CERTIFICATE OF TAKAFUL

Road Transport Act, 1987 ( Malaysia )

Motor Vehicles (Third Party Risks) Rules, 1959 (Malaysia)
Motor Vehicles (Third Party Risks & Compensation) Act (Cap 189) Republic of Singapore
Motor Vehicles (Third Party Risks& Compensation) Rules 1960 (Republic of Singapore)
Motor Vehicles Insurance ( Third Party Risks) Act (Cap 90) Negara Brunei Darulsalam

MOTOR - PRIVATE CAR Comprehensive RM 28,000.00

MX1 -- Private Car - Private Use Excess All Claims RM 0.00

Index Mark and Vehicle Registration No. Certificate No.
ALK144 TVP-85584204-C1
Name of Participant
ZUL FAUZI BIN ABD ADZIS
Effective Date of the Commencement of Takaful Date of Expiry of Takaful
for the purpose of the Regulations, Ordinance or
Enactment
24/12/2022 23/12/2023

Persons or Classes of Persons entitled to drive

(a) The Certificateholder
(b) Any other person who is driving on the Certificateholder's order or with his permission.
Limitations as to use
Use only for social, domestic and pleasure purposes and for the Certificateholder's business.

The Certificateholder does not cover use for hire or reward, racing, pace-making, reliability trial, speedtesting the carriage of goods other than samples in
connection with any trade or business or use for any purpose in connection with the Motor Trade.

Limitation rendered inoperative by Section 95 of the Road Transport Act 1987 (Malaysia) or Section 8 of the Motor Vehicles (Third Party Risks and
Commpensation) Act (Cap 189) Republic of Singapore or Section 7 of the Motor Vehicles Insurance (Third Party Risks) Act (Cap 90) Negara Brunei Darussalam
are not included under this heading.
__________________________________________________________________________________________________________________________________
I / We certify that the Certificate to which this Certificate relates is issued in accordance with the provision of Part IV of the Road Transport Act, 1987 (Malaysia),
Motor Vehicles (Third Party Risks & Compensation) Act (Cap 189) Republic of Singapore and the Motor Vehicles Insurance (Third Party Risks) Act (Cap 90)
Negara Brunei Darussalam.

For and behalf of

Etiqa General Takaful
Berhad
THE SCHEDULE
STAMP DUTY PAID

Participant Certificate No. : TVP-85584204-C1

Account No. : V0026870
ZUL FAUZI BIN ABD ADZIS Agent Name : ZAL PRO AUTOWORLD
DAMAI SPA 29 LENGKOK PERPADUAN,
TAMAN PERPADUAN, IPOH, Product Type : Private Car - Private Use
ULU KINTA Period of Takaful from 24/12/2022 To 23/12/2023 (both Dates Inclusive).
31150 PERAK Any subsequent period for which the Participant shall pay and the
Takaful Operator shall agree to accept a renewal contribution..

NRIC No : 931208-08-5249 Business Reg : Sum Covered RM 28000.00

No Gross Contribution RM 952.46
Business/Occupation : Self Employed Other ID No : Less: No Claim Discount RM 365.08
Vehicle Information 38.33%
JPJ Document No : Drive Less Save More RM 0.00
Vehicle Reg No : ALK144 Log Book No : NIL ______
Make : PROTON RM 587.38
Model : PERSONA 1.6 STD Add : Service Tax 6.00 % RM 35.24
Engine No : S4PHVW7856 Cover Type : Comprehensive Stamp Duty RM 10.00
Chassis No : PL1BH6STRLG064286 Vehicle Type : Private Car
Year of Manufacture : 2019 License Type : Normal Vehicle TOTAL AMOUNT DUE RM 632.62
Cubic Capacity : 1597 Use For : Private Use
Seating Capacity :5
Excess All Claims RM 0.00
Financial Interest : NIL
Authorised Driver
1 ZUL FAUZI BIN ABD ADZIS 931208-08-5249
2 ANY AUTHORISED DRIVER -
Subject to the following warranties, endorsements and clauses incorporated herein and forming
part of the Policy.
Clause Code Clause Name
B001 EXCESS ALL CLAIMS
M003 SANCTION LIMITATION AND EXCLUSION CLAUSE
N002 INFORMATION ON eCERTIFICATE
M004 IMPORTANT NOTICE
M007 MINIMUM CONTRIBUTION
B113 MARKET VALUATION SYSTEM
D034 DRIVE LESS SAVE MORE (DLSM) (NON-TARIFF)

MEMO
INFORMATION ON eCERTIFICATE
In line with our Group's strategy to promote usage of technology and to help preserve the country's natural resources, we no longer print the full
certificate wording. You may view and print the above certificate wording at our website www.etiqa.com.my. Printout may also be obtained from our
offices nationwide.

SANCTION LIMITATION AND EXCLUSION CLAUSE

This takaful certificate shall not provide cover and the Company shall not be liable to pay any claim or provide any benefit hereunder to the extent that
the provision of such cover, payment of such claim, or provision of such benefit would expose the Company to any Sanction, prohibition or restriction
under the CISAD Act or United Nations resolutions or trade or economic sanctions, laws or regulations of the European Union, United Kingdom.

Wef 1 Jan 2014, prohibition or restriction under the CISAD Act is replaced by laws or regulations of United States of America

MINIMUM CONTRIBUTION
The Certificate is subject to RM50.00 minimum contribution.
PERSONAL DATA PROTECTION ACT (PDPA)
Personal Data shall have the same meaning as described to it as under section 4 of the Personal Data Protection Act 2010.
Personal Data refers to the personal data furnished by the Person Covered, the Participant, or an authorized third party related to the Certificate of
Takaful.
Personal Data does not include information on an individual which is in the public domain.

Your and Our Data Protection Obligations and Rights

We shall be able to process Personal Data according to the section 4 of the Personal Data Protection Act 2010. We shall be able to disclose
Personal Data provided by You, as the context may require, to:
1)Etiqa General Insurance Berhad, Etiqa General Takaful Berhad, Etiqa Life International (L) Ltd or Etiqa Offshore Insurance (L) Ltd;
2)Other entities within the Maybank Group;
3)Our authorized agents and service providers with whom We have contractual agreements for some of Our functions, services and activities;
4)Other insurance or Takaful companies and distribution partners (such as, banks, Islamic banks, insurance brokers, Takaful brokers, reinsurance
companies, Retakaful companies);
5)Industry trade associations such as Life Insurance Association of Malaysia (LIAM), Persatuan Insurans Am Malaysia (PIAM) and Malaysian Takaful
Association (MTA);
6)Our merchants and strategic partners;
7)Any parties authorized by You (from time to time); or
8)Enforcement regulatory and governmental agencies as permitted or required by law, authorized by any order of court or to meet obligations to
regulatory authorities.
You will keep Us updated in respect of all such Personal Data as soon as is practicable.
We shall not be liable for any direct or indirect loss or damage due to any inaccuracy or incompleteness in the Personal Data provided to Us.
We may from time to time request that You provide other Personal Data required for the purposes of this Master Certificate.
Prior to providing Us with the Personal Data of an Insured Person, or another individual, You must inform that individual of Our privacy notice.
For the detailed privacy notice on how We collect, use, process, protect and disclose Personal Data, please visit Our branches, contact Etiqa Oneline
at 1300 13 8888, or refer to Our website at www.etiqa.com.my

Issue Date : 19-12-2022/09:23 AM

Issue At : C1
Issue By : v0026870
For and on behalf of
Etiqa General Takaful
Berhad
UNDERWRITING INFORMATION

The following underwriting information have been declared:

1. The location of vehicle parked garage at :

Locked Garage

Address : DAMAI SPA 29 LENGKOK PERPADUAN,

TAMAN PERPADUAN, IPOH,
31150 ULU KINTA

2. Anti-theft devices : 3. Safety Features :

4. Driver's 1st Driver 2nd Driver

Particulars
Full Name ZUL FAUZI BIN ABD ADZIS ANY AUTHORISED DRIVER
New IC 931208-08-5249 -
Old ID -
Passport
Date of Birth 08-12-1993
Gender Male

5. Has the vehicle being installed with turbo charger, nitrous oxide kit and or modified for the purpose of speed and acceleration
beyond the manufacturer's specification?
No
 Invoice No: ETBG2022UWFL03236116
Date: 19/12/2022

INVOICE

ETIQA GENERAL TAKAFUL BERHAD (201701025031)

LEVEL 19 TOWER C
DATARAN MAYBANK
NO 1 JALAN MAAROF
59000 KUALA LUMPUR
(SST Reg No: W10-1808-31012539)

To Account Number: V0026870

ZUL FAUZI BIN ABD ADZIS
DAMAI SPA 29 LENGKOK PERPADUAN,
TAMAN PERPADUAN, IPOH,
ULU KINTA
31150 PERAK

Description Total (RM)

Type of Certificate: Private Car - Private Use
Certificate Number: 85584204
Period of Takaful: 24/12/2022 to 23/12/2023

Contribution 587.38
Total (Excluding SST) 587.38
SST payable @ 6.00% 35.24
Stamp Duty 10.00

Total Amount Payable 632.62

This is a computer generated document. Therefore, no signature is required

 PRODUCT DISCLOSURE SHEET Etiqa General Takaful Berhad ('We/Us/Our')

Read this Product Disclosure Sheet before you decide to participate in Comprehensive Private Car Takaful
the Comprehensive Private Car Takaful. Be sure to also read the
general terms and conditions. Date : 14/10/2022

1 What is this product about?

This certificate provides takaful cover against liabilities to other parties for injury or death, damage to other parties' property, and accidental or
fire damage to your vehicle or theft of your vehicle.

2 What are the Shariah concepts applicable?

Wakalah
This product applies the wakalah (agency) concept, whereby the participants appoint us to act on their behalf to invest and manage the
General Takaful Fund (Fund). The participants also agree to authorize us to delegate our rights, duties and obligations to any third party as we
deem fit for the purpose of achieving the objective to invest and manage the Fund, provided that, in the event of any such delegation, we will
remain liable and responsible for all such rights, duties and obligations towards the participant. As an agent, we are entitled to receive a
wakalah fee as a service charge. The wakalah fee is as follows:

Item (% of contribution)
• Commission paid to the agent 10%
• Management expenses 20%
Total Wakalah Fee 30%

Tabarru'
This plan also applies the tabarru' (contribution) concept, whereby the participants agree to donate or contribute their contributions to the Fund
for the purpose of mutual aid and assistance to the participants based on the pre-agreed events, in case of need. At the end of each financial
year, any distributable surplus in the Fund, less repayment of historic deficits, makes allowance for contingency provisions, and is subject to
the surplus policy approved by our Shariah Committee is shared 50% among the participants whose certificates have not terminated and who
have not made any claims within the financial year, and 50% to us for operating and managing the Fund, based on the contract of ju'alah.
Ju'alah is a wage contract that specifies the share of the distribution of surplus on this basis. If the surplus is less than RM10.00, it will be
credited to charitable fund which will be utilized as 'Amal Jariah' on behalf of the participant. The charitable fund will be distributed to eligible
recipients as approved by our Shariah Committee for charitable purposes.

3 What are the covers / benefits provided?

This certificate covers:

· Third party bodily injury and death;

· Third party property loss or damage; and
· Loss or damage to your own vehicle due to accidental fire, theft, or accident;
Optional benefit that you may include with no additional contribution:

· Drive Less Save More (DLSM) (Non-Tariff).

Optional benefits that you may wish to choose by paying additional contribution:

· Windscreen damage;
· Passenger liability cover;
· Damage arising from flood, typhoon, hurricane, storm, tempest, volcanic eruption, earthquake, landslide, landslip, subsidence or sinking of
the soil / earth or other convulsions of nature;
· Compensation for Loss of Use;
· Current year No Claim Discount(NCD) relief;
· Vehicle accessories;
· Car Re-Spray Cover;
· Smart Key Replacement Cover;
· New Spare Part Replacement Cover; or
· Child Car Safety Seat (Non-Tariff).

It is an offense under the law of Republic of Singapore to enter the country without extending passenger liability cover to your

Private Car Takaful.

Duration of cover is for one year. You need to renew the takaful cover annually.
Note: Please refer to the takaful certificate for more information.

4 How much contribution do I have to pay?

The total contribution that you have to pay may vary depending on the sum covered, make and model of your vehicle, your age, past claim
experience, No Claim Discount (NCD) entitlement, optional benefits selected and our underwriting requirements.

PMG/EGTB/MOTOR/PDS/ENG/AGENCY/2208V3.6
 Example:

For Private Car

Make/Model : PERSONA 1.6 STD
Age of Vehicle : 3 years
Cubic Capacity : 1597 CC
Sum Covered : RM 28000.00
NCD Entitlement : 38.33 %
Additional Cover : Drive Less Save More coverage
Named Driver coverage

The estimated total contribution that you have to pay is RM 632.62 as stated below:
Base Contribution : RM 952.46
Less 38.33% NCD entitlement : RM 365.08
RM 587.38
Plus Additional Cover (Drive Less Save : RM 0.00
More)
Plus Additional Cover (Named Driver) : RM 0.00
: RM 587.38
6.00% ST : RM 35.24
Total Contribution : RM 622.62
Plus Stamp Duty : RM 10.00
Total Contribution Payable : RM 632.62

All contributions (if applicable) will be subjected to relevant charges or taxes, as deemed necessary by the Malaysia tax authorities. It is
important to keep any receipt that you receive as proof of payment of contributions.

5 What are the fees and charges that I have to pay?

Type Amount
Services Tax 6% of the contribution
Stamp duty RM10.00

6 What are some of the key terms and conditions that I should be aware of?

Importance of disclosure

a. Pursuant to Paragraph 5 of Schedule 9 of the Islamic Financial Services Act 2013, if you are applying for this takaful wholly for purposes
unrelated to your trade, business or profession, you have a duty to take reasonable care not to make a misrepresentation in answering
the questions in the Application Form (or when you apply for this takaful). You must answer the questions fully and accurately.
b. Failure to take reasonable care in answering the questions may result in avoidance of your contract of takaful, refusal or reduction of
your claim(s), change of terms or termination of your contract of takaful.
c. The above duty of disclosure shall continue until the time your contract of takaful is entered into, varied or renewed with us.
d. In addition in answering the questions in the Application Form (or when you apply for this takaful), you are required to disclose any other
matter that you know to be relevant to our decision in accepting the risks and determining the rates and terms to be applied.
e. You also have a duty to tell us immediately if at any time after your contract of takaful has been entered into, varied or renewed with us
any of the information given in the Application Form (or when you applied for this takaful) is inaccurate or has changed.
Under/Over Covered Takaful - You must ensure that your vehicle is covered at the appropriate amount.
Certificate Excess -is the amount of loss you have to bear if your vehicle is damaged in the accident.
Compulsory Excess - Where you have to bear an additional excess of RM400 if you or the person driving your car is:

PMG/EGTB/MOTOR/PDS/ENG/AGENCY/2208V3.6
 a. Under age 21 or
b. Holds a Provisional (P) or holds a Learner (L) driver's license.
Cash Before Cover - The contribution due must be paid to us or our authorized intermediary before the effective date of the certificate.
Claim - If you wish to make a claim, here are the basic guidelines on what you need to follow:

a. Please make a police report within 24 hours of the incident;

b. Notify us immediately for any event that may give rise to a claim under your certificate. Notification can be done via Claim Assist line
1300 88 1007; and
c. Complete and submit the Claim Form as soon as possible together with related documents to support the claim.
Note: This list is non-exhaustive. Please refer to the takaful certificate for the full list of terms and conditions.

7 What are the major exclusions under this certificate?

This certificate does not cover certain losses, such as:

· Your own death or bodily injury due to a motor accident;

· Your liability against claims from passengers in your vehicle;
· Loss, damage or liability arising from an act of nature i.e. flood, storm or landslide; and
· Consequential loss, depreciation, wear and tear, rust and corrosion, mechanical or electronic breakdowns, failures or breakdown,
equipment or computer malfunction.

Note: This list is non-exhaustive. Please refer to the takaful certificate for the full list of exclusions.

8 Can I cancel my certificate?

You may cancel your certificate at any time by giving written notice and returning your original Certificate of Takaful to us. Upon cancellation,
any refund of the contribution would be based on the conditions stipulated in the certificate.

9 What do I need to do if there are changes to my contact details?

It is important that you inform us of any changes in your contact details to ensure that all correspondences reach you in a timely manner.

10 Where can I get further information?

Should you require additional information on motor takaful, please refer to the insuranceinfo booklet available at all our branches or visit
www.insuranceinfo.com.my

If you have any enquiries, please contact us at:

Etiqa General Takaful Berhad (201701025031)

(Licensed under Islamic Financial Services Act 2013 and regulated by Bank Negara Malaysia)
Level 13, Tower B, Dataran Maybank
No. 1, Jalan Maarof
59000 Kuala Lumpur, Malaysia
Telephone Number : 03 2297 3888
Facsimile Number : 03 2297 3800
Etiqa Oneline: 1300 13 8888
Email : info@etiqa.com.my
Homepage : www.etiqa.com.my

11 Other types of similar cover available

a. Third party
b. Third Party, Fire and Theft.

12 What is Drive Less Save More (DLSM)?

This is a new add-on to Comprehensive Private Car that provides a cash rebate to low mileage drivers in accordance with the rebate table as
stipulated below, if the Participant opt for this optional additional benefit at the certificate inception date or renewal date. You may earn up to
30% cash rebate of your basic contribution paid yearly, subject to your mileage driven. Basic contribution paid is calculated based on basic
contribution less No Claim Discount (NCD) less discount for direct participation (if any).
a) Who is eligible to opt for DLSM?
Those who participate in a private car takaful with us and fall within the criteria set below will be invited to opt-in for DLSM:
i. Age of participant: 25 to 80 years old
ii. Age of vehicle: 0 to 15 years
iii. Sum covered: RM 12,000 an above
iv. Car type: Private car for private use
b) Do I need to pay additional contribution for DLSM?
No additional contribution required for DLSM.
c) How do I opt for DLSM?
If DLSM is selected during the participation of the private car takaful, our underwriting engine will identify your eligibility based on the
criteria set in item 12(a) above. If you are eligible, your private car takaful will be issued with a DLSM endorsement. You will be notified
via SMS (short message service) and/or email on your enrolment. Thereafter, you need to submit your Mileage Data. The earliest
possible.

PMG/EGTB/MOTOR/PDS/ENG/AGENCY/2208V3.6
 d) How do I submit my mileage data?
Your Mileage Data shall be submitted to us upon activation of the DLSM coverage via our platform. Subsequent submission will be
throughout the Period of Takaful where you will be receiving an SMS reminder from us.
e) How am I eligible for the rebate?
You will receive the cash rebate within 3 (three) days after the submission of your Mileage Data, provided your mileage driven during
the period of takaful falls within the rebate table as per below. However, you will not be entitled to the rebate if:
i You are a high mileage driver and your daily mileage driven does not fall within the rebate table;
ii This certificate has been cancelled by you or us at any time before the end of the period of takaful, however any eligible rebates
prior to the cancellation will still be granted; or
iii There is unauthorized tempering / modification / replacement or malfunction of your car odometer.
The cash rebate is calculated on a daily basis, as a percentage of your net contribution based on the variables in the Rebate Table
below.
Tier Kilometer range per day Daily Rebate% Total Rebate % for a Year
1 0 - 14 0.082% 30%
2 15 - 28 0.055% 20%
3 29 - 42 0.027% 10%
Note: Fractions of distance driven will be rounded up to the nearest km.
f) When will I receive my cash rebate?
Rebate will be credited into your bank account within 3 (three) days upon receipt of your Mileage Data. Payment of the cash rebate
shall be subject to the rebate table provided in item 12(e) above and the other criteria mentioned under item 12(a) above.
g) How is the rebate calculated?
The cash rebate is calculated based on the average daily mileage, which is computed using mileage data for every subsequent
uploads against the mileage data captured upon activation.
i. First submission of mileage driven: The cash rebate is calculated based on the average daily mileage driven during the period
between the first activation of DLSM add-on and 1st subsequent submission of mileage data.
ii. Second submission and subsequent submission of mileage driven: The cash rebate is calculated based on the average daily
mileage driven during the period between the first activation of DLSM add-on and 2nd and every subsequent submission of
mileage data.
iii. The calculated average daily mileage is then applied to the Rebate Table to identify the corresponding Rebate percentage.
iv. The cash rebate will be paid to the Participant from the General Takaful Fund (GTF).

You may obtain further information about the cash rebate sample illustration in the DLSM FAQ from our website at www.etiqa.com.my

IMPORTANT NOTE:
YOU MUST ENSURE THAT YOUR VEHICLE IS COVERED AT THE APPROPRIATE AMOUNT AS IT WILL AFFECT THE AMOUNT YOU CAN
CLAIM. IN THE EVENT OF AN ACCIDENT, YOU ARE ADVISED TO ENGAGE WITH APPROVED WORKSHOPS. IF YOU HAVE A
COMPREHENSIVE COVER AND YOU ARE NOT AT FAULT, YOU ARE ADVISED TO SUBMIT YOUR CLAIM TO US. YOU SHOULD READ
AND UNDERSTAND THE TAKAFUL CERTIFICATE AND DISCUSS WITH YOUR AGENT OR CONTACT US DIRECTLY FOR MORE
INFORMATION.
The information provided in this disclosure sheet is valid as at 14/10/2022.

PMG/EGTB/MOTOR/PDS/ENG/AGENCY/2208V3.6
 Auto Assist
If the vehicle registered with the Etiqa Auto Assist (EAA), experiences breakdown or accident in Malaysia, Singapore, Thailand or
Brunei, members are entitled for the following services:
Jika kenderaan yang didaftarkan dengan Etiqa Auto Assist (EAA), mengalami kerosakan atau kemalangan di Malaysia, Singapura,
Thailand atau Brunei, ahli layak untuk mendapat perkhidmatan berikut:
1. 24 Hours Breakdown Assistance
If the member’s vehicle experiences breakdown, EAA will
provide roadside repairs (repair on site) services. The roadside
repairs will be provided up to a maximum two hours of labor. All
costs of spare parts and fuels will be borne by members.
If the member’s vehicle cannot be repaired on the roadside,
towing service may be provided.
2. 24 Hours Towing Assistance**
If the member’s vehicle experiences accident or breakdown
(cannot be repaired on the roadside), EAA will provide towing
services to the nearest Etiqa Premier workshop or nearest
authorized franchise workshop.
3. Alternative Travel Assistance
 Taxi and Car Rental
If the member’s vehicle experiences breakdown or accident,
EAA will assist the member in organizing Taxi or Car Rental
for member to continue journey. All costs will be borne by
members.
 Hotel Accommodation
If the member’s vehicle experiences breakdown or accident,
EAA will assist the member in organizing Hotel
Accommodation when member is in distress. All costs will be
borne by members.
4. Extended Assistance (Singapore, Thailand and Brunei)
Vehicle Repatriation to Malaysia
If the member’s vehicle experiences breakdown or accident in
Singapore, Thailand and Brunei, EAA will assist the member in
organizing the repatriation of member’s vehicle to Malaysia.
All costs of repatriation to Malaysia will be borne by members.
5. Friends and Family Assistance
If any member of EAA happens to be with his friends or family
when they are experiencing a vehicle breakdown or accident,
the member’s friends or family are entitled to EAA benefits . All
costs will be borne by members.
6. Emergency Medical Evacuation Assistance
If a medical emergency arise following a breakdown or
accidents, EAA will organize an ambulance to send the member
to the nearest hospital. All costs will be borne by members.
7. Emergency Message Transmission
Upon request form members, EAA will organize to contact
member’s family and keep informed of the member’s conditions
** Subject to terms and conditions of Etiqa Auto Assist Program
EAA Toll Free Numbers:
Malaysia: 1800 88 6491 | Singapore, Thailand or Brunei: +603 6207 4338
For claim assistance For inquiries
1300 88 1007
1. Bantuan Pembaikan di Sisi Jalan 24 Jam
Sekiranya kenderaan anggota mengalami kerosakan, EAA akan
menyediakan perkhidmatan pembaikan di sisi jalan (iaitu
pembaikan di tempat insiden berlaku). Pembaikan di sisi jalan
akan disediakan sehingga maksimum dua jam bekerja. Semua kos
ganti dan bahan api akan ditanggung oleh ahli.
Jika kenderaan ahli tidak dapat dibaiki di sisi jalan,
perkhidmatan menunda akan disediakan.
2. Perkhidmatan Tundaan 24 Jam**
Jika kenderaan ahli tidak boleh dibaiki di sisi jalan, EAA akan
menyediakan bantuan tundaan ke bengkel Etiqa Premier atau
bengkel rasmi francais kenderaan yang terdekat.
3. Bantuan Perjalanan Alternatif
 Teksi dan Kereta Sewa
Jika kenderaan ahli mengalami kerosakan atau kemalangan,
EAA akan membantu ahli untuk mengaturkan penyediaan
teksi atau kereta sewa untuk ahli untuk meneruskan
perjalanan. Semua kos akan ditanggung oleh ahli.
 Penginapan Hotel
Sekiranya kenderaan ahli mengalami kerosakan atau
kemalangan, EAA akan membantu ahli dalam menguruskan
pebginapan hotel apabila ahli berada di dalam kesusahan.
Semua kos akan ditanggung oleh ahli.
4. Bantuan Lanjutan (Singapura, Thailand dan Brunei)
Penghantaran Pulang Kenderaan ke Malaysia
Jika kenderaan anggota mengalami kerosakan atau kemalangan
di Singapura, Thailand atau Brunei, EAA akan membantu ahli
mengaturkan penghantaran balik kenderaannya ke Malaysia. Kos
penghantaran tersebut akan ditanggung oleh ahli.
5. Bantuan untuk Rakan dan Keluarga
Jika ahli EAA ada bersama rakan atau keluarganya semasa
mengalami kerosakan atau kemalangan kenderaan, rakan atau
keluarga ahli layak untuk mendapat perkhidmatan EAA. Semua
kos akan ditanggung oleh ahli.
6. Bantuan Perubatan Kecemasan
Sekiranya kecemasan perubatan berlaku akibat kerosakn atau
kemalangan, EAA akan mengaturkan ambulans untuk menghantar
ahli ke hospital terdekat. Semua kos akan ditanggung oleh ahli.
7. Penghantaran Pesanan Kecemasan
Jika ada permohonan pesanan daripada ahli, EAA akan membantu
untuk menghubungi keluarga ahli untuk memaklumkan
pesanannya
** Tertakluk kepada Terma dan Syarat Etiqa Auto Assist Program
Website
1300 13 8888 www.etiqa.com.my
Personal Data Protection Act Slip for Individual Customers

Name : ZUL FAUZI BIN ABD ADZIS

NRIC No : 931208-08-5249

Certificate No : TVP-85584204-C1

Type Of Certificate : GENERAL TAKAFUL

Date : 19-12-2022

I/We, agree, consent and allow Etiqa General Takaful Berhad (hereinafter called "Etiqa General Takaful") to process
my/our personal data (including sensitive personal data) ("Personal Data") with the intention of entering into a contract of
Takaful, in compliance with the provisions of the Personal Data Protection Act 2010

I/We, understand and agree that any Personal Data collected or held by Etiqa General Takaful (whether contained in
this application or otherwise obtained) may be held, used, processed and disclosed by Etiqa General Takaful to
individuals and/or organizations related to and associated with Etiqa General Takaful or any selected third party (within
or outside Malaysia, including medical institutions, reinsurers, claim adjusters/investigators, solicitors, industry
associations, regulators, statutory bodies and government authorities) for the purpose of processing this application and
providing subsequent service related to it and to communicate with me/us for such purposes.

I/We understand that I/We have a right to obtain access to and to request correction of any Personal Data held by Etiqa
General Takaful concerning me/us.

Such request can be made by completing the Access Request Form available at all Etiqa website, Etiqa Takaful
branches or contact Etiqa Takaful via email PDPA@etiqa.com.my. In accordance with the provisions of the Personal
Data Protection Act 2010, I/We may contact the Customer Service Centre at Etiqa Oneline 1 300 13 8888 for the
details of my/our Personal Data. Such information shall only be granted upon verification.

I/We agree, consent and allow Etiqa General Takaful to share my/our Personal Data with Maybank Group, Etiqa General
Takaful's agents or strategic partners and other third parties ("other entities") as Etiqa General Takaful deems fit.

I/We agree to receive marketing communication from Etiqa General Takaful or from these other entities about products
and services that may be of interest to Me/Us.
Yes No

Note: If you no longer wish to receive marketing communications, please notify Etiqa General Takaful to withdraw your
consent and Etiqa General Takaful will stop processing and sharing your Personal Data with these other entities for the
purpose of sending you marketing communications. For avoidance of doubt, the withdrawal does not include processing
of your mandatory Personal Data.

THIS IS A COMPUTER GENERATED DOCUMENT AND IT DOES NOT REQUIRE A SIGNATURE.