TAKAFUL IKHLAS GENERAL BERHAD (1233870-A)

IKHLAS Point, Tower 11A, Avenue 5, Bangsar South, No. 8, Jalan Kerinchi, 59200 Kuala Lumpur.
Tel: 03-2723 9999 Fax: 03-2723 9998 Website: www.takaful-ikhlas.com.my
(Licensed under Islamic Financial Services Act2013
and regulated by Bank Negara Malaysia)

CERTIFICATE OF TAKAFUL
JPJA1MX1
Road Transport Act, 1987 ( Malaysia )
Motor Vehicles (Third Party Risks) Rules, 1959 (Malaysia)
Motor Vehicles (Third Party Risks & Compensation) Act (Cap 189) Republic of Singapore
Motor Vehicles (Third Party Risks& Compensation) Rules 1960 (Republic of Singapore)
Motor Vehicles Insurance ( Third Party Risks) Act (Cap 90) Negara Brunei Darulsalam

Certificate No.:MV6257076
1.Index Mark and Vehicle Registration No. VGL2422
2.Name of Participant WAN MUHAMMAD HAFEEZ BIN WAN AZREE
3.I/C No. 931222-14-5711
4.Effective date of Commencement of Takaful for the purposes of the Ordinance 26/02/2022
5.Date of Expiry of Takaful 25/02/2023
6. Persons or Classes of Person Entitled to Drive. *
(a) The Participant
(b) Any other person who is driving on the Participant's order or with his permission.
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.
7. Limitation as to Use. *
Use only for social, domestic and pleasure purposes and for the Policyholder's business.
The Policy does not cover use for hire or reward, racing, pacemaking, reliability trial speed-testing,the carriage of goods other than samples in connection with
any trade or business.
*Limitation rendered inoperative by Section 95 of the Road Transport Act 1987 (Malaysia) or Section 8 of the Motor Vehicles (Third Party Risks and
Commpensation) 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.

I/WE CERTIFY THAT THIS COVERING NOTE IS ISSUED IN ACCORDANCE WITH THE PROVISIONS OF PART IV OF THE ROAD TRANSPORT ACT,
1987 (MALAYSIA), MOTOR VEHICLES (THIRD PARTY RISKS & COMPENSATION) ACT (CAP 189) REPUBLIC OF SINGAPORE AND THE MOTOR
VEHICLES INSURANCE (THIRD PARTY RISKS) ACT (CAP 90) NEGARA BRUNEI DARUSSALAM
Untuk dan bagi pihak / For and on behalf of
TAKAFUL IKHLAS GENERAL BERHAD

-----------------------------------------------------------
Tandatangan Diberi Kuasa / Authorised Signatory
 TAKAFUL IKHLAS GENERAL BERHAD (1233870-A)
IKHLAS Point, Tower 11A, Avenue 5, Bangsar South, No. 8, Jalan Kerinchi, 59200 Kuala Lumpur.
Tel: 03-2723 9999 Fax: 03-2723 9998 Website: www.takaful-ikhlas.com.my
(Licensed under Islamic Financial Services Act2013
and regulated by Bank Negara Malaysia)

Bantuan Ikhlas Toll-Free Number : 1800 88 1186

STAMP DUTY PAID

THE SCHEDULE MX1

Peserta : WAN MUHAMMAD HAFEEZ BIN NRIC : 931222-14-5711
The Participant : WAN AZREE NRIC :
Alamat : C-13A-01, BLOCK C, THE ARC, No Pendaftaran Perniagaan :
Address : PERSIARAN BESTARI, CYBER 11, Business Registration No :
63000, CYBERJAYA,
63000 SELANGOR,
SELANGOR
Perkerjaan atau berniaga : OTHERS
Profession or Business :
Jenis Sijil : PRIVATE CAR COMPREHENSIVE Pada : 08-02-2022
Class of Certificate : PLUS On :
Dikeluarkan & ditandatangani di : Kod Agensi : GO10494
Issued & signed at : Agency Code :
Rujukan Sijil : MV6257076
Certificate Ref. No. :
Tempoh Takaful : Tarikh tandatangan
Period of Takaful : Pengakuan &
borang :
a) Mula 26/02/2022 Tamat 25/02/2023 Date of signature of
From To Proposal & declaration :
(Termasuk kedua-dua tarikh ) (both dates inclusive )
b)Mana-mana tempoh selanjutnya Peserta membayar dan Syarikat bersetuju menerima sumbangan pembaharuan.
Any subsequent period for which the participant shall pay and the Companyshall agree to accept a renewal contribution.
BUTIR KENDERAAN SUMBANGAN SIJIL (RM)
THE MOTOR VEHICLE THE CERTIFICATE'S CONTRIBUTION (RM)
No. Pendaftaran : VGL2422 Sumbangan Asas : 2,036.23
Registration No : Basic Contribution :
Buatan & Model : PROTON - X50 1.5T PREMIUM
Make & Type of body : 2WD
Keupayaan Padu : 1477CC Kelayakan NCD (25.00) : 509.06
Cubic Capacity : NCD (25.00) :
Ruang duduk termasuk pemandu : 5 Perlindungan Tambahan :
Seating capacity including driver : Extra-Benefits :
Tahun di buat : 2021 FLOOD, WINDSTORM & 395.00
Year of Manufacture : TYPHOON
WINDSCREEN ( RM 500.00 ) 75.00
No. Enjin : JLH3G15TLAU00005428 Jumlah Kecil : 1,997.17
Engine No : Sub-Total :
No. Casis : PL1DG2FVRMG008863 Rebat (0.00%): 0.00
Chassis No : Rebate (0.00%):
Jumlah Perlindungan : 79,000.00 Cukai Perkhidmatan (6.00%): 119.83
Sum Covered : Service Tax (6.00%):
Ekses : 0.00 Cukai setem : 10.00
Excess : Stamp Duty :
No. Pembaharuan Sijil : NIL Jumlah Pembayaran : 2127.00
Renewal of Certificate No : Total Payable :
Sumbangan Akta : 281.30
Act Contribution :
Sewa beli / Syarikat menyewa / Majikan : NIL
Hire Purchase/Leasing Company/Employer :
Nama Pemandu : 1)WAN MUHAMMAD HAFEEZ BIN WAN AZREE
Named Drivers : 2)SITI NORFAIRUZZANA BINTI JUSOH
3)WAN AZREE BIN ALIAS
Tertakluk kepada endorsemen-endorsemen berikutnya :
Subject to the following operative endorsements attached :
M02 - EXCESS DAMAGE CLAIM
M89 - BREAKAGE OF GLASS IN WINDSCREEN OR WINDOW
M57 - INCLUSION OF SPECIAL PERILS
M113 - REFERENCE TO MOTOR VEHICLE MARKET VALUATION SYSTEM
MTD002B - WAIVER OF COMPULSORY EXCESS FOR UNNAMED DRIVER - PRIVATE CAR FOR PRIVATE USE (NON TARIFF)
MTD004B - COMPLIMENTARY PERSONAL ACCIDENT COVER FOR PARTICIPANT(PRIVATE CAR FOR PRIVATE USE) (NON-TARIFF)
MTD006A - TRANSPORTATION FEE REIMBURSEMENT (NON-TARIFF)
P65 - WAQAF / ENDOWMENT
Mana-mana orang yang dibenarkan memandu dan had atas kegunaan adalah termaktub dalam Sijil Untuk dan bagi pihak / For and on behalf of
Takaful yang dikeluarkan sehubungan dengan Sijil ini. TAKAFUL IKHLAS GENERAL BERHAD
Person or classes of persons entitled to Drive and limitations as to use, are as Specified in the
Certificate of Takaful Issued in relation to this Certificate

_______________________________
Tandatangan Diberi Kuasa / Authorised Signatory
24-Hour Bantuan IKHLAS
Toll Free Call Center 1- Participants can access our call center 24 hours a day, 365 days a year.
800-88-1186
24-Hour Accident and
Breakdown Towing Accident: Participants will be provided with FREE 24-hour towing service to the
Services nearest police station to lodge a police report and then to Takaful
IKHLAS’ authorised panel workshop within 100 km* from accident site.
Breakdown: Participants will be provided with FREE 24-hour towing service to
participants’ preferred workshop within 100 km* from the breakdown site.

*For distance exceeding 100 km, an additional charge of RM2.00/km will be imposed and will be
borne by participants.

24-Hour Roadside Up to a maximum of RM300 for the following roadside assistance:

Assistance  Jump Start and Battery Replacement Services (Cost of new battery to be borne by
participants)
 Changing of Flat Tyre Services (Cost of new tyre to be borne by participants)
 Petrol Assistance Services (Cost of the petrol to be borne by participants)

Transmission of Upon request, we will send urgent messages (call or text message) to participants’ family, friends
Emergency Information and business colleagues during an emergency for FREE.

Locksmith Services If you are locked out of your car, we will arrange for a locksmith to assist and unlock your car for
FREE.

If it is not possible to unlock it, we will arrange for FREE car towing to the nearest Takaful
IKHLAS’ Panel of Workshop or your preferred workshop up to a Maximum Limit of RM300.00 per
event (round-trip).

Other services We will arrange for a Chauffeured Driven Car, Taxi or Car Rental Services at special rates to
help participants to:

 Continue journey
 Return to residence
 Return to the Takaful IKHLAS's Panel of Workshop or participants’ preferred
workshop when repairs to participants’ car is completed
*Cost of the Chauffeured Driven Car, Taxi and Car Rental will be borne by the
participants.
Accident Management Services
 We will arrange the attendance of Emergency Services such as Ambulance, Police
or Fire Brigade.

Arrangement of Hotel Accommodation

 In the event of a breakdown or accident that happens late at night and participants
require hotel accommodation, we shall arrange hotel accommodation for participants.
*Cost of the hotel stay will be borne by the participants.

GEOGRAPHICAL LIMIT
Coverage of 24-Hour Bantuan IKHLAS Road Assist service is applicable in Malaysia and Singapore and the region of South
Thailand and Brunei within 25km radius of the Malaysian border only.

Call 24-Hour Bantuan IKHLAS Road Assist at 1800-88-1186

or use the 24-Hour Bantuan IKHLAS Road Assist mobile app for assistance.
 TAKAFUL IKHLAS GENERAL BERHAD (1233870-A)
IKHLAS Point, Tower 11A, Avenue 5, Bangsar South, No. 8, Jalan Kerinchi, 59200 Kuala Lumpur.
T: +603-27239696 F : +603-27239998 Website : http://www.takaful-ikhlas.com.my
(Licensed under Islamic Financial Services Act 2013 and regulated by Bank Negara Malaysia)

Encik/Cik/Puan WAN MUHAMMAD HAFEEZ BIN WAN AZREE

C-13A-01, BLOCK C, THE ARC,
PERSIARAN BESTARI, CYBER 11,
63000, CYBERJAYA,
63000 SELANGOR SELANGOR

IKHLAS Waqf & Endowment (IWE)

Tahniah dan Terima Kasih kerana memilih Takaful IKHLAS sebagai pengendali Takaful pilihan anda bagi
Motor PRIVATE CAR COMPREHENSIVE PLUS Comprehensive dengan Sijil bernombor MV6257076.

Sebagai tanda penghargaan, sukacita dimaklumkan anda layak mendapat IKHLAS Waqf & Endowment
(IWE) bernilai RM1,000.00 secara PERCUMA*.

Layari laman web www.takaful-ikhlas.com.my untuk maklumat lanjut atau hubungi kami di talian 03-
27239696/emel ikhlascare@takaful-ikhlas.com.my

Yang IKHLAS,

Tandatangan Diberi Kuasa

* tertakluk kepada terma dan syarat