SARIFAH

Car Owner’sBINTI
NameMOHD YUSOF
Address
NO 99, 1LORONG LENGKOK KIRI 8,
Address
TANAH2PUTIH BARU
Address 3
25150 KUANTAN, PAHANG

Date : 22 JANUARY 2022

UFirst Perodua Passport

To UFirst Admin,

LETTER TO AUTHORIZE THE DECLARED DRIVER AS THE CAR BENEFICIARY FOR UFIRST MEMBERSHIP

Car Registration Number : VAM 5532 MYVI 1.5 SE (AT)

Car Model: _________________________

I SARIFAH BINTI MOHD YUSOF (Name of the car owner as per NRIC/Passport) bearing the IC/Passport
510127-06-5072
No.___________________(IC/Passport Number) the registered Owner of the Car, do hereby authorize

UFirst Perodua Passport to register the Car under the name of

NURUL AIN BINTI MOHD NOR Name of the driver as per NRIC/Passport) bearing the IC/Passport No.
____________________________(
880213-06-5202 IC/Passport Number) and UFirst Membership No.____________________
___________________( 2015199302158450 (UFirst
Membership Number) (‘the Member’) for the purpose of UFirst Perodua Passport Membership only.

With this authorization, I do hereby relieve and waive whatever rights, points or benefits given to
the Member or the Car under UFirst Perodua Passport Membership and I shall not commence any
demand or legal action against Perodua to claim for any rights or benefits given to the Member or
the Car under UFirst Perodua Passport membership starting from the date this letter is processed by
UFirst Admin. Enclosed is a copy of Car Registration Card/Insurance Cover Note as required by
UFirst.

Thank you.

Sincerely,

_______________________

Full Name: SARIFAH BINTI MOHD YUSOF