UW-PW-S011(E)(MT)

REV: B
RTD Code:08
MOTOR CYCLE
M.Y.3

MOTORCYCLE SCHEDULE / JADUAL MOTOSIKAL

motorcycle365 Comprehensive Plus
The Insured / Pemegang Polisi Policy No. / No. Polisi
JVE0024374 70-M1
PUEN ZHI MING
Account No. / No . Akaun
P06800-00
17 JALAN DU 2/10 Type of Cover / Jenis Perlindungan
TAMAN DAMAI UTAMA COMPREHENSIVE PLUS
47180 PUCHONG Period of Insurance / Tempoh Insurans
From / Dari 00:00:01 AM 16-12-2020 To / Hingga 15-12-2021
Occupation / Pekerjaan Bus. Regn. No / Premium / Premium RM 217.80
No Pendaftaran Perniagaan All Rider / Semua Penunggang 108.90
SALES EXECUTIVE
-
I.C. No. / No.Kad Pengenalan NCD / Diskaun Tanpa Tuntutan 25.00% 81.68
881031055171 Wef / Berkuatkuasa dari 16-12-2020
245.02
Hire Purchase Owner / Pemilik Sewa Beli T
- Gross Premium / Premium Kasar 245.02

Make & Type of Body / Buatan & Jenis Badan Service Tax / Cukai Perkhidmatan 6% 14.70
YAMAHA Y15ZR / MOTORCYCLE Stamp Duty / Duti Setem 10.00

Registration No. / Excess / Lebihan Regn. Card No. / No.Kad

No.Pendaftaran Pendaftaran
100.00
JRF4597 -

Carrying or Seating Tonnage / C.C./ Watt Sum Insured / Jumlah

Capacity Incl. Driver / Tan / Keupayaan Enjin Diinsuranskan (RM)
Muatan Tempat Duduk 150.00 CC
Termasuk Pemandu 5,800.00
Year of Manufacture /
2 Tahun Diperbuat
2015

Engine/Motor No. / No. Enjin/Motor

G3D3E007969
Chassis No. / No. Casis Trailer / Treler
PMYUG0510F0008888 -
Only The Extensions, Endorsement And / Or Warranties Indicated Below Apply To
This Policy. / Hanya Lanjutan, Endorsemen dan / atau Warranti sepertimana yang
dinyatakan di bawah ini boleh diguna pakai dalam polisi ini.

Total Due / Jumlah Berbayar RM 269.72

Subject to IMPORTANT NOTICE:Your duty as the Owner of the vehicle as attached. Total Due (OTC) / Jumlah Berbayar Di Kaunter RM 269.70
Named Driver / Pemandu Yang Dinamakan
ALL RIDERS

Geographical Area : Malaysia , Republic of Singapore and Negara Brunei Darussalam. / Kawasan Geografi : Malaysia, Republik Singapura dan
Negara Brunei Darussalam.
Limitations as to Use / Authorised Driver : As described in the Certificate of Insurance. / Had Penggunaan / Pemandu Yang Diberi Kuasa : Seperti
yang tercatat dalam Sijil Insurans.
Replacing Cover Note No./ - Issued By / Dikeluarkan Oleh : For / untuk
Gantian No. Nota ONE PLUS ONE AGENCY AmGeneral Insurance Berhad
Perlindungan NO 77 JALAN KEBUDAYAAN 16
Renewal of Policy No./ W3747259 TAMAN UNIVERSITI
Pembaharuan No.Polisi Tel : 0146990696
Date of Proposal or 01-12-2020 Fax :
Declaration /
Tarikh Cadangan atau
Pengisytiharan Authorised Signature /
Tandatangan Yang Diberi Kuasa
Date of Issue / Time 01-12-2020 12:18:07 PM
Tarikh Dikeluarkan / Waktu 226210011220I165
Note: / Nota: No refund of premium for any cancellation of policy if premium is charged on minimum premium / Tiada bayaran balik premium bagi sebarang pembatalan polisi sekiranya
premium yang dikenakan adalah premium minima.
12JVG3PM881207-3

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 Policy Document No./ UW-PW-S011(E)(MT)
No.Dokumen Polisi: REV: B
C.I. Code / M.Y.3
Kod Sijil Insurans:

CERTIFICATE OF INSURANCE / SIJIL INSURANS

AKTA PENGANGKUTAN JALAN RAYA 1987 (MALAYSIA)
PERATURAN KENDERAAN BERMOTOR (RISIKO KEATAS PIHAK KETIGA) 1959 (MALAYSIA)
RTD Code :08
ORIGINAL COPY / AKTA KENDERAAN BERMOTOR (RISIKO KEATAS PIHAK KETIGA DAN PAMPASAN) (KAP 189) REPUBLIK SINGAPURA
PERATURAN KENDERAAN BERMOTOR (RISIKO KEATAS PIHAK KETIGA DAN PAMPASAN 1960 (REPUBLIK SINGAPURA)
SALINAN ASAL AKTA INSURANS KENDERAAN BERMOTOR (RISIKO KEATAS PIHAK KETIGA) (KAP 90) NEGARA BRUNEI DARUSSALAM
Certificate No. / No. Sijil
JVE0024374 70-M1 Excess : RM 100.00 Sum Insured : RM 5,800.00
1. Index Mark and Registration Number of Vehicle / Tanda Indeks dan No. Pendaftaran Kenderaan
JRF4597 NCD : 25.00% Wef : 16-12-2020
2. Name of Policyholder / Nama Pemegang Polisi
PUEN ZHI MING
3. Period of Insurance / Tarikh Insurans
From / Dari 00:00:01 AM 16-12-2020 To / Hingga 15-12-2021
4. Persons or Classes of Persons entitled to drive / Orang atau kelas orang yang layak memandu:*
a) The Policyholder.
b) Any other person who is riding on the Policyholder's order or with his/her permission.
a) Pemegang Polisi
b) Sesiapa yang menunggang diatas arahan Pemegang Polisi atau dengan kebenarannya.
Provided that the person driving is permitted in accordance with the licensing or other laws or regulations to drive the motor vehicle or has been so
permitted and is not disqualified by order of a Court of Law or by reason of any enactment or regulation in that behalf from driving the motor vehicle.
Dengan syarat orang yang dibenarkan memandu itu menurut perlesenan atau undang-undang atau peraturan lain bagi memandu kenderaan bermotor
dan telah dibenarkan dan tidak hilang kelayakan atas perintah Mahkamah Undang-undang atau atas sebab mana-mana enakmen atau peraturan
berkenaan pemanduan kenderaan bermotor.
5. Limitations as to use / Had Penggunaan*
Use for social domestic and pleasure purposes and by the Insured in person in connection with his business or profession. The policy does not cover :-
(a) Use for hire or reward.
(b) Use for racing, pace-making, reliability trial or speed-testing.
(c) Use for the carriage of goods (other than samples) in connection with any trade or business.
Digunakan untuk tujuan sosial, domestik dan persiaran oleh Pemegang Polisi sendiri berkaitan dengan perniagaan atau pekerjaannya.
Polisi ini tidak melindungi:-
(a) Kegunaan untuk sewaan atau ganjaran.
(b) Kegunaan untuk mengkadar kelajuan, ujian kebolehpercayaan atau ujian kelajuan.
(c) Kegunaan untuk membawa barangan (selain dari sampel) berkaitan apa-apa pekerjaan atau perniagaan.
*Limitations rendered inoperative by Section 95 of the Road Transport Act 1987 (Malaysia) or Section 8 of the Motor Vehicles (Third Party Risks and
Compensation) 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.
*Had yang ditakwilkan tidak berkuatkuasa oleh Seksyen 95 Akta Pengangkutan Jalanraya (Malaysia),1987 atau Seksyen 8 Akta Kenderaan Bermotor
(Risiko Keatas Pihak Ketiga Dan Pampasan) (Kap 189) Republik Singapura dan Seksyen 7 Akta Insurans Kenderaan Bermotor (Risiko Keatas Pihak
Ketiga) (Kap 90) Negara Brunei Darussalam tidak termasuk dibawah tajuk ini.
I/WE HEREBY CERTIFY that the policy to which this certificate relates is issued in accordance with the provisions of Part IV of the Road Transport
Act,1987 (Malaysia),Motor Vehicles (Third Party Risks and Compensation) Act (Cap 189) Republic of Singapore and the Motor Vehicles Insurance (Third
Party Risks) Act (Cap 90) Negara Brunei Darussalam. /SAYA / KAMI DENGAN INI MENGESAHKAN bahawa polisi yang melaluinya sijil ini dikeluarkan
adalah selaras dengan peruntukan Bahagian IV Akta Pengangkutan Jalan, 1987 (Malaysia), Akta Kenderaan Bermotor (Risiko Keatas Pihak Ketiga dan
Pampasan) (Kap 189) Republik Singapura dan Akta Insurans Kenderaan Bermotor (Risiko Keatas Pihak Ketiga) (Kap 90) Negara Brunei Darussalam.
IMPORTANT NOTICE: Your duty as the Owner of the vehicle. Failure to comply to the below
may result your claim to be declined .
(1) The insured will have to take all reasonable care to secure the vehicle from loss or damage.
(2) Report to the police for all incidents. For road accident, you have to report to the police within 24 hours. for / untuk AmGeneral Insurance Berhad
(3) Notify us in writing within 7 days after the incident and complete the claim form in full and return it to us (Incorporated in Malaysia / Ditubuhkan di Malaysia)
with the related documents within 21 days from your notification's date.
(4) You must obtain our consent in writing before you repair your vehicle or incur any expenses.
Approved Insurers / Penanggung Insurans Yang Dibenarkan
(5) For private car own damage claim - In the event of claim, repairs must be conducted by our
approved repairer.
(6) When incident happen, you need to collect these details :
(a) all drivers e.g full name, residential address and contact number
(b) all vehicles e.g. make and model, registration number, and insurance details
(c) date, time and location of the incident
(d) description of the incident and
(e) report to us immediately
(f) report to us for any claims made by another person against you and send us the notices and
letters within 14 days from the receipt of the documents. Authorised Signature /Tandatangan Yang Diberi Kuasa
(7) Do not negotiate or settle any claims made against you, unless you have our consent in writing.
(8) We will have full discretion in the conduct, defence and/or settlement of any claim.
Agent Code / Kod Ejen: P06800-00
N.B. (i) We have the right to cancel this policy by giving you 14 days’ notice in writing by
registered post to your last known address in our records.
(ii) Betterment – In the event your vehicle age is 5 years and above, this policy is subject to rate of betterment .
(iii) You need to read this policy carefully, and if any error or incorrect description is found herein, or
if the cover is not in accordance with your wishes, you should inform us immediately and return this policy to us for
alteration.
Important Notice / Kenyataan Penting :
• For environmental conservation, we have adopted paper less printing concept.Please log on to our website to view the Bahasa Malaysia language policy wordings,terms and conditions and exclusion.
For further enquiries, please contact your insurance intermediary or our Customer Contact Centre. / Untuk pemeliharaan alam sekitar, kami telah mengaplikasikan konsep tanpa percetakan. Sila layari
laman web kami untuk rujukan kandungan polisi,terma-terma,syarat-syarat dan pengecualian-pengecualian dalam Bahasa Melayu.Untuk pertanyaan lanjut, sila hubungi ejen insurans anda atau Pusat
Khidmat Pelanggan kami.
• You are advised to read and understand the summary of this product as contained in the Product Disclosure Sheet on our website. / Anda dinasihati supaya membaca dan memahami ringkasan produk
ini seperti yang tertera di dalam Lampiran Pemberitahuan Produk yang boleh didapati dilaman web kami.
0917

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 Invoice
Invois
COPY

Invoice No. : SST-12-20-06286538 Date : 01-12-2020

No. Invois Tarikh

Name : PUEN ZHI MING

Nama

Insurer Address : 17 JALAN DU 2/10

Alamat TAMAN DAMAI UTAMA
47180 - PUCHONG

Agent Name : ONE PLUS ONE AGENCY Account No. : P06800-00

Nama Agen No. Akaun

Policy/Endorsement No. : W3747259 Cover Note No. : JVE0024374

No. Polisi/Endorsemen No. Nota

Class of Policy : MOTOR CYCLE

Jenis Insurans

Period of Insurance : From 16-12-2020 To 15-12-2021

Tempoh Insurans

No. Description Total (RM)

1 Gross Premium / Premium Kasar 245.02
2 Service Tax / Cukai Perkhidmatan 6% 14.70
3 Stamp Duty / Duti Setem 10.00
4 Total Payable (OTC) / Jumlah Berbayar Di Kaunter 269.70
5 Total Payable / Jumlah Berbayar 269.72

AmGeneral Insurance Berhad

This is computer generated. No signature is required.

Ini adalah cetakan computer. Tandatangan tidak diperlukan.

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INSURED NAME : PUEN ZHI MING

VEHICLE NO : JRF4597
COVER NOTE NO : JVE0024374

PRIVACY CLAUSE
1.0 PRIVACY CLAUSE

1.1 You confirm that you have read, understood and agree to be bound by the Privacy Notice of AmGeneral Insurance
which is available at our website and the clauses herein, as may relate to the processing of your personal
information. For the avoidance of doubt, you agree that the said Privacy Notice shall be deemed to be incorporated
by reference into this Insurance Policy.
1.2 In the event you provide personal and/or financial information relating to third parties, including information relating
to your next-of-kin and dependents, for the purpose of operating the Insurance Policy with AmGeneral or otherwise
subscribing to AmGeneral's products and services, you:
a. confirm that you have obtained their consent or are otherwise entitled to provide the information to
AmGeneral and for AmGeneral to use it in accordance with this Insurance Policy;

b. agree to ensure that the personal and financial information of the said third parties is accurate and
update AmGeneral in writing in the event of any change to the said personal and financial information;
and
c. agree to AmGeneral's right to terminate the Insurance Policy should such consent be withdrawn by any
of the said third parties
1.3 Even after you have provided AmGeneral with any information, you have the option to withdraw the consent given
earlier. In such instances, AmGeneral will have the right to not provide or discontinue the provision of the Insurance
Policy that is/are linked with such information.
1.4 You agree that the Company and its related companies may contact you about products and services and offers,
which the Company and its related companies believe may be of interest to you, through various channels of
communication.
1.5 In the event you do not wish to consent to use your personal data to receive marketing of products and services by
the Company and its related companies, you may contact AmGeneral as per below details or you may contact
AmGeneral's nearest branch to you:
Customer Service Executive, Customer Contact Centre
Telephone No E-Mail
AmAssurance 1-300-80-3030 customer@amassurance.com.my
Kurnia Insurans 1-800-88-6333 customer@kurnia.com
1.6 AmGeneral reserves the right to amend this Section from time to time at AmGeneral's sole discretion by providing
notice to you.
VEHICLE INSURED VALUE
1.0 IF YOU HAVE SELECTED THE AGREED VALUE OPTION
1.1 Your vehicle is insured based on an agreed value.
1.2 In the event of total loss, the maximum amount that we will pay is up to the sum insured as shown in the schedule.
2.0 IF YOU HAVE SELECTED THE MARKET VALUE OPTION
2.1 Your vehicle is insured based on market value.
2.2 In the event of total loss, the maximum amount that we will pay is up to the market value of the vehicle which will
be determined at the time of loss or the sum insured as shown in the schedule; whichever is lesser. You may refer
to Section 10 : 'Definitions' or Endorsement 113 of the policy wording for the detailed definition of market value.
2.3 It is important to insure your vehicle with the appropriate market value. Below are the effects of over-insurance and
under-insurance when an incident happens and giving rise to a claim:
a. Over-insurance : When a claim arises, the maximum amount that we will pay you is up to the market
value of your vehicle even if your vehicle's sum insured is higher than the market
value.
b. Under-insurance : When claim arises, we will only bear part of the loss in proportion to the difference
between the market value and the sum insured. The balance has to be borne by
you if the under-insured amount is more than 10% of the market value.

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