Pacific & Orient Insurance Co Bhd (12557-W)

Registration No. 197201000959 (12557 - W)

A Member Of The Pacific & Orient Group
SST Registration No: W10-1808-31021805

11th Floor, Wisma Bumi Raya, No. 10, Jalan Raja Laut, 50350 Kuala Lumpur.
P.O.Box 10953, 50730 Kuala Lumpur. Internet: www.pacific-orient.com //https://www.poi2u.com

Telephone: 03 - 2698 5033 Fax: 03 - 2693 8145 Toll Free: 1 800 88 2121

Invoice / Invois
Invoice No. : 39-70-21-TH-005606 Date of Invois : 24-02-2021
No. Invois Tarikh Invois
SST Reg. No : Cover Note No. : C-09757108
No. Pendaftaran CP No. Nota Perlindungan
Agent Code : 30144-39-C Agent Name :
Kod Ejen Nama Ejen
Policy Effective Date : 26-02-2021 Policy Expiry Date : 25-02-2022
Tarikh Polisi Berkuatkuasa Tarikh Polisi Tamat
Policy No. : 39-70-21-TH-005606 Vehicle No. : BNQ1152
No. Polisi No. Kenderaan
Insured Name : MUIN BIN MURAT
Nama Pihak Diinsuranskan
I/C No. : 440702-10-5253 Co. Reg. No. :
No. Kad Pengenalan No. Pendaftaran Perniagaan
Address : NO 55 KAMPUNG NELAYAN, TELOK GONG
Alamat 42000 PELABUHAN KLANG SELANGOR

Description : Payment for Motor Premium

Butiran

Premium / Premium RM 178.67

Trailer Premium / Premium Treler RM

Loading / Caj Tambahan RM 0.00

All Riders / Semua Penunggang RM 0.00

Less NCD / Tolak DTT RM 44.67

Extra Benefits / Manfaat Tambahan RM 0.00

Gross Premium / Premium Kasar RM 134.00

Rebate /Rebat RM 13.40

RM 120.60

Service Tax 6 % / Cukai Perkhidmatan 6% RM 7.24

GST / CBP RM 0.00

Stamp Duty / Duti Setem RM 10.00

Total / Jumlah RM 137.85