SCHEDULE / JADUAL MX1

CLASS OF CERTIFICATE : PRIVATE CAR COVER TYPE : MOTOR-COMPREHENSIVE

JENIS SIJIL JENIS PERLINDUNGAN
CERTIFICATE NO. : VPP-V3677048-10-BRO-22 AGENCY CODE : 10-101-GBA00157
NOMBOR SIJIL KOD AGENSI
PARTICIPANT NAME : MOHAMAD JASRI BIN JAAFAR NRIC : 720708-02-5007
NAMA PESERTA
ADDRESS : NO 60 LOT 351 COMPANY REG. NO. :
ALAMAT KAMPUNG JENALIK NO. PENDAFTARAN
MUKIM BONGOR SYARIKAT
BALING
09100 KEDAH
REPLACING CERT.NO. : TMCP0473091 REFERENCE NO. : BIMB8939
NOMBOR SIJIL ASAL NOMBOR RUJUKAN
BUSINESS / OCCUPATION :
PERNIAGAAN /
KEGUNAAN

ISSUED & SIGNED AT : IBU PEJABAT

DIKELUARKAN DAN
DITANDATANGANI DI
PERIOD OF TAKAFUL (BOTH DATE INCLUSIVE) DATE OF SIGNATURE OF
TEMPOH PERLINDUNGAN (TERMASUK KEDUA-DUA TARIKH) PROPOSAL & DECLARATION
FORM
TARIKH TANDATANGAN BORANG
CADANGAN & AKUAN
a.) FROM : 16/07/2022 TO : 15/07/2023 05/07/2022
MULA TAMAT
b.) ANY SUBSEQUENT PERIOD FOR WHICH THE PARTICIPANT SHALL PAY AND THE COMPANY SHALL AGREE TO ACCEPT A RENEWAL
CONTRIBUTION
MANA-MANA TEMPOH SELANJUTNYA DI MANA PESERTA MEMBAYAR DAN SYARIKAT BERSETUJU MENERIMA SUMBANGAN
PEMBAHARUAN

DETAILS OF VEHICLE THE CERTIFICATE'S CONTRIBUTION (RM)

BUTIR KENDERAAN SUMBANGAN SIJIL (RM)
REGISTRATION NO. PPJ7540 BASIC CONTRIBUTION 3,043.08
NO. PENDAFTARAN SUMBANGAN ASAS
MAKE & MODEL PROTON X70 MY18
BUATAN & MODEL
CUBIC CAPACITY 1,799
KEUPAYAAN PADU

TONNAGE / KG
TON / KG
SEATING CAPACITY INCLUDING 5
DRIVER
RUANG DUDUK TERMASUK
PEMANDU
YEAR OF MANUFACTURE 2020 NCD ENTITLEMENT 55.00 % 1,673.69
TAHUN DI BUAT KELAYAKAN NCD

ADDITIONAL COVERAGE
PERLINDUNGAN TAMBAHAN
ENGINE NO. 4G18TDCL1CC1003101 ALL DRIVERS
NO. ENJIN

CHASSIS NO. PL1NL3EVRLG007182

NO. CASIS
SUM COVERED RM 107,100
JUMLAH PERLINDUNGAN
EXCESS / AKSES RM 0.00 SUB TOTAL /JUMLAH KECIL 1,369.39

REBATE /REBAT 0.00

USE OF VEHICLE PRIVATE CAR-PRIVATE USE SERVICE TAX /CUKAI PERKHIDMATAN 6.00 % 82.16
KEGUNAAN KENDERAAN
STAMP DUTY / DUTI SETEM 10.00
REPLACING COVER NOTE NO. TOTAL AMOUNT PAYABLE / JUMLAH 1,461.55
NO. PENGGANTIAN / PEMBAYARAN
PEMBATALAN NOTA LINDUNG
PREVIOUS CERTIFICATE NO. ACT CONTRIBUTION 273.88
NO. SIJIL TERDAHULU SUMBANGAN AKTA

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HIRE PURCHASE/LEASING COMPANY/EMPLOYER :
SEWA BELI/SYARIKAT MENYEWA/MAJIKAN
NAMED DRIVERS : ALL DRIVERS
PEMANDU YANG DINAMAKAN
SUBJECT TO FOLLOWING OPERATIVE ENDORSEMENTS ATTACHED : C087, C113, CADR
TERTAKLUK KEPADA ENDOSMEN-ENDOSMEN BERIKUT YANG DISERTAKAN

PERSONS OR CLASSES OF PERSONS ENTITLED TO DRIVE AND LIMITATIONS AS TO USE AS SPECIFIED IN THE CERTIFICATE OF TAKAFUL
ISSUED IN RELATION TO THIS SCHEDULE.
MANA-MANA ORANG YANG DIBENARKAN MEMANDU DAN HAD ATAS KEGUNAAN ADALAH TERMAKTUB DALAM SIJIL TAKAFUL YANG
DIKELUARKAN SEHUBUNGAN DENGAN JADUAL INI.

SUBJECT TO THE FOLLOWING WARRANTIES/CLAUSES/ENDORSEMENTS AS PRINTED HEREIN OR ATTACHED HERETO:

TERTAKLUK KEPADA WARANTI/KLAUSA/ENDOSMEN YANG DICETAK ATAU DILAMPIRKAN SEPERTI BERIKUT :

C087 AGREED VALUE

C113 REFERENCE TO MOTOR VEHICLE MARKET VALUATION SYSTEM

CADR ALL DRIVERS

IN WITNESS WHEREOF THIS CERTIFICATE HAS BEEN SIGNED ON BEHALF AND WITH THE AUTHORITY OF THE COMPANY.
BAHAWASANYA SIJIL INI TELAH DITANDATANGANI DENGAN KEBENARAN DAN BAGI PIHAK SYARIKAT.

DATE : 05/07/2022
TARIKH
SIGNED AT : IBU PEJABAT
LOKASI

SYARIKAT TAKAFUL MALAYSIA AM BERHAD[201701032316(1246486-D)]

AUTHORISED SIGNATORY
PENANDATANGAN YANG SAH

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In the event of a road accident, customers are advised to refer to the Claims Guide for Motor Accidents available at
https://www.takaful-malaysia.com.my/Handbooks/ClaimsGuide_MotorAccidents_en.pdf for claims process.
Sekiranya berlaku kemalangan jalan raya, pelanggan dinasihatkan untuk merujuk kepada Panduan Tuntutan untuk Kemalangan Motor yang
boleh didapati di https://www.takaful-malaysia.com.my/Handbooks/ClaimsGuide_MotorAccidents_my.pdf untuk proses tuntutan.
If your vehicle is covered under our Comprehensive Private Car Takaful, you can request assistance via the Tele Bantuan mobile app for
24/7 immediate response from anywhere in Malaysia. Alternatively, please contact our Tele Bantuan helpline at 1800-888-788 for roadside
assistance services if your vehicle is covered under Comprehensive Private Car Takaful and/or Comprehensive Motorcycle Takaful.
Sekiranya kenderaan anda dilindungi di bawah Takaful Motor Komprehensif Kereta Persendirian, anda boleh mendapatkan bantuan melalui
aplikasi mudah alih Tele Bantuan untuk menerima bantuan segera 24/7 dari mana sahaja di Malaysia. Sebagai alternatif, hubungi
perkhidmatan Tele Bantuan kami di 1-800-888-788 untuk bantuan dibahu jalan sekiranya kenderaan anda dilindungi di bawah Takaful Motor
Komprehensif Kereta Persendirian dan/atau Takaful Motor Komprehensif Motosikal Persendirian.

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