CONFIRMATION OF PURCHASE OF TAKAFUL

E-C/Note No : T71383H-21000723
Issue Date & Time : 13 JUNE 2023 02:08:06pm
Period of Takaful : From 14 JUNE 2023 To 13 JUNE 2024
Vehicle Registration No. : CEP 3198
Make of Vehicle : HONDA / RS-X FS150FA
Engine No. : KC43E8061098 Chassis No. : PMKKC43E0NB038227
Capacity : 149 CC Year of Make : 2022
Participant Name : MOHD ARIF AGNIYA NADIY BIN IBRAHIM
Address : NO 25 TAMAN KASTAM, 33100 PENGKALAN HULU, PERAK
NRIC/Business Reg No. : 920114025049
Type of Cover : V-TP MOTOR FIRST PARTY
Product : MOTORCYCLE FOR PRIVATE USE
HP Owner : N/A
Sum Covered (RM) : 0
Transaction Type : New

Sum Covered (RM) 9,200.00 Contribution (RM) 73.60

Loading % 50.00 % Loading Amount (RM) 36.80
All Rider (Y/N) Y All Rider Amt (RM) 55.20
NCD % 15.00 % NCD Amt (RM) 24.84

Basic Net (RM) 140.76

Tuition Load % 0% Tuition Load Amt (RM) 0.00

Extra Coverage (RM) 0.00
SST 6.00 % SST (RM) 8.45
Stamp Duty (RM) 10.00

Act Contribution (RM) 129.20 Payable Contribution (RM) 159.21

Extra Benefits Extra Covered (RM) Extra Contribution (RM)

ALL RIDERS 0 0.00

Named Drivers
ALL RIDERS

Agent : T71383H-000 SS LEGACY EMPIRE ENTERPRISE

Tel No : 019-2723073

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