Quotation No TMIQUO507398

Tokio Marine Insurans (M) Berhad (149520-U)

29th - 31st Floor, Menara Dion
27 Jalan Sultan Ismail
Kuala Lumpur

Issued Date 01-11-2016

Tel. No: 03-20269808 Fax. No: 03-20269708 E-Mail: http://www.tokiomarine.com.my

Motor Insurance Quotation

Quotation To NORHUZAIMI BINTI AHMAD Attn :

New IC No. 740901026114 Old IC No. Business Reg No.

Address NO 114 JALAN SEROJA 1/1 Postcode 47000 SUNGAI BULOH

SG BULOH COUNTRY RESORT

House Telephone No. Office Telephone No. Gender []Male [X]Female

House Fax No. Office Fax No. []Company
Mobile No.0123786424
Inception Date 12-11-2016 Expiry Date 11-11-2017
Vehicle Class PRIVATE CAR - PRIVATE USE
Cover Note Type RENEWAL Previous Policy No

Make & Model TOYOTA WISH 1.8 (A)

Capacity 1,794.00 CC No. of Seats 7
Year of Manufacturing 2003 NCD Code 55.00 %
Vehicle No. WRV5656 Vehicle Sum Insured RM 43,000.00
Trailer No. - Trailer Sum Insured RM 0.00
Extra Coverage BREAKAGE OF GLASS IN WINDSCREEN

Basic Premium (Vehicle) 1,431.10

Basic Premium (Trailer) + 0.00 1,431.10

+ Loading 15.00% + 214.67

- NCD 55.00% - 905.17

+ Extra coverage + 450.00

ADD BENEFIT SUM INSURED

Breakage Of Glass In Windscreen RM 3,000.00 450.00

Gross Premium 1,190.60

+ GST 6.00% + 71.44

+ Stamp Duty + 10.00

Total Premium Payable RM 1,272.04

Excess Amount RM 430.00

TOKIO MARINE INSURANS (MALAYSIA) BERHAD (149520-U)

______________________________
AUTHORISED SIGNATORY

IMPORTANT NOTE

IN VIEW OF THE CASH BEFORE COVER REGULATION, THE COVER NOTE CAN ONLY BE ISSUED UPON RECEIPT OF THE ABOVE PREMIUM IN FULL

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