You are on page 1of 1

TOKIO MARINE INSURANS (MALAYSIA) BERHAD (Co.

No: 149520-U)
LOT 4 & 5, 1ST & 2ND FLOOR, JALAN PANTAI, 88000 KOTA KINABALU, MALAYSIA
Tel No. 088-258111 Fax No. 088-261059
Website: www.tokiomarine.com '

ISM-ABI : N

MOTOR INSURANCE SCHEDULE


CLASS / POLICY : PRIVATE CAR - INDIVIDUAL USE DATE : 02-11-2016
KELAS / POLISI TARIKH
POLICY NO. : V5095374 (VL039618) ACCOUNT NO. : KK-00103520
NO. POLISI NO. AKAUN
AGENT NAME : ENRICH
THE INSURED & ADDRESS : DENESLY JUSTIN NAMA EJEN
PEMILIK & ALAMAT MANAGEME
NT AND
LOT 10, 3RD FLOOR WISMA PRUDEN- SERVICES
TIAL, LRNG KOLAM PLAZA, JALAN ACT : 27.94
AKTA
LINTAS 88300 KOTA KINABALU
PERIOD OF INSURANCE : a. FROM 10-11-2016 (11:03:36AM) TO 09-11-2017 PREMIUM : 747.80
TEMPOH PERLINDUNGAN DARI HINGGA PREMIUM
(BOTH DATES INCLUSIVE) / (TERMASUK KEDUA-DUA TARIKH) LOADING 0.00%: 0.00
NCD 55.00% (WEF:02-11-2016): 411.29
b. ANY SUBSEQUENT PERIOD FOR WHICH THE INSURED SHALL PAY
AND THE COMPANY SHALL AGREE TO ACCEPT A RENEWAL EXT. PREMIUM : 50.00
PREMIUM
MANA-MANA TEMPOH SELANJUTNYA YANG MANA PIHAK
DIINSURANSKAN HENDAKLAH MEMBAYAR DAN SYARIKAT
HENDAKLAH BERSETUJU MENERIMA SATU PREMIUM GST 6.00% : 23.19
PEMBAHARUAN
CONTACT NO. / TALIAN UNTUK 088242911
DIHUBUNGI:

I/C NO. (NEW) / (OLD) : 760606-12-6073 AGE / UMUR : 40 STAMP DUTY : 10.00
NO. KP (BARU) / (LAMA) DUTI SETEM
NATIONALITY / BANGSA : -
BUSINESS / PROFESSION : TOTAL :
- JUMLAH 419.70
PERNIAGAAN / PEKERJAAN
BUSINESS REGN NO. : -
NO. PENDAFTARAN SYARIKAT

VEHICLE MAKE MODEL & H.P/CUBIC CAPACITY/ YEAR OF SEATING CAPACITY INSURED'S ESTIMATE OF VALUE
REGISTRATION TYPE OF BODY TONNAGE OR WATT MANUFACTURE INCLUDING DRIVER INCLUDING ACCESSORIES
NO. MODEL BUATAN DAN H.P/KEUPAYAAN ENJIN/ TAHUN KAPASITI TEMPAT DUDUK & SPARE PARTS
NO. PENDAFTARAN JENIS BADAN TAN ATAU WATT DIPERBUAT TERMASUK PEMANDU NILAI ANGGARAN ANDA TERMASUK
KENDERAAN AKSESORI & ALATGANTIAN
SAA9122N PROTON PERSONA 1597.0 CC 2009 5 27,000.00
1.6(A) SEDAN

ENGINE/MOTOR NO.: CHASSIS NO.:


NO. ENJIN/MOTOR S4PHPW7903 NO. CASIS PL1CM6SRRAG225545
NAMED DRIVERS :
PEMANDU YANG THE POLICYHOLDER
DINAMAKAN
HIRE PURCHASE 00001950 MALAYAN BANKING TYPE OF COVER : COMPREHENSIVE
OWNERS : JENIS PERLINDUNGAN
PEMILIK SEWA BELI BERHAD
REGISTRATION 8147777 EXCESS : 0.00
CARD NO. : LEBIHAN
NO. KAD PENDAFTARAN
SUBJECT OTHERWISE TO TERMS, EXCEPTIONS AND CONDITIONS OF THE POLICY AND THE ENDORSEMENT / WARRANTY / MEMORANDUM
AS NUMBERED BELOW:
SELAINNYA TERTAKLUK KEPADA TERMA, PENGECUALIAN DAN SYARAT-SYARAT POLISI INI DAN PENGENDORSAN / WARANTI / MEMORANDUM SEPERTI TERSEBUT DIBAWAH:
2F,30,106,15

.
Geographical Area: Malaysia, Republic of Singapore and Negara Brunei Darussalam.
Kawasan Geografi: Malaysia, Republik Singapura dan Negara Brunei Darussalam.
Limitation as to use / Authorised Driver: As described in the Certificate of Insurance.
Had Penggunaan / Pemandu yang diberi kuasa: Seperti yang tercatat dalam Sijil Insuran.

RENEWAL OF POLICY NO.:


PEMBAHARUAN POLISI NO.
DATE OF PROPOSAL & DECLARATION:
TARIKH CADANGAN & PENGISTIHARAN

ISSUED AND SIGNED AT: KOTA KINABALU ___________________________________________


DIKELUARKAN DAN DITANDATANGANI Chief Executive Officer
ISSUED BY: ENRICH MANAGEMENT AND Ketua Pegawai Eksekutif
DIKELUARKAN OLEH SERVICES TOKIO MARINE INSURANS (MALAYSIA) BERHAD

Important Notice:
No policy wordings are attached. Please log on to our website: www.tokiomarine.com to view or print the Policy wording, terms, conditions and exclusions. Your Policy wording code: ECVP0814. For
further enquiries, please contact your insurance intermediary or our branch office as shown on the Schedule. For Insuranceinfo Fact Sheet, it is available at Tokio Marine website www.tokiomarine.com.
Kenyataan Penting:
Butiran lengkap polisi tidak disertakan. Sila layari laman web kami : www.tokiomarine.com untuk tatapan dan mencetak butiran lengkap Polisi, terma, syarat dan pengecualian. Kod butir-butir Polisi anda
adalah: ECVP0814. Untuk keterangan lanjut, sila hubungi pengantara insurans anda atau pejabat cawangan kami seperti tertera di dalam Jadual. Untuk Lembaran Fakta Info Insuran, ia boleh didapati
di laman web Tokio Marine www.tokiomarine.com.

Page 1