Berjaya Sompo Insurance Berhad(62605-U) Quotation No.

QM01670968
Level 36, Menara Bangkok Bank Issued Date 01-07-2020
105, Jalan Ampang
(This quotation is valid until 30-07-2020)
50450 Kuala Lumpur
Tel. : 03-2170 7300
Fax. : 03-2170 4800
E-mail: info@bsompo.com.my
Motor Quotation
Quotation To LIEW MAN FOOK @ LIEW MAN KIONG Account No./ 10000382
Agent's Name EXCEL COMMERCIAL SERVICES

New IC No. 730417-12-5103 Old IC No./ Others ID - Business Reg No. -

Address LOT 276 Postcode 88450 KOTA KINABALU
TAMAN BDC
JALAN KOLOMBONG
SABAH
House Telephone No. - Office Telephone No. - Gender [ X ] Male [ ] Female
House Fax No. - Office Fax No. -
Mobile No. [ ] Company
0198805656
Inception Date 17-07-2020 Expiry Date 16-07-2021
Vehicle Class PRIVATE VEHICLE - EXCLUDING GOODS Use of Vehicle INDIVIDUAL
Cover Note Type NEW BUSINESS - OLD VEHICLE, OLD REGISTRATION Renewal Policy No. -
Make & Model PROTON SAGA
Capacity 1332 CC No. of Seats 5
Year of Manufacturing 2018 Coverage Type SOMPO MOTOR
Vehicle No. STA9823A Vehicle Agreed Value RM 33,000.00
Trailer No. - Trailer Sum Insured RM 0.00
Named Driver ANY AUTHORIZED DRIVER
NCD Code 30.00 % (17-07-2020) Extra Coverage

Basic Premium (Vehicle) 918.30

- No-Claim-Discount 30.00 % (17-07-2020) - 275.49
Basic Premium (Trailer) + 0.00

642.81

Total Premium 642.81

- Total Discount - 0.00
+ Service Tax (6.00%) + 38.57
+ Stamp Duty + 10.00
Total Amount Payable RM 691.38
Compulsary Excess RM 400.00
Voluntary Excess RM 0.00

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