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Cover Note bbm4509 PDF
Cover Note bbm4509 PDF
CoverNote
UNI.ASIAGENERALINSURANCEBERHAD(16688K)
HEADOFFICE:9thFloor,MenaraUni.Asia,1008JalanSultanIsmail,50250KualaLumpur
POBOX6120,PUDU,55916KUALALUMPUR.
TEL:60326199000FAX:60326930111Website:www.uniasiageneral.com.my
CONFIRMATIONOFPURCHASEOFINSURANCE
JPJCodeNo. :30
CoverNote
:SBMA003371
No.
IssuedDate :08012015
Transaction
:NEWINSURANCE(REGISTERED)
Type
Insured
:MANIA/LPERIATHAMBI
NewIC/Old
:6412180152497696580
IC
:LADANGSENDAYAN71100
Address
SILIAUNEGERISEMBILAN
ContactNo. :
MotorVehicle
Class
:PRIVATECARFORINDIV
CoverType :ThirdPartyFireandTheft
CoverPeriod :09/01/2015to08/01/2016
Registration
:BBM4509
No.
EngineNo. :A148003158
ChassisNo. :B310B41119
LogbookNo. :6348871
Named
:NA
Driver(s)
Makeand
:ALLOTHERMAKES
Model
DATSUNSUNNY
Yearof
:1981
Manufactured
Capacity
:1379CC
Hire
:NIL
Purchase
SumInsured
BasicPremium
NCD
:RM11000.00
:391.24
:55.00%(279.74)
Loading
:30.00%(117.37)
Excess
StampDuty/Service
Tax
AdditionalCoverage
NA
:0.00
AmountPayable
:238.87
:10.00/0.00
:
JPJStatus:
Reply
:PENDINGREPLY
Message
AgentInformation:
AgentName :RTSPROTECHAGENCY(SBAN077)
https://w10.financiallink.com.my/Agency/agentCvnote30.jsp?qno=SBMA003371&agcode=SBAN077%20&app=%20soa
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