10/19/22, 9:50 AM Certificate of Insurance https://policy.travelguard.com/content/tg-documents/aig-travel/my/en/coi.html?PNumber=953629291&LName=binti ibrahim 1/4 TRAVEL INSURANCE CERTIFICATE OF INSURANCE Policyholder: MIMIE NORSHIDA BINTI IBRAHIM Country of Residence: Phone Number: 0192354540 Email: [email protected] TRAVEL INSURANCE Plan: Deluxe Policy Number: 953629291 Policy Issuance Date: 18/10/2022 Policy Inception Date: 13/12/2022 Policy Expiry Date: 17/12/2022 Policy Duration: 5 day(s) Final Destination: Please refer to the Travel Itinerary connected to this policy for details of your final destination. Base Premium: MYR 112.00 Service Tax: Nil Stamp Duty: MYR 0.00 Total Premium Paid: MYR 112.00 (Includes Insurance Premium Tax at the applicable rate) This policy is only valid if payment is made by you prior to your Policy Inception Date as mentioned above. IMPORTANT REMINDERS: 1.This policy provides cover on a worldwide basis subject to the territorial exclusion under which this policy does not cover any claims, loss, injury, damage or legal liability arising directly or indirectly from planned or actual travel in, to, or through Cuba, Iran, Syria, North Korea and the Crimea Region. 2.All nominations require the completion of the nomination form. The original physical form is a mandatory document required in the event of a claim. In the absence of the form we will be guided by Paragraph 8 of Schedule 10 of the Financial Services Act 2013 when paying policy monies upon death of the insured person. 3.Invoice No.: 953629291 This policy is only valid if payment is made by you prior to your Policy Inception Date as mentioned above. This document serves as a tax invoice for your purchase of a travel insurance policy. Please note that domestic travel insurance policies incur a 6% Service Tax applied on Base Premium.
10/19/22, 9:50 AM Certificate of Insurance https://policy.travelguard.com/content/tg-documents/aig-travel/my/en/coi.html?PNumber=953629291&LName=binti ibrahim 2/4 Insured Persons: MIMIE NORSHIDA BINTI IBRAHIM Please note: • Please check your policy for the full list of eligibility requirements • This policy does not cover any claims, loss, injury, damage or legal liability arising directly or indirectly from planned or actual travel in, to, or through Cuba, Iran, Syria, North Korea and the Crimea Region. • This policy only covers the Insured Person(s) who are listed on this Policy Schedule. CONTACT INFORMATION: EMERGENCY ASSISTANCE (24/7): Phone: +603 2772 5600 Email: [email protected] (mailto:[email protected]) TO LODGE A CLAIM: Phone: 1 800 88 8811 (local toll free) +603 2118 0188 (from abroad) Email: [email protected] (mailto:[email protected]) Operating Hours: 9:00 am to 5:00 pm, Mondays to Fridays except for Public Holidays POLICY ENQUIRIES: For enquiries about your policy, please contact us below: Phone: 1 800 88 8811 (local toll free) +603 2118 0188 (from abroad) Email: [email protected] (mailto:[email protected]) Operating Hours: 9:00 am to 5:00 pm, Mondays to Fridays except for Public Holidays This policy is underwritten by AIG Malaysia Insurance Bhd. Registered address: Menara Worldwide, 198 Jalan Bukit Bintang, Kuala Lumpur, Malaysia
10/19/22, 9:50 AM Certificate of Insurance https://policy.travelguard.com/content/tg-documents/aig-travel/my/en/coi.html?PNumber=953629291&LName=binti ibrahim 3/4 AIG Malaysia Insurance Berhad (795492-W) Menara Worldwide, 198 Jalan Bukit Bintang, 55100 Kuala Lumpur, Malaysia Telphone 6 (03) 2118 0188 Facsimile 6 (03) 2685 4896 Service Tax Registration No: W10-1808-31015007 The Policyholder (Pemegang Polisi) : Policy Number (Nombor Polisi) : Invoice No (No. Invois) : MIMIE NORSHIDA BINTI IBRAHIM Lot 1950,No.2Jalan Sg.Sekamat Tambahan Kajang, SELANGOR 43000 953629291 953629291 Period of Insurance (Tempoh Insurans) : Endorsement effective date (Tarikh pengendorsan) : From / Dari: 13/12/2022 To / Hingga: 17/12/2022 (both dates inclusive at 12.01 am standard time) (termasuk kedua-dua tarikh pada 12.01 am waktu piawai) Producer Code (Kod pengeluar) : Policy Type (Jenis polisi) : Endorsement No (No pengendorsan) : 0020099004 New Business (Baharu)
10/19/22, 9:50 AM Certificate of Insurance https://policy.travelguard.com/content/tg-documents/aig-travel/my/en/coi.html?PNumber=953629291&LName=binti ibrahim 4/4 Producer Name/Address/Tel (Nama/Alamat/Telefon Pengeluar) : DIRECT A & H - NIL COMMISSION – DTC TRAVEL ONLINE Premium composition Tax Code Amount (Komposisi premium) (Kod Cukai) (Jumlah) Premium (Premium) ZP :MYR 112.00 Rebate (Rebat) ZP :MYR 0.00 Premium after Rebate (Premium selepas Rebat) ZP :MYR 112.00 Service Tax (Cukai Perkhidmatan) (6%) ZP :MYR 0.00 Stamp Duty (Duti Setem) :MYR 0.00 Total Premium (Jumlah Premium) :MYR 112.00 Product name (Nama produk) : Travel Insurance Remark (Catatan) : Invoice issued to Policyholder for coverage on Travel Insurance insurance product traveling to Taiwan, Province of China Issuing office (Pejabat pengeluaran) : DIRECT A & H - NIL COMMISSION – DTC TRAVEL ONLINE User name (Nama pengguna) : Issue Date (Tarikh pengeluaran) : 18/10/2022 This is computer generated document, no signature required. (Ini adalah dokumen janaan komputer, tandatangan tidak diperlukan) Customer Copy (Salinan Pelanggan)