Date : 12 Dec 2018

MAIMUNAH BINTI AHMAD

98 TAMAN DESA JAYA
BATU 7 JALAN KARAK,
28400 MENTAKAB

Dear Sir/Madam

RE: APPLICATION NO. : Z184585822

PERSON COVERED'S NAME : NURUL SYAFINAS BINTI MOHD YUSO
PARTICIPANT'S NAME : MAIMUNAH BINTI AHMAD

We thank you for your application for a family Takaful Coverage with our Company. For the consideration of issuing
you a certificate, we require additional tests/reports/investigations/forms as indicated in the attached Outstanding
Requirement Advice.

Please be advised that any initial/subsequent contribution paid shall be deemed invalid null and void and the
Company shall not be liable in any manner whatsoever for any claims made there from unless and until the
requirements indicate in the attached Outstanding Requirement Advice have been attended to, application has been
duly approved and certificate contract has been duly issued.

By copy of this letter, we are also requesting our agent to assist you in this matter.

Thank you.

ZURICH TAKAFUL MALAYSIA BERHAD

ztmb.underwriting@zurich.com.my

From Family Underwriting

(Computer generated advice - no signature is required)
cc - CONSULTANT : JB01-24-T09361J RAMAN A/L PONNUSAMY
C.M.C : C101-01-T66048W KUANTAN BRANCH

eCOPY
 Outstanding Requirement Advice

Application No. : Z184585822 Date :12 Dec 2018

Person Covered's Name : NURUL SYAFINAS BINTI MOHD YUSO
Applicant's Name : MAIMUNAH BINTI AHMAD

Please accomplish the requirement(s) indicated below for assessment of the above numbered application:

1)We note that the Person Covered has attained the age of majority .
Therefore he/she can apply for life TAKAFUL under his/her
own name. Please submit a fresh application bearing the same
application number for our assessment.
Signature page should contains the insured's signature only.

Remarks :

eCOPY