POWER GENIUS SDN BHD 199501022344 (351547-U)

LOT PT33936, JALAN BPU 6,

BANDAR PUCHONG UTAMA,
47120 PUCHONG, SEL.D.E. Attn: Azirul
Tel No: 03-58850823/58850923 Fax No: 03-58850932

SIRIM QAS INTERNATIONAL SDN BHD (410334-X) Quotation

SIRIM COMPLEX, 1,
PERSIARAN DATO' MENTERI, SECTION 2, Date : 08-08-2022
40700 SHAH ALAM, SELANGOR. (BLOK 16)
H/P: 011-24005748

RM
Vehicle Registration No : VDN5259 (AXA AFFIN)
Vehicle Model : DAIHATSU GRAN MAX S402RV-BQRFJG (PANEL VAN)
Engine No : 3SZDGP6668
Chassis No : MHKB3CB100K000189
Year Make : 2018
BDM: : 2000KG BTM: 1200KG
Insurance Period : 11-09-2022 TO 10-09-2023
Road Tax Period : 11-09-2022 TO 10-03-2023
Next Inspection Date : 10-03-2023
Sum Insured RM 45,000-00 1,601.37
Less (-) NCB25% (400.34)
1,201.03
Extra Coverage
Windscreen Coverage ( Sum Insured : RM1,000 ) 150.00

Service Tax 6% 81.06

Plus Stamp Duty 10.00
Total Premium for Insurance 1,442.09
PUSPAKOM Inspection Fee 62.01
Inspection Handling Fee 300.00
6 Months Road Tax 165.00
Service Charge 20.00
TOTAL AMOUNT DUE 1,989.10

For POWER GENIUS SDN BHD

Authorised Signature
(TAN)