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Policy Information

(Agency: INDRI MOLINA HAPSARI [00081751])

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Policy Details
Contract Number: 28364547 Insurance Type: PRUlink syariah assurance acct [U1H]
Policy Holder Name: RIANA Identification Number: 3175036211800003
(Client Number) (51884950)
Mailing Address: JL. PANCAWARGA I NO.4
RT. 001/002, CIPINANG BESAR
(SELATAN, JATINEGARA)
JAKARTA TIMUR
DKI JAKARTA
Postal Code:
Servicing Agent: INDRI MOLINA HAPSARI [00081751]

Main Life Assured Name (Client Number) Identification Number/ Date of Smoker Status
Birth
RIANA (51884950) 3175036211800003/ 22-Nov- Non-Smoker
1980
Additional Life Assured Name (Client Number) Identification Number/ Date of Smoker Status
Birth
- - -

Policy Status: InForce Policy Inception Date: 11-Jan-2008


Premium Status: Premium Paying Policy Risk Date: 11-Jan-2008
Payment Frequency: Tahunan Proposal Received Date: 11-Jan-2008
Payment Method: Cash Premium Paid To Date: 11-Jan-2018
Currency: Rupiah Policy Delivery Date: 18-Jan-2008
Instalment Premium: 6,000,000.00 Client Received Date: -
Single Premium: 12,000.000.00 Coverage Debt: 0.00
Future Premium Deposit: 0.00
Instalment Premium (inclusive 6,000,000.00
FPD):

Policy Description
Basic Life Age Policy Sum Assured Instalment Single Premium Risk Risk
Insurance Assured At Status/ Premium Premium Cessation Commencement Cessation
Name Entry Premium Date Date Date
Status
PRUlink RIANA 28 In Force/ 150,000,000.00 3,500,000.00 0.00 22-Nov-2079 11-Jan-2008 22-Nov-2079
syariah Premium
assurance Paying
acct
[U1HR]
Rider Life Age Policy Sum Assured Instalment Single Premium Risk Risk
Assured At Status/ Premium Premium Cessation Commencement Cessation
Name Entry Premium Date Date Date
Status
PRUcrisis RIANA 28 In Force/ 50,000,000.00 0.00 0.00 22-Nov-2045 11-Jan-2008 22-Nov-2045
cover syariah Premium
34 [C1PR] Paying
PRUmed RIANA 28 In Force/ 440,000.00 0.00 0.00 22-Nov-2045 11-Jan-2008 22-Nov-2045
syariah [H1IR] Premium
Paying
PRUpersonal RIANA 28 In Force/ 100,000,000.00 0.00 0.00 22-Nov-2040 11-Jan-2008 22-Nov-2040
accdt&disable Premium
syar [P1IR] Paying
PRUsaver RIANA 28 In Force/ 0.00 2,500,000.00 0.00 22-Nov-2079 11-Jan-2008 22-Nov-2079
syariah [U1IR] Premium
Paying
PRUpayor RIANA 28 In Force/ 6,000,000.00 0.00 0.00 22-Nov-2045 11-Jan-2008 22-Nov-2045
syariah 33 Premium
[W109] Paying
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Fund Allocation
Fund Name Investment Percentage (%)
Syariah Rupiah Equity Fund [PSEF] 100.00
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Fund Holdings
Fund Name Unit Balance Unit Price Unit Value Pricing Date
Syariah Rupiah Equity Fund [PSEF] 12,629,849540 2,217.980000 28,826,570.406369 12-Oct-2020
Syariah Rupiah Managed Fund [PSMF] 8520.6 2,162.560000 18958519.65 04-Oct-2020
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Policy Information
(Agency: INDRI MOLINA HAPSARI [00081751])

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