yas 687.1 Jadual TAIB 24Hours
Flop BES Radar Ser Begawan Schedule Road Assist
eee 242 2222
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CERTIFICATE NO. verwon0sos22802£00 DATE OF ssUE 2ayoey2002
sai Nore nasa AceNT CODE ooooaeo
PERIOD OF TAKAFUL FROM 20/08/2022 70 19/05/2023 {oth Dates inclusive)
‘Any subsequent period for whlch the Participant hall pay an insuran lam TAIB General Taafu Sdn Bl shal agree to accapt a renewal takaful contribution,
ENO. ovo82e77
TERES TENGAH, SERIA
KUALA BELATT K@1733
woToR UeticiE BETAS o
REGISTRATION No. Baceaes MAKEB MODEL NISSAN MURANO 35 -
YEAR REGISTER 2010 Ccusic eapaciTY/TONNAG 3498
ENGINE NO, v03s-830800¢ FINANCE COMPANY
CHASSIS NO, swaTaNzs320-102296
ESTIMATED VALUE INCLUDING ADDITIONAL PARTS AND SPARE PARTS AND ACCESSORIES DECLARED BY PARTICIPANT
NCD. ALOWED 30.00%
+ 8ND 17,000.00 *
fiaoa
Less neo
BND (957.00) MOTOR KHAIRAT PERSONAL ACCIDENT ano
iscount BND (233.70) wnvoscreen snp
SURPLUS/ALMUDHARABAH ND (0.00). FL000, STORM, LIGHTNING, LANOSLD snp
REFUND ND (0.00) senerirs ano 0.00
stamp ouTY 2 BND (0410 WAKALAN FEE (35%) an 1si.90
TOTAL CONTRIBUTION 2 BND 478
eS exp
\winoscreeN ap 000
ADDITIONAL EX PLEASE REFER CERTIFICATE FOR DETAS
M2, M9, MA, MB, MC, MD, ME, MH, KPA, TEX, YO,
Motor KhairatPrssinalAcident ano 900.00
SIGNED FOR AND ONeEHALF OF
(og00868)
Copy for PARTICIPANT
PRINTED BY CHANSUXTING HAN SUK TING AVIRA INSURANCE AGENCY SDN BHD ea
No. 23, Block 8, Please scan the following QR Code to vew the full
Bonuinan Pa, bi Al SorsoudaraM at" Taba Cateate
idan, Kuats Belait, KATOS1
Negara Brunei Darussalam
Tet: 3331515 Mob: 8731515