIZAL BIN JAAFAR_____________________811111-08-5385 2. MOHD FADRUL IDHAM_____________________830813-08-5869 Subject to the following warranties, endorsements and clauses incorporated herein and forming part of the Certificate. Clause Code Clause Name E001 ENDORSEMENT 1 EXCESS ALL CLAIMS E002F ENDORSEMENT 2(f) COMPULSORY EXCESS E030 ENDORSEMENT 30 REPLACEMENT PARTS E100 ENDORSEMENT 100 EXCLUSION OF LEGAL LIABILITY TO PASSENGERS (PRIVATE CAR ONLY) E106 ENDORSEMENT 106 TAKAFUL OPERATOR'S AUTHORISED WORKSHOP

Vehicle Estimated Value Gross Contribution Less: No Claim Discount 38.33 % Named Driver

RM RM RM RM RM

14,000.00 647.33 - 248.12 0.00 399.21 0.00 0.00 10.00

Less_:_Discount/Rebate 0 % Add__:_Service Tax Stamp Duty

RM RM RM

TOTAL AMOUNT DUE

RM

409.21

Excess

RM

0.00

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 Issued At Issued By : : : 05/03/2013 BRTNAST MOHD ZAHARI BIN ZAKARIA

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