CL-PD-F008 (TP-N.

CON)
REV : B
Your Ref
Our Ref
Date

: TP1
: A-3-16-VKC31115*1C
: 16 December 2016

WITHOUT PREJUDICE

DUPLICATE
Mr ZAHARUDDIN BIN ZAKARIA
NO 12 PERSIARAN KASAWARI
TAMAN ANGGERIK
31000 BATU GAJAH
PERAK
Dear Sir/Madam,
ACCIDENT INVOLVING VEHICLE NUMBER AEP2740 AND AJT6102 ON 06 SEPTEMBER 2016
We refer to your claim against our insured vehicle no. AEP2740.
Strictly without admission of liability, we are prepared to offer the sum of RM 522.00 as full and final settlement.
The basis of our breakdown is as follows:
Compensation for Assessed Repair Time

RM

440.00

Documents

RM

82.00

Grand Total

RM

522.00

Please note that our offer is subject to the Discharge Voucher duly witnessed by Commissioner for Oath.
Kindly confirm acceptance by signing the attached Third Party Discharge Voucher and return the said DULYSTAMPED copy together with 5 pieces of POST-REPAIR photograph of your vehicle depicting the following in
order to enable us to attend to the needful:
1.
2.
3.
4.

General View (front and rear) 2 pcs

Speedometer 1 pc
Chassis Number 1 pc
Engine Number 1 pc

All monies payable hereunder is inclusive of the Goods and Services Tax ("GST") and the rights and obligations in
respect of any treatment of GST, including but not limited to the deduction, addition and / or adjustment in respect
of such GST shall be in accordance with the relevant legislative requirements, as and when such legislative
requirements take effect.
Thank you.
Yours faithfully,
AmGeneral Insurance Berhad

Iruniza Begam Binti Abdul Lathif

Third Party Property Damage - Claims
Tel : 03-22656243
Email : iruniza-begam@amgeneralinsurance.com

Sub : N

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