JADUAL / SCHEDULE

TAKAFUL MUSAFIR / MUSAFIR TAKAFUL

BUTIR-BUTIR PESERTA / PARTICULARS OF THE PARTICIPANT

Nama Penuh : Siti Fazura Bte Hj Mohd Zenudin No. K/P : 00-292888(Y)
Full Name I/C No.
Alamat : No:3,Spg 237,Jln Maulana,Kuala Belait No. Pendaftaran Syarikat :
Address Company Registration No.
No. Akaun Peserta : WY0256028
Pekerjaan / Perniagaan :
Occupation or Trade Participant Account No.

BUTIR-BUTIR PERLINDUNGAN / DETAILS OF COVER

No. Sijil : MSF/0005680/23/TMA Tarikh Cadangan dan Akuan : 24/03/2023
Certificate No. Date of Proposal and Declaration
No. Nota Perlindungan :
Cover Note No.
Tempoh Takaful / Period of Takaful
Dari : 24/03/2023 02:51 AM Hingga : 28/03/2023 23:59 PM (termasuk kedua-dua tarikh)
From To (both dates inclusive)

Mana-mana tempoh takaful kemudiannya dimana Peserta kena bayar dan Takaful Brunei AM Sdn Bhd bersetuju menerima sumbangan takaful bagi
pembaharuan Sijil ini.
Any subsequent period for which the Participant shall pay and Takaful Brunei AM Sdn Bhd shall agree to accept payment of takaful contribution for
the renewal of this certificate.
DESCRIPTION OF COVER / KETERANGAN PERLINDUNGAN
Ind Naim,epidemic & pandemic cover (Asean)
Benefits Persons Covered
1 PA Adult Age 18 to 70yrs : BND 100,000.00 No Name Age Passport No. Relationship
2 PA Adult Age 71yrs and : BND 50,000.00 1 Siti Fazura Hj Mohd Zenudin 40 C0613242
above 2 Siti Fazlina Binti Haji Mohd Zenudin 37 C0573395
3 PA Child Age 17 below : BND 25,000.00
4 Medical Expenses Age : BND 150,000.00
70yrs and below
5 Medical Expenses Age : BND 50,000.00
71yrs and above
6 Emergency Dental Care : BND 200.00
7 Baggage Lost & Damage : BND 2,000.00
8 Baggage Delay : BND 200.00
9 Trip Cancellation & : BND 5,000.00
Curtailment
10 Trip Delayed : BND 500.00
11 Missed Flight Connection : BND 1,000.00
12 Compassionate Visit : BND 10,000.00
13 Escort of Minor Child : BND 10,000.00
14 Medical Evacuation and : BND 1,000,000.00
Repatriation
15 Hospital Cash Benefit : BND 500.00
16 Loss of Credit Card Abroad : BND 500.00
17 Loss of Personal Money : BND 200.00
Abroad
18 Loss of Passport : BND 2,000.00
19 Loss of Travel Documents : BND 2,000.00
20 Personal Liability : BND 500,000.00
21 Legal Assistance : BND 2,000.00
22 Hijack/Kidnap : BND 1,000.00
23 Overseas Overbooked : BND 200.00
24 Missed Event : BND 500.00
ENDOSMEN & WARANTI / ENDORSEMENTS & WARRANTIES

Terrorism Extension
Compassionate Emergency Leave - Full Cover
24 hours Emergency Assistance Services
Epidemics/Pandemics Extension – Covers Trip Cancellation & Curtailment up to the limit prescribed in this Schedule
Excess: $50 for Medical Expenses Abroad
Excess: $100 for Trip Cancellation and Curtailment Abroad
 JADUAL / SCHEDULE
TAKAFUL MUSAFIR / MUSAFIR TAKAFUL

Excess: $30 Baggage Loss & Damage

Excess: 24 hours - Hospital Cash Benefit
Epidemics/Pandemics Extension – Covers Medical Expenses Abroad with COVID-19 up to BND20,000 per person

SUMBANGAN TAKAFUL / TAKAFUL CONTRIBUTION

Sumbangan Takaful / Takaful Contribution : BND 44.00
Hibah / Hibah : BND 0.00
Duti Setem / Stamp Duty : BND 0.25
Jumlah Bayaran / Total Payable : BND 44.25

User ID : TBA-APP Date/Time : 24/03/2023 02:55 Agent ID :

Department : Operation Branch : Takaful Mob App

Printed By : TBA-APP Date/Time : 24/03/2023 02:58

Ini adalah cetakan komputer. Tiada tandatangan diperlukan/This is computer generated.No signature required