SCHEDULEJADUAL

TAKAFUL MOTOR PERSENDIRIAN / Motor Private Takaful

PARTICULARS OF THE PARTICIPANT BUTIR-BUTIR PESERTA /
Nama Penuh : Pengiran Kerima-Jo Binti Pengiran Abd Rahman No. K/P : 00-296363(Y)
Full Name I/C No.
Alamat : No. 18, Spg 555, No. Pendaftaran Syarikat :
Address Jalan Jerudong, Company Registration No.
Negara Brunei Darussalam BA2112
Pekerjaan / Perniagaan : Officer No. Akaun Peserta : WY48724
Occupation or Trade Participant Account No.

DETAILS OF COVER BUTIR-BUTIR PERLINDUNGAN /

Jenis Risiko : Pihak Ketiga Sahaja Tarikh Cadangan dan Akuan : 24/03/2023
Risk Type MP Third Party Plus Date of Proposal and Declaration
No. Sijil : MP/0000114/12/KIA/R11 No. Nota Perlindungan :
Certificate No. Cover Note No.
Tempoh Takaful / Period of Takaful
Dari : 25/03/2023 00:00 AM Hingga : 24/03/2024 23:59 PM (termasuk kedua-dua tarikh)
From To (both dates inclusive)

Mana-mana tempoh takaful kemudiannya dimana Peserta kena bayar dan Takaful Brunei AM Sdn Bhd bersetuju menerima sumbanganJumlah Perlindungan /
Any subsequent period for which the Participant shall pay and Takaful Brunei AM Sdn Bhd shall agree to accept payment of takaful contributionTotal Sum Covered
Sum Covered : Dari : 25-MAR-23 Hingga : 24-MAR-24
Description From To

DETAILS OF PROPERTY COVERED BUTIR-BUTIR HARTA YANG DIPERLINDUNGKAN /

Kelas Binaan / / Construction Class : BR8707 / : 30.00 %

Kegunaan / / Occupancy : Mercedes Benz / : Coupe
Sumbangan Takaful / / Takaful Contribution : 271940-30-105601 / :4
/ : WDB2093422F-040296 Syarat-syarat / / Conditions : 1796
/ For Their Respective Rights : 2002 / : 2002
Pulangan Wang / / Refund : BND 0.00 / : BND 0.00
Hibah / / Hibah : / : BND 0.00
/ : Third Party Plus, MPA1, M73(a),
M72(a), Excess Buy Back T/P

ENDOSMEN & WARRANTI / ENDORSEMENTS & W SUMBANGAN TAKAFUL / TAKAFUL CONTRIBUTION

: BND 139.00
Akses Peserta / Participant Excess : BND 500.00 : BND 0.00
Akses Pemandu Yang Diben / Authorised Driver E : BND 700.00 Jumlah Bayaran / / Service Charge : BND 0.00
Akses Cermin / Indemnity Limit : BND 0.00 Perkhidmatan Penarikan Bkb Towing Service : BND 26.00
/ : Tidak Ada / Nil Duti Setem / Stamp Duty : BND 0.10
takaful bagi pembaharuan Sijil ini. / for the : Ak Annuar Bin Pengiran Abd Rahman / Financial
Syarikat Kewangan Interest
/ : BND 24.00

Keterangan / : Jayne Rahman : BND 141.10

Lokasi / / Location : M2A, MEBBT/P

User ID : TBA-APP Date/Time : 24/03/2023 11:51 Agent ID :

Department : Operation Branch : Takaful Mob App
:
Printed By : TBA-APP Date/Time : 24/03/2023 11:52
 SCHEDULEJADUAL

TAKAFUL MOTOR PERSENDIRIAN / Motor Private Takaful

/ for the renewal of this certificate.

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