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    Cover Note: Stamp Duty Paid

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    Ammar Ismail
    This document is a cover note for a private car takaful certificate. It summarizes the key details of the certificate, including the participant's personal information, vehicle information, period of takaful cover, contribution amount, and authorized drivers. The total amount due is RM363.12, which includes the base contribution of RM333.13, service tax of RM19.99, and stamp duty of RM10.00. It also includes notices about the participant's duty to disclose accurate information and notify any changes.

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    © All Rights Reserved
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    Cover Note: Stamp Duty Paid

    Uploaded by

    Ammar Ismail
    34 views2 pages
    This document is a cover note for a private car takaful certificate. It summarizes the key details of the certificate, including the participant's personal information, vehicle information, period of takaful cover, contribution amount, and authorized drivers. The total amount due is RM363.12, which includes the base contribution of RM333.13, service tax of RM19.99, and stamp duty of RM10.00. It also includes notices about the participant's duty to disclose accurate information and notify any changes.

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    agentCvnoteBJW9862.pdf

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    This document is a cover note for a private car takaful certificate. It summarizes the key details of the certificate, including the participant's personal information, vehicle information, period of takaful cover, contribution amount, and authorized drivers. The total amount due is RM363.12, which includes the base contribution of RM333.13, service tax of RM19.99, and stamp duty of RM10.00. It also includes notices about the participant's duty to disclose accurate information and notify any changes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    34 views2 pages

    Cover Note: Stamp Duty Paid

    Uploaded by

    Ammar Ismail
    This document is a cover note for a private car takaful certificate. It summarizes the key details of the certificate, including the participant's personal information, vehicle information, period of takaful cover, contribution amount, and authorized drivers. The total amount due is RM363.12, which includes the base contribution of RM333.13, service tax of RM19.99, and stamp duty of RM10.00. It also includes notices about the participant's duty to disclose accurate information and notify any changes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    COVER NOTE

    STAMP DUTY PAID

    Participant Cover Note No. : 82497309


    Account No. : V0033784
    HAZMAN BIN MOHAMED NASIR Agent Name : 'AMMAR BIN ISMAIL
    NO. 6, JALAN 1/7A
    BANDAR BARU BANGI Product Type : Private Car - Private Use
    KAJANG Period of Takaful from 17/04/2020 To 16/04/2021 (both Dates
    43000 SELANGOR Inclusive). Any subsequent period for which the Participant shall pay
    and the Takaful Operator shall agree to accept a renewal contribution..

    NRIC No : 740804-10-5793 Business Reg No : Vehicle Estimated Value RM 14000.00


    Business/Occupation : Executive Other ID No : Gross Contribution RM 740.28
    Vehicle Information Less: No Claim Discount RM 407.15
    55.00%
    JPJ Document No :
    ______
    Vehicle Reg No : BJW9862 Log Book No : NIL
    RM 333.13
    Make : PERODUA
    Add : Service Tax 6.00 % RM 19.99
    Model : PERODUA MYVI SE ZHS
    Stamp Duty RM 10.00
    Engine No : E89B30A Cover Type : Comprehensive
    Chassis No : PM2M301S002206718 Vehicle Type : Private Car
    TOTAL AMOUNT DUE RM 363.12
    Year of : 2008 License Type : Normal Vehicle
    Manufacture
    Cubic Capacity : 1298 Use For : Private Use
    Excess All Claims RM 0.00
    Seating Capacity : 5
    Financial Interest : NIL
    Authorised Driver
    1 HAZMAN BIN MOHAMED NASIR 740804-10-5793
    2 ANY AUTHORISED DRIVER -

    IMPORTANT NOTICE - APPLICABLE TO ALL CONSUMER PRODUCTS


    (Takaful wholly for purposes unrelated to your trade, business or profession)
    Where You have applied for this Takaful wholly for purposes unrelated to Your trade, business or profession, You had a duty to take reasonable
    care not to make a misrepresentation in answering the questions in the Application Form (or when You applied for this Takaful) i.e. You should
    have answered the questions fully and accurately. Failure to have taken reasonable care in answering the questions may result in avoidance of
    Your contract of Takaful, refusal or reduction of Your claim(s), change of terms or termination of Your contract of Takaful in accordance with the
    remedies in Schedule 9 of the Islamic Financial Services Act 2013. You were also required to disclose any other matter that You knew to be
    relevant to our decision in accepting the risks and determining the rates and terms to be applied.

    You also have a duty to tell Us immediately if at any time after Your contract of Takaful has been entered into, varied or renewed with Us any of
    the information given in the Application Form (or when You applied for this Takaful) is inaccurate or has changed.

    Issue Date : 17-04-2020/10:32 AM For and on behalf of


    Issue At : P3 Etiqa General Takaful Berhad
    Issue By : v0033784

    Visit www.etiqa.com.my or our nearest branch to obtain the full policy wordings.
    Help preserve the country's natural resources.
    Invoice No: ETBG2020UWFL00746313
    Date: 17/05/2020

    INVOICE

    ETIQA GENERAL TAKAFUL BERHAD (1239197-A)


    LEVEL 19 TOWER C
    DATARAN MAYBANK
    NO 1 JALAN MAAROF
    59000 KUALA LUMPUR
    (SST Reg No: W10-1808-31012539)

    To Account Number: V0033784


    HAZMAN BIN MOHAMED NASIR
    NO. 6, JALAN 1/7A
    BANDAR BARU BANGI
    KAJANG
    43000 SELANGOR

    Description Total (RM)


    Type of Certificate: Private Car - Private Use
    Certificate Number: 82497309
    Period of Cover: 17/04/2020 to 16/04/2021

    Contribution 333.13
    Total (Excluding SST) 333.13
    SST payable @ 6.00% 19.99
    Stamp Duty 10.00

    Total Amount Payable 363.12

    This is a computer generated document. Therefore, no signature is required

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