Great Eastern Life Assurance (Malaysia) Berhad (93745-A)

(A member of the OCBC Group)

Customer Service Centre : Mezzanine Floor Menara Great Eastern
303 Jalan Ampang 50450 Kuala Lumpur
Customer Service Careline : 1300 - 1300 88 Fax: +603 4259 8198
Email wecare-my@greateasternlife.com Website greateasternlife.com

ANNUAL STATEMENT / PENYATA TAHUNAN 2018

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MR TAN KOK MUN
5 LENGKOK BUNGA SAROJA Page : 1 of 4
TAMAN MELOR M/s
31650 IPOH
Date : 05/01/2019
Tarikh

Statement period : 01/01/2018 to 31/12/2018

Tempoh Penyata

Policy No. : 0091715383

No Polisi

Policy Start Date : 06/04/2004

Tarikh bermula

Life Assured : TAN KOK MUN Currency : Ringgit Malaysia

Hayat Yang Diinsuranskan Matawang

Summary of policy details as 31/12/2018

Payment Method Cash
Payment Frequency Monthly
Total Premium 189.20*
Premium Status Regular

Summary of Funds as at 31/12/2018

Fund Type Fund Code Total Units Unit Price Investment Value
Lion Growth Fund 02 1.988
Lion Strategic Fund 09 6,054.81 2.504 15,161.24

Total Investment Value / Jumlah Nilai Pelaburan 15,161.24

Type of Coverage as at 31/12/2018

Plan Code Plan Name Amount of Benefits
0231 GREAT PROTECTLINK INSURANCE 40,000.00
#U26 WAIVER OF PREMIUM - DD 2,270.00
#U30 CRITICAL ILLNESS BENEFIT RIDER 15,000.00
U31 WAIVER OF PREMIUM - TPD 2,270.00
#U36 IL-HEALTH PROTECTOR 150.00
#U39 IL ACCIDENTCARE BENEFIT 20,000.00
Policy No / No. Polisi : 0091715383
Life Assured : TAN KOK MUN Page / M/s : 2 of 4

Transaction Effective Narration Total amount/ Fund Type/ Investment Unit Price/ Units
Date/ Date/ Penerangan Jumlah Jenis Dana Value/ Harga Unit Bought/ Sold/
Tarikh Tarikh Keseluruhan Nilai Pelaburan/ Unit
Transaksi Berkuasa Pelaburan Bersih dibeli/dijual

Opening Balance as at 01/01/2018

01/01/2018 01/01/2018 Lion Growth Fund 02 2.164
Lion Strategic Fund 09 15,274.27 2.631 5,805.50

Total Investment Premium(s) received for 2018

29/01/2018 26/01/2018 Regular Premium 189.20 09 191.16 2.878 66.43
01/03/2018 28/02/2018 Regular Premium 378.40 09 382.32 2.831 135.04
22/06/2018 21/06/2018 Regular Premium 567.60 09 573.48 2.705 211.98
06/07/2018 05/07/2018 Regular Premium 189.20 09 191.16 2.699 70.82
08/08/2018 07/08/2018 Regular Premium 189.20 09 191.16 2.755 69.39
18/09/2018 14/09/2018 Regular Premium 189.20 09 191.16 2.779 68.79
08/10/2018 05/10/2018 Regular Premium 189.20 09 191.16 2.765 69.14
08/11/2018 07/11/2018 Regular Premium 189.20 09 191.16 2.687 71.14
11/12/2018 10/12/2018 Regular Premium 189.20 09 191.16 2.618 73.02

Total Investment Premiums 2,270.40

* Total charges for 2018

09/01/2018 06/01/2018 Policy Fee 6.36 09 -6.36 2.703 -2.35
09/01/2018 06/01/2018 Total Insurance Charge 122.13 09 -122.13 2.703 -45.19
07/02/2018 06/02/2018 Policy Fee 6.36 09 -6.36 2.652 -2.40
07/02/2018 06/02/2018 Total Insurance Charge 122.08 09 -122.08 2.652 -46.03
07/03/2018 06/03/2018 Policy Fee 6.36 09 -6.36 2.663 -2.39
07/03/2018 06/03/2018 Total Insurance Charge 122.03 09 -122.03 2.663 -45.82
09/04/2018 06/04/2018 Policy Fee 6.36 09 -6.36 2.656 -2.39
09/04/2018 06/04/2018 Total Insurance Charge 127.29 09 -127.29 2.656 -47.93
08/05/2018 06/05/2018 Policy Fee 6.36 09 -6.36 2.657 -2.39
08/05/2018 06/05/2018 Total Insurance Charge 126.29 09 -126.29 2.657 -47.54
07/06/2018 06/06/2018 Policy Fee 6.00 09 -6.00 2.625 -2.29
07/06/2018 06/06/2018 Total Insurance Charge 120.29 09 -120.29 2.625 -45.83
09/07/2018 06/07/2018 Policy Fee 6.00 09 -6.00 2.539 -2.36
09/07/2018 06/07/2018 Total Insurance Charge 120.23 09 -120.23 2.539 -47.36
08/08/2018 06/08/2018 Policy Fee 6.00 09 -6.00 2.607 -2.30
08/08/2018 06/08/2018 Total Insurance Charge 120.18 09 -120.18 2.607 -46.09
07/09/2018 06/09/2018 Policy Fee 6.00 09 -6.00 2.643 -2.27
07/09/2018 06/09/2018 Total Insurance Charge 120.12 09 -120.12 2.643 -45.44
09/10/2018 06/10/2018 Policy Fee 6.00 09 -6.00 2.609 -2.30
09/10/2018 06/10/2018 Total Insurance Charge 120.07 09 -120.07 2.609 -46.03
08/11/2018 06/11/2018 Policy Fee 6.00 09 -6.00 2.553 -2.35
08/11/2018 06/11/2018 Total Insurance Charge 120.01 09 -120.01 2.553 -47.00
07/12/2018 06/12/2018 Policy Fee 6.00 09 -6.00 2.500 -2.40
07/12/2018 06/12/2018 Total Insurance Charge 119.95 09 -119.95 2.500 -47.99

Closing Balance as at 31/12/2018

31/12/2018 31/12/2018 Lion Growth Fund 02 1.988
Lion Strategic Fund 09 15,161.24 2.504 6,054.81

* Premium, Policy Fee and Insurance Charges are inclusive of GST/SST, if applicable
* Misc Debt is unpaid policy fee and insurance charge
Policy No / No. Polisi : 0091715383 Page / M/s : 3 of 4
Life Assured : TAN KOK MUN

Premium / Premium
Investment premium due 06/01/2019 189.20
Pelaburan Premium kena bayar pada

Total 189.20

The death benefit as at 01/01/2018 under the Policy is as follows:

Manfaat kematian pada 01/01/2018 dibawah Polisi tersebut adalah seperti berikut: 40,000.00

Total investment value available / Jumlah nilai pelaburan sedia ada 15,274.27

Total Death Benefit / Manfaat Keseluruhan Kematian 55,274.27

The death benefit as at 31/12/2018 under the Policy is as follows:

Manfaat kematian pada 31/12/2018 dibawah Polisi tersebut adalah seperti berikut:
Premium / Premium

Total investment value available / Jumlah nilai pelaburan sedia ada 15,161.24

Basic Sum Assured / Jumlah Asurans asas 40,000.00

Additional Sum Assured / Jumlah Asurans Tambahan

Total Death Benefit / Manfaat Keseluruhan Kematian 55,161.24

IL ACCIDENTCARE BENEFIT 20,000.00

Total Death Benefit due to Accidental causes /
75,161.24
Jumlah Besar Manfaat Kematian akibat Kemalangan

Total Death Benefit (Other than Accidental causes)/

55,161.24
Jumlah Besar Manfaat Kematian (selain dari akibat Kemalangan)

Note
The Company will continue to deduct the insurance charges on the riders (if any) on monthly basis, the total investment value(TIV) will be exhausted
eventually if it is not replenished by allocation from premiums due and payable under the policy. You may opt to reduce the coverage or cancel the
attaching benefits, if any. You may also surrender the policy as an option but not recommended as by doing so your policy will be terminated and
you will only receive the TIV which is much less than the premiums paid. Any unpaid policy fees and insurance charges will reduce the Total Benefit
Payable of your policy.

Perhatian
Syarikat akan terus menolak caj insurans bagi rider (jika ada) secara bulanan, jumlah nilai pelaburan (TIV) akan susut jika tidak menerima
peruntukan daripada premium yang perlu dan hendaklah dibayar di bawah polisi. Anda boleh memilih untuk mengurangkan perlindungan atau
membatalkan manfaat yang dilampirkan, jika ada. Anda juga mempunyai pilihan untuk menyerahkan polisi namun ia tidak digalakkan kerana ia
menyebabkan polisi ditamatkan dan anda hanya menerima TIV yang kurang daripada premium yang telah dibayar. Sebarang yuran polisi dan caj
insurans yang tertunggak akan mengurangkan jumlah pembayaran keseluruhan manfaat polisi anda.

E & O.E
Policy No / No. Polisi : 0091715383
Page / M/s : 4 of 4
ASSIGNMENT / SERAH HAK

l Your policy is not assigned.

Polisi anda tidak diserah hak.

NOMINEES / PENAMA

l You have appointed the following person(s) as nominees(s):

Anda telah melantik orang-orang berikut sebagai penama:

CHOONG SIEW LAI

5 LENGKOK BUNGA SAROJA TAMAN MELOR 31650 IPOH

l The Company must be notified promptly of any change in address of the nominee(s)
Pihak syarikat mesti dimaklumkan tentang apa-apa perubahan alamat penama.
Data Protection Notice / Notis Perlindungan Data
For information on how we process your personal data and your rights over your personal data, kindly refer to our Personal Data Protection Notice posted at
www.greateasternlife.com/my
Untuk maklumat berkenaan pemprosesan data peribadi dan hak anda ke atas data peribadi anda, sila rujuk Notis Perlindungan Data Peribadi yang dipaparkan dalam
laman web www.greateasternlife.com/my

Updating of new Malaysia identity card number/Passport details/other Personal details

Mengemaskini kad pengenalan baru Malaysia/maklumat Pasport/maklumat peribadi lain
To serve you better, let us have your latest personal details. For more information, visit us at https://www.greateasternlife.com/my/en/personal-insurance/get-help/
customer-service.html
Demi meningkatkan mutu perkhidmatan pelanggan, sila kemaskini maklumat peribadi anda kepada kami. Untuk maklumat lanjut, sila layari laman web kami di
https://www.greateasternlife.com/my/en/personal-insurance/get-help/customer-service.html

Thank you for insuring with Great Eastern.

Terima kasih kerana mengambil insurans dengan Great Eastern.

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E. & O.E