7/27/2020 THE E-SCHEDULE

STAMP DUTY PAID

E-SCHEDULE / E-JADUAL MY3

CLASS OF CERTIFICATE : MOTORCYCLE COVER TYPE : THIRD PARTY
JENIS SIJIL JENIS PERLINDUNGAN

E-CERTIFICATE NO : TMCA1725550 AGENCY CODE : GCA04592

NO. E-SIJIL KOD AGENSI
PARTICIPANT SAYUTI BIN SIDIK NRIC : 840606-03-5729
PESERTA
ADDRESS : NO 3 JALAN DAMAI 4 TAMAN DESA DAMAI ,SUNGAI COMPANY REG NO :
ALAMAT MERAB NO PENDAFTARAN
43000 KAJANG SYARIKAT
PROFESSION OR BUSINESS : SELANGOR
PEKERJAAN ATAU PERNIAGAAN OTHERS
PERIOD OF TAKAFUL (BOTH DATE INCLUSIVE) DATE OF SIGNATURE OF PROPOSAL & DECLARATION FORM
TEMPOH TAKAFUL (TERMASUK KEDUA-DUA TARIKH) TARIKH TANDATANGAN BORANG CADANGAN & AKUAN
a) FROM : 27-07-2020 TO : 26/07/2021 27/07/2020
MULA TAMAT
b) ANY SUBSEQUENT PERIOD FOR WHICH THE PARTICIPANT SHALL PAY AND THE COMPANY SHALL AGREE TO ACCEPT A RENEWAL CONTRIBUTION
MANA-MANA TEMPOH SELANJUTNYA DI MANA PESERTA MEMBAYAR DAN SYARIKAT BERSETUJU MENERIMA SUMBANGAN PEMBAHARUAN
DETAILS OF VEHICLE THE CERTIFICATE'S CONTRIBUTION ( RM )
BUTIR KENDERAAN SUMBANGAN SIJIL ( RM )
REGISTRATION NO VDM7612 BASIC CONTRIBUTION 88.72
NO. PENDAFTARAN SUMBANGAN ASAS

MAKE & MODEL YAMAHA - YAMAHA Y15ZR ALL RIDERS 25.35

BUATAN & MODEL SEMUA PENUNGGANG

CUBIC CAPACITY 150 CC NCD ENTITLEMENT 0.00% 0.00

KEUPAYAAN PADU KELAYAKAN NCD

SEATING CAPACITY INCLUDING DRIVER 2 ADDITIONAL COVERAGE

RUANG DUDUK TERMASUK PEMANDU PERLINDUNGAN TAMBAHAN

YEAR OF MANUFACTURE 2019 SUB TOTAL 114.07

TAHUN DI BUAT JUMLAH KECIL

ENGINE NO G3D3E278029
NO. ENJIN

CHASSIS NO PMYUG0520K0033990 SERVICE TAX 6.84

NO. CASIS CUKAI PERKHIDMATAN

SUM COVERED RM 0.00 STAMP DUTY 10.00

JUMLAH PERLINDUNGAN DUTI SETEM

EXCESS RM 0.00 TOTAL AMOUNT PAYABLE 130.91

AKSES JUMLAH PEMBAYARAN

HIRE PURCHASE / LEASING COMPANY /EMPLOYER :

SEWA BELI / SYARIKAT MENYEWA / MAJIKAN
NAMED DRIVERS : ALL RIDERS
PEMANDU YANG DINAMAKAN
SUBJECT TO FOLLOWING OPERATIVE ENDORSEMENTS ATTACHED : C03P , AR
TERTAKLUK KEPADA ENDOSMEN-ENDOSMEN BERIKUTNYA

PERSONS OR CLASSES OF PERSONS ENTITLED TO DRIVE AND LIMITATIONS AS TO USE AS SPECIFIED IN THE CERTIFICATE OF TAKAFUL ISSUED IN RELATION TO THIS E-
SCHEDULE
MANA-MANA ORANG YANG DIBENARKAN MEMANDU DAN HAD ATAS KEGUNAAN ADALAH TERMAKTUB DALAM SIJIL TAKAFUL YANG DIKELUARKAN SEHUBUNGAN DENGAN E-
JADUAL INI

DATE OF SIGNING OF CERTIFICATE : 27/07/2020

TARIKH TANDATANGAN PADA SIJIL

DATE AND TIME OF CERTIFICATE PRINTED : 2020-07-27 06:26:34

TARIKH DAN MASA SIJIL DI CETAK

SYARIKAT TAKAFUL MALAYSIA AM BERHAD ( 1246486-D )

_____________________________________________
AUTHORISED SIGNATORY
PENANDATANGAN YANG SAH

E-CERTIFICATE NO : TMCA1725550

ENDORSEMENTS

C03P - THIRD PARTY ONLY

AR - ALL RIDER

Please read the e-Schedule carefully which contains important information about the takaful coverage. You are advised to visit our website at www.takaful-malaysia.com.my and download the full
Certificate to better understand the terms and conditions mentioned therein at your convenience. Please note that the e-Schedule and the full Certificate together form the terms of your contract with

https://w1.financial-link.com.my/Agency/showcvnote.jsp?qno=TMCA1725550&agcode=GCA04592&app=soa 1/2
7/27/2020 THE E-SCHEDULE
STMAB.

Sila baca e-Jadual Sijil ini dengan teliti kerana ia mengandungi maklumat penting mengenai perlindungan takaful tersebut. Anda dinasihati untuk melayari laman web kami di www.takaful-
malaysia.com.my untuk muat turun Sijil lengkap tersebut bagi memahami dengan lebih lanjut mengenai terma-terma dan syarat-syarat yang dinyatakan. Sila ambil perhatian bahawa kedua-dua e-
Jadual Sijil dan Sijil lengkap ini merupakan kontrak anda dengan STMAB.

In the event of a road accident, customers are advised to refer to the Claims Guide for Motor Accidents available at https://www.takaful-
malaysia.com.my/Handbooks/ClaimsGuide_MotorAccidents_en.pdf for claims process.
Sekiranya berlaku kemalangan jalan raya, pelanggan dinasihatkan untuk merujuk kepada Panduan Tuntutan untuk Kemalangan Motor yang boleh didapati di https://www.takaful-
malaysia.com.my/Handbooks/ClaimsGuide_MotorAccidents_my.pdf untuk proses tuntutan.

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