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*PMY1STAC2*
Notice Date
03 Jan 2022
PRIVATE AND CONFIDENTIAL Policy No.
502-3333833
. LIM WEI YIN
Insured
NO 1 JALAN SUTERA BIRU 1 . CHERRY LIM FANG QI
TAMAN SUTERA
81200 JOHOR BAHRU Commencement Date
JOHOR 22 Jul 2019

Anniversary Date
22 Jul 2022
Statement to Policy Owner Policy Status
For the period 01 01 2021 - 30 12 2021
In Force - Single Premium

Policy Currency
Dear Valued Policyholder, RM

Authorized Personnel
Thank you for choosing AXA AFFIN Life Insurance Berhad, a global leader
CHEN SU HOON
in financial protection and wealth management as your financial services
provider.

The Statement to Policy Owner is a summary of your coverage and your

investments which details the transactions done under your policy. It has
been designed to ensure easy comprehension; but if you still have any
queries, please do get in touch with us at our Customer Care Line.

Policy Coverage as at 30 Dec 2021

Plan/ Rider Sum Assured Sum Assured Sum Assured
(Before current IIE) (current IIE) (Total after IIE)
Wealth Enhancer 0.00 0.00 0.00
Annual Premium: 0.00
Modal Premium: 0.00
Payment Method:

Policy Fund Value as at 01 Jan 2021

Fund Fund Valuation Bid Price* No. of Units Value
Allocation Date
Total account value 0.00
Death Benefit 400,000.00
Surrender Value 51,468.70

Policy Fund Value as at 30 Dec 2021

Fund Fund Valuation Bid Price* No. of Units Value
Allocation Date
Select Bond 100.00% 30 Dec 0.6690 74,918.0661 50,120.18
Fund 2021
Total account value 50,120.18
Future Premium Deposit 0.00

AXA AFFIN Life Insurance Berhad (723739W)

8th Floor, Chulan Tower, No.3 Jalan Conlay, 50450 Kuala Lumpur Telephone: 03-2117 6688 Fax: 03-2117 3698
1 300 88 1616 www.axa.com.my
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Fund Fund Valuation Bid Price* No. of Units Value

Allocation Date
Death Benefit* 400,000.00
Surrender Value* 50,120.18
*with transactions pending fund price if applicable.

The above bid price(s) and value(s) of units in investment fund(s) are as at transaction date mentioned.
The prices of units of any investment fund may go up or down based on the performance of the fund and
factors influencing the capital market and the insured is responsible for his/her decisions.

Fund Allocation Instruction History

Effective Date Fund Code and percentage
2019/07/22 SBONF
100%

Premiums paid during the period 01 Jan 2021 - 30 Dec 2021

Regular Premium 0.00
Top up Premium 0.00
Lump Sum Premium 0.00
Total Premium Paid 0.00

Your Portfolio at a glance (in terms of fund value) as at 30 Dec 2021

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Premium Payment and Fund Transaction Details

Date Transaction Fund Name No. of Units Bid Price Offer Price Transaction
Amount
RM
2021/01/22 Monthly Charges -33.98
2021/01/22 Select -48.4045 0.7020
Bond Fund
2021/02/22 Monthly Charges -33.98
2021/02/22 Select -48.4943 0.7007
Bond Fund
2021/03/22 Monthly Charges -34.08
2021/03/22 Select -49.3984 0.6899
Bond Fund
2021/03/30 Bonus 402.76
2021/03/30 Select 584.4725 0.6891
Bond Fund
2021/04/22 Monthly Charges -34.02
2021/04/22 Select -49.0909 0.6930
Bond Fund
2021/05/21 Monthly Charges -34.01
2021/05/21 Select -48.9493 0.6948
Bond Fund
2021/06/22 Monthly Charges -34.01
2021/06/22 Select -48.9775 0.6944
Bond Fund
2021/06/24 Bonus 406.44
2021/06/24 Select 584.8057 0.6950
Bond Fund
2021/07/22 Monthly Charges -33.92
2021/07/22 Select -48.3673 0.7013
Bond Fund
2021/08/20 Monthly Charges -33.91
2021/08/20 Select -48.2018 0.7035
Bond Fund
2021/09/22 Monthly Charges -33.98
2021/09/22 Select -48.9695 0.6939
Bond Fund
2021/09/28 Bonus 405.97
2021/09/28 Select 587.1709 0.6914
Bond Fund
2021/10/22 Monthly Charges -34.01
2021/10/22 Select -49.7294 0.6839
Bond Fund
2021/11/22 Monthly Charges -34.04
2021/11/22 Select -49.9559 0.6814
Bond Fund
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Premium Payment and Fund Transaction Details

Date Transaction Fund Name No. of Units Bid Price Offer Price Transaction
Amount
RM
2021/12/21 Bonus 297.68
2021/12/21 Select 444.2322 0.6701
Bond Fund
2021/12/22 Monthly Charges -34.11
2021/12/22 Select -50.8800 0.6704
Bond Fund

Total
Bonus 1,512.85
Monthly Charge 0.00
Select Bond Fund 1,104.80

The Regular Premium / Monthly Charges amount includes SST (if applicable).

How to read your Premium Payment and Fund Transaction Details?

● “Premium charge” is the premium allocation charge and is deducted from the premium.
● “Deposit & Investment” details premium allocations and fund switches, if any.
● “Monthly Charge” comprises of Insurance charge and Administration charge. This is deducted on
a monthly basis.
● Other charges include Switch charge, Withdrawal charge which is deducted on processing policy
service transactions, subject to the conditions detailed in policy contract, if any.

Notice on Premium Holiday :

i) During the premium holiday, units in the Account Value will be reduced by the relevant charges due
in accordance with the terms of this Policy.
ii) While the cancellation of units to cover the monthly insurance and service charges may keep the
policy in force, continuation of unit deduction without paying the required premiums may result in
early lapsation of your policy.
iii) You are advised to continue the premium payment that is required under the contract.
iv) Alternatively, you may consider the following options, subject to the Company’s approval:
a) vary the basic benefits and/or rider benefits with or without the change in premium; or
b) pay a top up premium

Dana Imbang / Dana Income Plus (if applicable) invests in Shariah-approved securities. However, the
investment-linked insurance plan itself is not a Shariah-compliant product.

Contact Us

If you need further assistance, please contact our Customer Care line at 1-300-88-1616 between
8:30am to 5:30pm on Monday to Thursday, and 5:00pm on Friday.
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Thank you for your support.

Yours sincerely,

Policy Servicing
AXA AFFIN Life Insurance Berhad

This is a computer-generated document. No signature is required.

c.c. CHEN SU HOON

850207-04-010375
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*PMY1STAC2*
Tarikh Notis
03 Jan 2022
SULIT & PERSENDIRIAN No. Polisi
502-3333833
. LIM WEI YIN
NO 1 JALAN SUTERA BIRU 1 Hayat Diinsuranskan
TAMAN SUTERA . CHERRY LIM FANG QI
81200 JOHOR BAHRU
JOHOR Tarikh Kuatkuasa
22 Jul 2019

Tarikh Ulang Tahun Polisi

Penyata Kepada Pemunya Polisi 22 Jul 2022
Bagi tempoh 01 Jan 2021 - 30 Dec 2021
Matawang Polisi
RM

Pelanggan yang Dihormati, Pegawai Penguatkuasa

CHEN SU HOON
Terima kasih kerana memilih AXA AFFIN Life Insurance Berhad, peneraju
global dalam perlindungan kewangan dan pengurusan harta, sebagai
penyedia perkhidmatan kewangan anda.

Penyata Kepada Pemunya Polisi ini merupakan kesimpulan bagi

perlindungan dan pelaburan bagi polisi anda yang dinyatakan di atas. Ianya
disusun bagi pemahaman yang mudah; namun sekiranya anda mempunyai
sebarang pertanyaan, sila hubungi Talian Perkhidmatan Pelanggan kami.

Perlindungan Polisi pada 30 Dec 2021

Plan/ Rider Jumlah Jumlah Jumlah
Diinsuranskan Diinsuranskan Diinsuranskan
(Sebelum IIE) (IIE terkini) (Jumlah selepas IIE)
Wealth Enhancer 0.00 0.00 0.00
Premium Tahunan: 0.00
Premium Modal: 0.00
Cara Bayaran:

Nilai Dana Polisi pada 01 Jan 2021

Dana Peruntukan Tarikh Harga Bida* Unit Nilai
Dana Penilaian
Jumlah Nilai Akaun 0.00
Faedah Kematian 400,000.00
Jumlah Keseluruhan 51,468.70

Nilai Dana Polisi pada 30 Dec 2021

Dana Peruntukan Tarikh Harga Bida* Unit Nilai
Dana Penilaian
Select Bond 100.00% 30 Dec 0.6690 74,918.0661 50,120.18
Fund 2021
Jumlah Nilai Akaun 50,120.18
Premium Deposit 0.00
Faedah Kematian* 400,000.00
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Jumlah Keseluruhan* 50,120.18

*dengan transaksi sementara menunggu harga dana jika berkenaan.

Harga bida dan nilai unit pelaburan adalah pada tarikh urus niaga yang ternyatatertera di atas. Harga
unit dari setiap dana pelaburan mungkin naik atau turun berdasarkan prestasi dana dan faktor-faktor
yang mempengaruhi pasaran modal dan hayat diinsuranskan bertanggung jawab ke atas keputusan
yang diambil.

Rekod Arahan Peruntukan Dana

Tarikh Kuat Kuasa Kod Dana dan peratusan
2019/07/22 SBONF
100%

Premium Berbayar Sepanjang Tempoh 01 Jan 2021 - 30 Dec 2021

Premium Biasa 0.00
Premium Tambahan 0.00
Premium Sekali Gus 0.00
Jumlah Premium Berbayar 0.00
Portfolio Anda Sepintas Lalu (mengikut nilai dana) pada 30 Dec 2021
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Bayaran Premium dan Butiran Urus Niaga Dana

Tarikh Urus Niaga Nama Dana Unit Harga Bida Harga Tawaran Amaun
Urus Niaga
RM
2021/01/22 Caj Bulanan -33.98
2021/01/22 Select -48.4045 0.7020
Bond Fund
2021/02/22 Caj Bulanan -33.98
2021/02/22 Select -48.4943 0.7007
Bond Fund
2021/03/22 Caj Bulanan -34.08
2021/03/22 Select -49.3984 0.6899
Bond Fund
2021/03/30 Bonus 402.76
2021/03/30 Select 584.4725 0.6891
Bond Fund
2021/04/22 Caj Bulanan -34.02
2021/04/22 Select -49.0909 0.6930
Bond Fund
2021/05/21 Caj Bulanan -34.01
2021/05/21 Select -48.9493 0.6948
Bond Fund
2021/06/22 Caj Bulanan -34.01
2021/06/22 Select -48.9775 0.6944
Bond Fund
2021/06/24 Bonus 406.44
2021/06/24 Select 584.8057 0.6950
Bond Fund
2021/07/22 Caj Bulanan -33.92
2021/07/22 Select -48.3673 0.7013
Bond Fund
2021/08/20 Caj Bulanan -33.91
2021/08/20 Select -48.2018 0.7035
Bond Fund
2021/09/22 Caj Bulanan -33.98
2021/09/22 Select -48.9695 0.6939
Bond Fund
2021/09/28 Bonus 405.97
2021/09/28 Select 587.1709 0.6914
Bond Fund
2021/10/22 Caj Bulanan -34.01
2021/10/22 Select -49.7294 0.6839
Bond Fund
2021/11/22 Caj Bulanan -34.04
2021/11/22 Select -49.9559 0.6814
Bond Fund
2021/12/21 Bonus 297.68
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Bayaran Premium dan Butiran Urus Niaga Dana

Tarikh Urus Niaga Nama Dana Unit Harga Bida Harga Tawaran Amaun
Urus Niaga
RM
2021/12/21 Select 444.2322 0.6701
Bond Fund
2021/12/22 Caj Bulanan -34.11
2021/12/22 Select -50.8800 0.6704
Bond Fund

Jumlah Keseluruhan
Bonus 1,512.85
Caj Bulanan 0.00
1,104.80

Jumlah Premium Biasa / Caj Bulanan termasuk SST (jika berkenaan).

Cara membaca Pembayaran Premium dan Butiran Urus Niaga Dana anda
● “Caj Premium” adalah caj peruntukan premium dan ianya ditolak daripada premium.
● “Deposit & Pelaburan” menunjukkan peruntukan premium dan penukaran dana, jika ada.
● “Caj Bulanan” Mengandungi Caj Insurans Dan caj pentadbiran. Ianya dipotong pada kadar bulanan.
● Caj-Caj lain Termasuk Caj Pertukaran Dana, Caj Pengeluaran yang Ditolak Semasa Transaksi
Perkhidmatan Polisi, Bergantung Kepada Syarat yang Terkandung di Dalam Polisi Kontrakt, jika ada.

Notis Kelepasan Premium :

i) Semasa Kelepasan Premium, unit-unit didalam Nilai Akaun akan berkurangan mengikut caj-caj
yang relevan seperti di dalam polisi ini.
ii) Sewaktu pembatalan unit-unit untuk membiayai insurans bulanan dan caj perkhidmatan agar
polisi sentiasa berkuatkuasa, penerusan potongan unit-unit tanpa perlu membayar premium yang
diperlukan akan menyebabkan polisi anda luput lebih awal.
iii) Anda dinasihatkan untuk meneruskan bayaran premium seperti yang tertera dalam kontrak.
iv) Sebagai pilihan, anda boleh memilih opsyen di bawah, bergantung kepada kelulusan Syarikat:
a) faedah asas yang berbeza dan / atau faedah tambahan dengan atau tanpa perubahan pada
premium atau
b) membayar premium tambahan

Dana Imbang / Dana Income Plus (jika berkenaan) melabur dalam sekuriti-Syariah yang diluluskan.
Walaubagaimanapun, pelan berkaitan pelaburan ini bukan produk mengikut dasar Syariah.
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Hubungi Kami

Jika anda memerlukan bantuan lanjut sila hubungi Talian Khidmat Pelanggan kami di 1-300-88-1616 di
antara 8:30 pagi hingga 5:30 petang pada hari Isnin hingga Khamis, dan 5:00 petang pada hari Jumaat.

Terima kasih atas sokongan anda.

Yang benar,

Jabatan Tuntutan
AXA AFFIN Life Insurance Berhad
Ini adalah cetakan berkomputer dan tandatangan tidak diperlukan.
c.c. CHEN SU HOON
850207-04-010375