Chartis Malaysia Insurance Berhad (795492-W)

formerly known as AIG General Insurance (Malaysia) Berhad

Chartis House, No.99 Jalan Ampang,
50450 Kuala Lumpur, Malaysia
1 800 88 88 11 Telephone
60 3 2058 5500 Facsimile
www.chartisinsurance.com.my

22-06-2010

ZETI ARNIZA BINTI MOHD ARSHAD

2-7-5, IDAMAN SURIA APT,
SETAPAK,
53300 KUALA LUMPUR,
WILAYAH PERSEKUTUAN

Thank you
for renewing your policy with Chartis Malaysia Insurance Berhad.

Please take a moment and check the attached policy to ensure that the coverage and other benefits meet
with your requirements. Should you have any questions or need any assistance, please do not hesitate to
contact your professional insurance agent or to call us at a toll free number 1-800-88-8811 (9.00 a.m. to
5.00 p.m., Monday to Friday).

As always, we will continue to provide you the best designed insurance products in the market, at
competitive rates, with added value. We will keep you abreast of our services and any benefits that may
suit your specific needs on a regular basis. So please do not be suprised when our customer service
representative calls on you to provide you relevant information.

Once again, THANK YOUfor renewing your policy with us.

Yours sincerely,

Matt Harris
Chief Executive Officer

cc Agent: K.A.R.L. AGENCY

Pelanggan yang dihargai,

Terima kasih
kerana memperbaharui polisi anda dengan Chartis Malaysia Insurance Berhad.

Sila ambil sedikit masa untuk meneliti segala perlindungan dan faedah polisi ini bagi memastikan ianya
bersesuaian dengan kehendak anda. Sekiranya anda memerlukan sebarang bantuan, sila hubungi agen
insurans professional anda atau hubungi talian bebas tol kami di 1-800-88-8811 (9.00 pg. hingga 5.00 ptg,
Isnin hingga Jumaat).

Seperti selalu, kami akan terus berusaha untuk memberikan anda produk insurans dengan (perlindungan)
terbaik di pasaran, kadar yang berpatutan serta nilai tambahan. Kami akan berusaha untuk sering
memaklumkan anda mengenai faedah-faedah dan perkhidmatan kami yang lebih bersesuaian dengan
keperluan anda.
Anda berkemungkinan dihubungi wakil perkhidmatan pelangan kami untuk dimaklumkan sekiranya
terdapat produk atau perkhidmatan yang bersesuaian dengan spesifikasi keperluan anda.

Sekali lagi, TERIMA KASIH kerana memperbaharui polisi anda dengan kami.

Yang ikhlas,

Matt Harris
Ketua Pegawai Eksekutif

s/k Agen: K.A.R.L. AGENCY

 Private Motor Car STAMP
DUTY
PAID
RENEWAL POLICY SCHEDULE

The Policy Holder: Policy Number (Certificate Number):

ZETI ARNIZA BINTI MOHD ARSHAD 0015238169
2-7-5, IDAMAN SURIA APT, Currency:
SETAPAK,
53300 KUALA LUMPUR, Malaysian Ringgit
WILAYAH PERSEKUTUAN Period of Insurance:
From: Wednesday 23 June, 2010 Time: 12:01 AM
To: Wednesday 22 June, 2011 Time: Midnight
(Both Dates Inclusive)
Bank Reference: Loan Number:

VEHICLE DETAILS:
Registration Vehicle Vehicle Seats/ C.C. Engine/Chassis Insured
Number Make Model Year Capacity Weight Numbers Amount
DA468Q6303491-L1HB3
WPD9315 NAZA SUTERA 1.1 GS 2006 5 1075 18,000.00
PNAHA2B026N002540

NAMED DRIVER(S): HIRE PURCHASE OWNER:

ZETI ARNIZA BINTI MOHD ARSHAD BANK KERJASAMA RAKYAT (M) BHD

PREMIUM DETAILS:
Coverage Description Limit Excess Premium
COMPREHENSIVE 180.00 667.20
No Claims Bonus of 45.00% of Comprehensive - 300.24
PREMIUM 366.96

Stamp Duty 10.00

Plus Service Tax 0.00
TOTAL POLICY PREMIUM RM 376.96

*Note:
Excess for Own Damage (OD) repairs at: CMI Panel Shops - Nil
Non CMI Panel Shops - excess as stated or 1% of sum insured, whichever is higher.

OD excludes Actual Total Loss, Constructive Total Loss, Theft Claims and OD KFK Claims where NCD is not forfeited.

Subject to Endorsement(s): J6-01,J6-03,J6-07,J6-37, J6-08

IN WITNESS WHEREOF
Date Printed : 22-06-2010 Issuing Office : KUALA LUMPUR this Policy has been signed by the Company.
Producing Office : KUALA LUMPUR Prev. Policy No. :
User ID : CNKLA00005 Batch No :
Batch Date : Submission Date : 22-06-2010
Territory : WEST MALAYSIA Replacing Cover Note : 3230613
Remarks :

___________________________________
Fazlur Azmi
Head of Department - PERSONAL LINES

Producer Name : K.A.R.L. AGENCY

(WISMA CHARTIS, MAIL BOX NO 87) NO. 10 JALAN 22/57 Producer Code : 0500941000
46300 PETALING JAYA SELANGOR DARUL EHSAN Contact No. : 03-7875 6867,NA,019-313
4404,NA,019-324 9494
Fax No. : 03-7873 5766

Note: For your convenience, we have put up the Motor Policy Wording, Motor Fact Sheet, Motor Panel Workshops listing into our website.
You may view or reprint them at www.chartisinsurance.com.my

The policy schedule and the policy wordings shall be read together to form an entire contract between the policyholder/insured person.
 Kereta Persendirian DUTI
SETEM
BERBAYAR
JADUAL POLISI PEMBAHARUAN

Pemegang Polisi: Nombor Polisi (Nombor Sijil):

ZETI ARNIZA BINTI MOHD ARSHAD 0015238169
2-7-5, IDAMAN SURIA APT, Mata Wang:
SETAPAK,
53300 KUALA LUMPUR, RINGGIT MALAYSIA
WILAYAH PERSEKUTUAN Tempoh Insurans:
Dari: Rabu 23 Jun, 2010 Masa: 12:01 AM
Sehingga: Rabu 22 Jun, 2011 Masa: Tengah Malam
(Termasuk kedua-dua Tarikh)
Rujukan Bank: Nombor Pinjaman:

PERINCIAN KENDERAAN:
Nombor Kenderaan Model Tempat Duduk/ Berat Nombor Amaun
Kenderaan Buatan Kenderaan Tahun Kapasiti C.C. Enjin/Chasis Diinsurankan
DA468Q6303491-L1HB3
WPD9315 NAZA SUTERA 1.1 GS 2006 5 1075 18,000.00
PNAHA2B026N002540

NAMA PEMANDU: PEMILIK SEWA BELI:

ZETI ARNIZA BINTI MOHD ARSHAD BANK KERJASAMA RAKYAT (M) BHD

BUTIR-BUTIR PREMIUM:
Perincian Meliputi Had Lebihan Premium
KOMPREHENSIF 180.00 667.20
Tuntutan Bonus sebanyak 45.00% untuk Komprehensif - 300.24
PREMIUM 366.96

Duti Setem 10.00

Termasuk Cukai Perkhidmatan 0.00
JUMLAH PREMIUM POLICY RM 376.96

*Nota:
Jika kerosakan sendiri, lebihan seperti berikut akan dikenakan: Bengkel Panel CMI - Kosong
Bengkel Bukan CMI Panel - lebihan seperti tertera atau 1% daripada jumlah diinsuranskan, mengikut mana yang lebih tinggi.

Kerosakan sendiri tidak termasuk Kerugian Meyeluruh Sebenar, Kerugian Meyeluruh Konstruktif, Tuntutan Kecurian dan Kerosakan Sendiri-Tuntutan Sesama Selesai
(OD-KFK) di mana NCB tidak dimansuhkan.

Tertakluk kepada Endorsemen: J6-01,J6-03,J6-07,J6-37, J6-08

DENGAN INI ADALAH DINYATAKAN,

Tarikh Sijil Dikeluarkan : 22-06-2010 Pejabat Mengeluarkan Sijil : KUALA LUMPUR polisi ini telah ditandatangani oleh Syarikat.
Pejabat Mengemukakan Sijil : KUALA LUMPUR No. Polisi Terdahulu :
ID Pengguna : CNKLA00005 No. Kumpulan :
Tarikh Kumpulan : Tarikh Cadangan : 22-06-2010
Wilayah : S. MALAYSIA Gantian Nota Perlindungan : 3230613
Catatan :

___________________________________
Fazlur Azmi
Head of Department - PERSONAL LINES

Nama Pengeluar : K.A.R.L. AGENCY

(WISMA CHARTIS, MAIL BOX NO 87) NO. 10 JALAN 22/57 Kod Pengeluar : 0500941000
46300 PETALING JAYA SELANGOR DARUL EHSAN No.Telefon : 03-7875 6867,NA,019-313
4404,NA,019-324 9494
No. Faks : 03-7873 5766

Nota: Untuk kemudahan anda, kami telah melampirkan Butiran Polisi Kenderaan, Fact Sheet Kenderaan, Senarai Bengkel Panel Kenderaan di laman Web.
Anda boleh merujuk atau mencetak semula dokumen tersebut di wwww.chartisinsurance.com.my

Jadual Polisi dan terma & syarat polisi hendaklah dibaca bersama untuk membentuk keseluruhan kontrak di antara syarikat dan pemegang polisi/orang yang diinsuranskan.