Allianz General Insurance Company (Malaysia) Berhad (735426-V) Quotation No : QKT19010781

PT 3357 P,GRD, 1ST & 2ND FLOOR,

JALAN SULTAN ZAINAL ABIDIN 20000 KUALA TERENGGANU
Issued Date : 03-04-2019
T e l N o : 0 9 -Fax No: 09- E-Mail: -
6 2 2 3 6 7 8 / 6 2 2 3 2 3 36301233/6318516

Motor Quotation
Quotation To HAIZUL AZWAN BIN ABD AZIZ
Client Gender MALE Client NRIC / Busn. Reg 75050111xxxx
Client Marital Status MARRIED Client Postcode 22200
Client City KAMPUNG RAJA Client State TERENGGANU
Vehicle No. WMA956 Agent Code KT22846
Cover Note Type NEW BUSINESS - OLD VEHICLE, OLD REGISTRATION
Vehicle Class PRIVATE CARS EXCLUDING GOODS
Vehicle Use PRIVATE CAR -PRIVATE USE (DRIVE TO WORK/DAILY USE)
Type of Cover THIRD PARTY, FIRE AND THEFT
Inception Date 03-04-2019 Expiry Date 02-04-2020
Make & Model NISSAN FRONTIER 4WD P/UP CLASSIC/SPIRIT
Capacity 2488.00 CC No. of Seats 5
Year of Manufacturing 2004
Sum Insured RM 8,000.00

NCD 55.00 %
Basic Premium (Vehicle) 526.18

Basic Premium (Trailer) + 0.00 526.18

- NCD 55.00 - 289.40
ADD BENEFIT SUM INSURED

Gross Premium 236.78

+ Service Tax 6.00 % + 14.21
+ Stamp Duty + 10.00
Total Payable 260.99
Amount Payable (Rounded) 261.00
Voluntary Excess 0.00
Risk Excess 0.00

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 03/05/2019 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.

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