03/01/2023

STANDARD LETTER OF QUERY

PLEASE DIRECT ALL CORRESPONDENCE TO OUR BRANCH IN PENANG

DC Rep : 1231906 ALOR SETAR MOHAMAD PARHAM BIN AZIZAN

Imm : 1061237 KUALA LUMPUR AHMAD HUMAIZI BIN MAT NOOR
GM : 1061237 KUALA LUMPUR AHMAD HUMAIZI BIN MAT NOOR

Dear Sir/Madam

Proposal No : PEN/09379/22 Certificate No : 4022228785

Name of Proposer/Grantee : PUAN NORMAH BINTI OTHMAN
Name of Person to be Covered : PUAN NORMAH BINTI OTHMAN (Person Covered 1)

To enable us to process the above proposal, we would appreciate it if you could kindly arrange to complete the
additional requirements as indicated below :

OTHER QUERY
PERSON COVERED SIGNATURE REJECTED. PLEASE SUBMIT LATEST VERSION OF E-FORM WITH
ACKNOWLEDGE SIGNATURE DULY SIGNED BY ALL RELATED PARTIES (Question to Person Covered 1).

We reserve the right to call for additional underwriting requirements if the above are not complied within 14 days
from the date of this letter.

In all cases, a Health Warranty Tendering First Contribution will be required if more than 30 days have elapsed
since the date of proposal or medical examination, whichever is later.

If you have any questions, please do not hesitate to contact us.

Yours faithfully

FADZUIN KARUDDIN ( TEL. NO.: 03-4259 8338 )

ASSISTANT VICE PRESIDENT
NEW BUSINESS
This is a computer generated letter which requires no signature.

Page 1 of 2
Proposal No/No. Cadangan: PEN/09379/22 Certificate No/No. Sijil:4022228785
Great Eastern Takaful Berhad (916257-H)
Head Office : Menara Great Eastern 303 Jalan Ampang 50450 Kuala Lumpur
Telephone: +603 4259 8338 Facsimile: +603 4259 8808 Careline: 1 300 13 8338
Email: i-greatcare@greateasterntakaful.com Website: www.greateasterntakaful.com
 03/01/2023

KEPERLUAN PENGUNDERAITAN TAMBAHAN

SEMUA SURAT MENYURAT HENDAKLAH DIHANTAR KE CAWANGAN DI PENANG

MOHAMAD PARHAM BIN

Wakil Saluran : 1231906 ALOR SETAR
AZIZAN
AHMAD HUMAIZI BIN MAT
Pegawai Atasan : 1061237 KUALA LUMPUR
NOOR
AHMAD HUMAIZI BIN MAT
Pengurus Kumpulan/ PK : 1061237 KUALA LUMPUR
NOOR

Tuan/Puan

No. Cadangan :PEN/09379/22 No. Sijil : 4022228785

Nama Pencadang / Granti :PUAN NORMAH BINTI OTHMAN
Nama orang yang akan dilindungi : PUAN NORMAH BINTI OTHMAN (Orang Yang Dilindungi 1)

Untuk membolehkan kami memproses permohonan anda, sila lengkapkan keperluan tambahan berikut:

LAIN-LAIN

Kami berhak meminta keperluan pengunderaitan tambahan jika keperluan di atas tidak dilengkapkan dalam
masa 14 hari daripada tarikh surat ini.

Dalam semua kes, borang Tawaran Penyerahan Caruman Pertama diperlukan selepas melebihi 30 hari dari
tarikh permohonan atau pemeriksaan perubatan, mana yang kemudian.

Jika anda mempunyai sebarang pertanyaan, sila hubungi kami.

Yang benar

FADZUIN KARUDDIN ( TEL. NO.: 03-4259 8338 )

PENOLONG NAIB PRESIDEN
NEW BUSINESS

Ini adalah surat yang dikeluarkan oleh komputer dan tandatangan tidak diperlukan.

Page 2 of 2
Proposal No/No. Cadangan: PEN/09379/22 Certificate No/No. Sijil:4022228785
Great Eastern Takaful Berhad (916257-H)
Head Office : Menara Great Eastern 303 Jalan Ampang 50450 Kuala Lumpur
Telephone: +603 4259 8338 Facsimile: +603 4259 8808 Careline: 1 300 13 8338
Email: i-greatcare@greateasterntakaful.com Website: www.greateasterntakaful.com