Professional Documents
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NO 5, JALAN DI 4,
TAMAN DUYONG INDAH,
75460 MELAKA.
75460
Risk / Risiko : 1
Business / Profession / Perniagaan / Perkerjaan : FACTORY
Cover / Perlindungan : COMPREHENSIVE
Risk Class / Kelas Risiko : PRIVATE CAR - INDIVIDUAL
Vehicle Registration No. / No. Pendaftaran Kenderaan : WKK4562
C.C. / Keupayaan Engin : 847
Make & Body / Buatan & Badan : PERODUA - PERODUA KANCIL
Year of Manufacture / Tahun Diperbuat : 2002
Engine No. / No. Enjin : N224136
Chassis No. / No. Casis : PM2L201S002224934
Log Book No. / No. Siri : 0267706
Seating Capacity / Muatan Tempat Duduk : 5
Estimated Value / Nilai Anggaran : RM 8000.00 (Vehicle / Kenderaan)
Excess / Lebihan : RM 80.00 Limits / Had
: RM 350.76
Goods and Services Tax (6.00%) / Cukai Barangan dan : RM 21.05
Perkhidmatan (6.00%)
Stamp Duty / Duti Setem : RM 10.00
Subject also to the Sanction Limitation and Exclusion Clause (SANC) and Goods and Services Tax (GST) stated in the Policy attached hereto.
Signed on behalf of the Corporation
Tandatangan bagi Pihak Syarikat
Replacing / Penggantian
Policy No. / No. Polisi VPC-V1708097-ML
Cover Note / Nota Perlindungan J1920410
Issued On / Dikeluarkan Pada 31/03/2017
At / Di MALACCA
By / Oleh PRABHA457
_________________________________________
Authorised Signatory / Penandatangan Dibenarkan
Important : This Schedule should be read in conjunction with the standard form of policy to which this Schedule is attached.
Penting : Jadual ini hendaklah dibaca bersama dengan format polisi yang dilampirkan bersama Jadual ini.
Overseas Assurance Corporation (Malaysia) Berhad (102249-P)
(A member of Great Eastern Holdings Limited)
DEBIT NOTE
CLIENT'S COPY
Account : VHML0457
MALAYSIAN RINGGIT
Premium : 350.76
Goods and Services Tax (6.00%) : 21.05
Stamp Duty : 10.00
Total : 381.81
DEBIT NOTE
AGENT'S COPY
Account : VHML0457
MALAYSIAN RINGGIT
Premium : 350.76
Goods and Services Tax (6.00%) : 21.05
Stamp Duty : 10.00
Total : 381.81
_________________________________________
Anthorised Signature & company stamp (if any)
Name :
IC No. :
Date :
Overseas Assurance Corporation (Malaysia) Berhad (102249-P)
(A member of Great Eastern Holdings Limited)
I/WE HEREBY CERTIFY that the policy to witch this Certificate related is issued in accordance with the provisions of Part IV of the Road Transport Act, 1987 (Malaysia),
Motor Vehicles (Third Party Risks & Compensation) Act (Cap 189) Republic of Singapore and the Motor Vehicles Insurance (Third Party Risks) Act (Cap 90) Negara Brunei
Darussalam. / SAYA/KAMI DENGAN INI MEGESAHKAN bahawa Polisi yang berkaitan dengan Sijil ini dikeluarkan selaras dengan peruntukan Bahagian IV Akta
Pengangkutan Jalanraya 1987 (Malaysia), Kenderaan Bermotor (Risiko Keatas Pihak Ketiga Dan Pampasan) Akta (Kap 189) Republik Singapura dan Insurans Kenderaan
Bermotor (Risiko Keatas Pihak Ketiga) Akta (Kap 90) Negara Brunei Darussalam.
___________________________
Authorised Signatory
Tax Invoice/Invois Cukai