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    QuotationNew 1715910085257

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    QuotationNew 1715910085257

    Uploaded by

    shiinx69
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    QuotationNew_1715910085257

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    6 views1 page

    QuotationNew 1715910085257

    Uploaded by

    shiinx69

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    © All Rights Reserved
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    Download as pdf or txt
    of 1

    Allianz General Insurance Company (Malaysia) Berhad (200601015674) Quotation No : QKK24050008685

    B-1-73, B-1-73A, B-1-75 & B-1-76, Block B Level 1 Riverson Walk, Lorong
    Riverson@Sembulan off Jalan Coastal, 88100 Kota Kinabalu
    Issued Date : 17-05-2024
    Tel No: 0 8 8 -Fax No: 088-224870 E-Mail:
    221397/221606

    Motor Quotation
    Quotation To BORHAN BIN BUDIN
    Client Gender MALE Client NRIC / Busn. Reg 88041949xxxx
    Client Marital Status MARRIED Client Postcode 91300
    Client City SEMPORNA Client State SABAH
    Client HP / Phone No 6013-5454061 Client Email -

    Vehicle No. NA Agent Code KK11671


    Cover Note Type NEW BUSINESS - NEW VEHICLE, NEW REGISTRATION
    Vehicle Class MOTOR CYCLE
    Vehicle Use MOTORCYCLE - PRIVATE USE(ALL RIDER)
    Type of Cover COMPREHENSIVE
    Inception Date Expiry Date
    Make & Model YAMAHA 135LC SE (FI)
    Capacity 134.00 CC No. of Seats 2
    Year of Manufacturing 2024
    Sum Insured RM 8,798.00
    (Indemnity Value Applied)

    NCD 0.00 %
    Basic Premium (Vehicle) 188.64

    Basic Premium (Trailer) + 0.00 188.64


    - NCD 0.00 % - 0.00
    ADD BENEFIT SUM INSURED

    Gross Premium 188.64


    + Service Tax 8.00 % + 15.09
    + Stamp Duty + 10.00
    Total Payable 213.73
    Amount Payable (Rounded) 213.75
    Risk Excess 100.00

    Excess is the first amount that you are required to pay towards a claim you make on your car.
    Voluntary excess is the amount of excess you may opt in return of lower basic premium.
    Risk excess is the amount of excess determined by the company based on your risk criteria.
    Disclaimer: This quotation is valid until 16/07/2024 subject to the details provided to generate this quotation are accurate.Our Company's
    acceptance of your offer based on a valid quotation is subject to our Company's Underwriting Guidelines
    Kindly notify us immediately if any of the details given in this quotation is inaccurate. Please note that any misrepresentation may result
    in avoidance of your contract of insurance, refusal or reduction of your claim, change of terms or termination of your contract of insurance
    in accordance with Schedule 9 of the Financial Services Act 2013.
    Any policy issuance, entitlement or claims submitted arising from the insurance contract issued shall be subjected to the requirements of
    Economic Sanctions, Terrorism Financing, Proliferation Financing and other UN-sanction Regimes.

    Page 1 17-05-2024 09:41:25

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