Letter of Undertaking =< ie, NRIC/Paspor hereby confirm the followings That my/our vehicle no. OMe : was stolen/involved in an accident That the vehicle was insured with Allianz General Insurance Company (Malaysia) Berhad ( The insurer) vide policy no. . effective from 10. That I/we have made a claim for the loss and the insurer has agreed to settle the loss. In consideration of the settlement of the above mentioned claim I/we would agree to assist Allianz General Insurance Company (Malaysia) Berhad to effect a transfer of ownership to the subsequent buyer, when the caris repaired/recovered; ‘That I/we upon request, undertake to extend my/our full co-operation to consent for scanning of my thumb print /thumb print of our authorised representative or any other assistance required for the transfer of ownership under the Road Transport Act 1987 ; We undertake to indemnify Allianz General Insurance Company { Malaysia) Berhad to any expenses incurred to enforce this undertaking in the event I/we do not fulfil our obligation stated above. Dated Signature of Policyholder : Witnessed by : (AGIC staff/ Authorised AGIC Agent only) To be witnessed by (Signature of sessions court judge, Magistrate or commissioner of Oath) (Signature)