INSURANCE 94
Agent Code : : : : : : : Issuance date Period of Takaful Travel Duration (Both dates inclusive) Cover Types Type of Trip : Type of Cover : Type of Plan : Area of Travel : Person(s) Covered Name of Person(s) Covered NRIC No./Passport No. Age Relationship Nomination Full Name NRIC % of Shares DOB Relationship Date of Issue: Signed for and on behalf of ZURICH GENERAL TAKAFUL MALAYSIA BERHAD : Add on Covid-19 Coverage : NAZRUL HISHAM ABDUL HAMID Coverage under this Certificate Schedule is subject to the full description of benefits, terms, conditions and exclusions of the Certificate Wording. The Certificate Wording, Schedule of Benefit, Certificate Schedule must be read together. Type Contribution : Tax (0.00%) : Stamp Duty : Total : T71788X-000 030317-15-0048 11 MAY 2023 To 15 MAY 2023 5 day(s) Single Individual 27 MAR 2023 27 MAR 2023 FARAH NURZULAIKHA BINTI ISMAIL Certificate of Schedule No. POLITEKNIK MUADZAM SHAH LEBUHRAYA TUN ABDUL RAZAK MUADZAM SHAH KUANTAN,MALAYSIA,26700 222350069893-00 Certificate Holder Certificate Holder NRIC/Passport/BRNo. Certificate Holder Correspondence Address Area 1 Yes Silver PlanCertificate OF Schedule Z-Travel Takaful (International) FARAH NURZULAIKHA BINTI ISMAIL 030317-15-0048 20 SELF RM 54.00 RMRMRM 0.00 54.00 0.00 95
INVOICE ORIGINAL COPY PARTICULARS SST REG. NO INVOICE NO CLIENT CODE ACCOUNT CODE DATE : : : : : : : PERIOD OF TAKAFUL : CERTIFICATE NO Contribution No. Description Amount rate Amount Total(RM) CLASS 1 SST SST Stamp Duty (Disbursement) Total Before Disbursement Total After Disbursement Total Amount Payable A Cashier's Receipt will be given on payment of this account. E. & O. E. THIS IS A COMPUTER GENERATED FORM AND DOES NOT REQUIRE A SIGNATURE SST 0% W10-1808-31020434 T71788X-000 11 May 2023 TRAVEL PA 11 May 2023 TO 15 May 2023 54.00 0.00 54.00 54.00 0.00 54.00 0.00 0.00 0.00 54.00 0.00 54.00 54.00 222350069893-00 FARAH NURZULAIKHA BINTI ISMAIL POLITEKNIK MUADZAM SHAH LEBUHRAYA TUN ABDUL RAZAK MUADZAM SHAH KUANTAN,MALAYSIA,26700 96
INTERNAL USE ONLY Z-Travel Takaful (International) SCHEDULE OF BENEFITS With Section G - Covid-19 Benefits (optional) Silver Plan Gold Plan Diamond Plan Benefit Benefit Description Maximum Sum Covered (RM) Section A – Unlimited Cover & Medical Related Covers 1 Medical Expenses 1A Overseas Medical Expenses 300,000 500,000 Unlimited 1B Overseas Dental Expenses Included in 1A Included in 1A Included in 1A 1C Follow up Treatment in Malaysia 50,000 50,000 50,000 1D Alternative Medicine 500 500 1,000 1E Outpatient Treatment in Malaysia Included in 1C Included in 1C Included in 1C 2 Overseas Hospital Income (RM250 per day) 15,000 15,000 30,000 3 Child Care Benefit 7,000 10,000 15,000 4 Compassionate Visit 7,000 10,000 15,000 5 Emergency Medical Evacuation Unlimited Unlimited Unlimited 6 Medical Repatriation Unlimited Unlimited Unlimited 7 Repatriation of Mortal Remains Unlimited Unlimited Unlimited Section B – Travel Inconvenience Covers 8 Travel Cancellation 8A Travel Cancellation 20,000 25,000 30,000 8B Travel Alteration 20,000 25,000 30,000 9 Travel Curtailment 20,000 25,000 30,000 10 Travel Interruption 1,000 1,500 3,000 11 Travel Delay - more than 6 consecutive hours (RM150 for every 6 consecutive hours) Overseas 3,600 within Malaysia 450 Overseas 3,600 within Malaysia 450 Overseas 7,200 within Malaysia 900 12 Travel Misconnection - more than 6 consecutive hour (RM200 for every 6 consecutive hours) 400 600 1,200 13 Travel Reroute - more than 6 consecutive hour (RM200 for every 6 consecutive hours) 400 600 1,200 14 Baggage Delay - more than 6 consecutive hour (RM200 for every 6 consecutive hours) Overseas 800 within Malaysia 200 Overseas 800 within Malaysia 200 Overseas 2,000 within Malaysia 800 15 Baggage & Personal Effects 5,000 7,000 10,000 Sub-limit for Benefit 15: (i) Any one (1) items or Pair or Set of Items 500 500 500 (ii) Portable Personal Computers 1,000 1,500 2,000 (iii) Baggage 250 250 250 16 Personal Money 1,000 2,000 3,000 17 Travel Documents 5,000 6,000 8,000 18 Personal Credit Card Theft 1,000 1,500 3,000 Section C – Personal Accident & Liability Covers 19 Accidental Death and Permanent Disablement (i) 30 days to 17 years old 75,000 75,000 125,000 (ii) 18 years old to 85 years old 300,000 300,000 500,000 20 Personal Liability 1,000,000 1,000,000 1,000,000 Section D – Urban Traveler's Covers 21 Home Care Benefits 2,000 3,000 5,000 22 Pet Care Benefits 1,000 1,000 1,000 23 Rental Car Excess 23A Car Excess 2,000 3,000 5,000 23B Car Return Included in 23A Included in 23A Included in 23A 24 Emergency Telephone and Internet Usage 100 200 500 25 Special Coverage (i) 30 days to 17 years old 75,000 75,000 125,000 (ii) 18 years old to 85 years old 300,000 300,000 500,000 Section E – Additional Benefits 97
INTERNAL USE ONLY 26 Badal Haji (only applicable to Muslim) 3,000 3,000 3,000 27 Wakaf (only applicable to Muslim) 1,000 1,000 1,000 28 Qurban (only applicable to Muslim) 1,000 1,000 1,000 29 Emergency Cash (only applicable to non-Muslim) 5,000 5,000 5,000 Section F - Travel Assistance Benefits 30 Travel Assist Included Included Included Section G – Covid-19 Benefits (optional) 31 Travel Cancellation due to Covid-19 31A 31B Travel Cancellation due to Covid-19 Travel Alteration due to Covid-19 20,000 10,000 25,000 10,000 30,000 10,000 32 Overseas Medical Expenses due to Covid-19 100,000 300,000 500,000 33 Hospital Allowance due to Covid-19 (RM150 per day) 9,000 9,000 9,000 34 Child Care Benefit due to Covid-19 10,000 10,000 10,000 35 Death due to Covid-19 10,000 10,000 10,000 98
SENARAI KEHADIRAN PELAJAR/PESERTA 99
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ROOMING LIST 102
SENARAI NAMA PASANGAN BILIK – PROGRAM PENGANTARABANGSAAN INTERNATIONAL EXPEDITION AND CSR (AMAZING NATURE ACROSS KRABI-HATYAI, THAILAND) BIL NAMA NO. TELEFON NO.MATRIK 1. FARAH NURZULAIKHA BINTI ISMAIL HAZIQAH AMIRA BINTI HASRUL KAMAL 011-61565417 013-3896221 19DUP21F1001 19DUP21F1014 2. HAJAR HAZIQAH HAZIRAH BINTI YAHYA NURUL ANISHA BINTI MOHD AZIZI 011-27813618 019-2050315 19DUP21F1002 19DUP21F1015 3. NUR ISMADIANA BINTI MOHD RAZI NUR AINA FAQIHAH BINTI SUKRIMAN 011-69951533 011-51718505 19DUP21F1003 19DUP21F1018 4. NUR DINI BINTI YUSMAR YADEE NURIN NATASHA BINTI MOHD SHAH 011-64478164 017- 9693297 19DUP21F1004 19DUP21F1019 5. FARAH ADILA BINTI ZAMBERI NUR ALEEYA SYAFIQA BINTI IZHARUDDIN 019-4037971 011-25484764 19DUP21F1005 19DUP21F1021 103
6. NUR KHAIRENA BATRISYA BINTI NOOR HISYAM NOR AFIZAHTUL SHAHIRA BINTI YAN FAISAL 017-3952044 019-5819433 19DUP21F1006 19DUP21F1022 7. SITI AISYAH BINTI SUDIRMAN NUR INSYIRAH NATASHA BINTI FARIZAL 019-3536980 013-7087371 19DUP21F1007 19DUP21F1023 8. NUR FATIN ALYA AMERA BINTI NORAZMI NURUL AISYAH BINTI ABD RAZAK 011-28407410 017-9725737 19DUP21F1008 19DUP21F1024 9. AINA SYAFIRA BINTI AZNIZAM FARZANA HILMIYAH BINTI MOHD YUNOS 014-6147832 011-11255806 19DUP21F1009 19DUP21F2026 10. NUR SYAHIRAH BINTI HIRZAN NORHAKIMAH BINTI JAMIL 017-6259493 011-39727167 19DUP21F1010 19DUP21F2027 11. HANA' HUMAIRA BALQISH BINTI AHMAD ZULHILMI NUHA ASYURA BINTI MOHD AFENDI 011-32307276 011-65391997 19DUP21F1011 19DUP21F1028 104
12. SYAZA SYAHIRA BINTI MAT NASIR EVINNA SOUNG YAN HUI 018-9126206 012-8480160 19DUP21F1012 19DUP21F1029 13. ENGKU NUREEN KHAIRINA BINTI ENGKU MUHD NASRUN NURUL MAISARAH BINTI MOHD NIZARUDDIN 016-2715107 010-7814553 19DUP21F1013 19DUP21F1030 14. WANI SHAHIRA BINTI HISYAMUDDIN NATASHA HUSUN UKAT AINA SYAKIRAH BINTI SUZAMRE 011-62211134 013-2218856 012-6504061 19DUP21F1031 19DUP21F1033 19DUP21F2100 15. MUHAMMAD HAZIQ BIN MOHD HIZRAL MUHAMMAD FARHAN BIN KAMARUL ZAMAN 011-54104116 017-5220987 19DUP20F2024 19DUP21F1025 16. THIVAGAR A/L RATENAN SILVA AHMAD SYAKIR AIMAN BIN MAHISHAM 011-39157022 019-5437399 19DUP21F1032 19DUP21F1017 105
SENARAI NAMA PASANGAN BILIK PENSYARAH – EXPEDITION (AMAZING NATURE ACROSS KRABI-HATYAI, THAILAND) BIL NAMA NO.TELEFON NO.PENGENALAN 1. PUAN SURIYATI BINTI TAJRUD-DIN 014-262 4655 821001-02-5946 2. PUAN NUR SHAHIRAH BINTI MAT SHARF CIK NORHARNANI BINTI ZULKIFLI 017-250 1993 017-263 7991 910413-10-5170 870517-29-5390 3. ENCIK AHMAD RAZIF BIN ABDUL HAMID 018-2930414 820620-01-5603 106
BANNER 107
AMAZING NATU11 - 15 MDTM40144 TOURAMAZING NATUANJURAN : DIPLOMA PENGURUSAN PELANCONGAN, JABINTERNATIONAL EXPROGRAM PENGANINTERNATIONAL EXPROGRAM PENGANINTERNATIONAL EXPOLITEKNIK MUADZAM SHAH , PA
URE MEI 2023 RISM EXPEDITION URE ACROSS BATAN PELANCONGAN DAN HOSPITALITI XPEDITION AND CSR NTARABANGSAAN XPEDITION AND CSR NTARABANGSAAN XPEDITION AND CSR HANG , MALAYSIA ACROSS 108
TAG NAMA 109
FARAH NURZULAIKHA BINTI ISMAILNO PASSPORT: A58106456 NO IC: 030317-15-0048 ADDRESS: POLITEKNIK MUADZAM SHAH, LEBUHRAYA TUN RAZAK , MUADZAM SHAH , 26700 , PAHANG , MALAYSIA PARTICIPANT PROGRAM PENgantarabangsaaNINTERNATIONAL EXPEDITION AND CSR(AMAZING NATURE ACROSS KRABI-HATYAI,THAILAND) PROGRAM PENgantarabangsaaNINTERNATIONAL EXPEDITION AND CSR(AMAZING NATURE ACROSS KRABI-HATYAI,THAILAND) PROGRAM PENGANTARABANGSAANINTERNATIONAL EXPEDITION ANDCSR(AMAZING NATURE ACROSS KRABI-HATYAI,THAILAND) PROGRAM PENGANTARABANGSAANINTERNATIONAL EXPEDITION ANDCSR(AMAZING NATURE ACROSS KRABI-HATYAI,THAILAND) PROGRAM PENGANTARABANGSAANINTERNATIONAL EXPEDITION ANDCSR(AMAZING NATURE ACROSS KRABI-HATYAI,THAILAND) PROGRAM PENGANTARABANGSAANINTERNATIONAL EXPEDITION ANDCSR(AMAZING NATURE ACROSS KRABI-HATYAI,THAILAND) 110
TAG BAGASI 111
ACROSSPPRROOGGRRAAMM PPEENNGGAANNTTAARRAABBAANNIINNTTEERRNNAATTIIOONNAALL EEXXPPEEDDIITTIIOONN
S This Luggage Belongs To : POLITEKNIK MUADZAM SHAH ADRESS: POLITEKNIK MUADZAM SHAH ,LEBUHRAYA TUN RAZAK , MUADZAM SHAH , 26700 , PAHANG , MALAYSIA CONTACT: +609-4502005 NNGGSSAAAANN NN AANNDD CCSSRR 112
SIJIL PENGHARGAAN 113
SIJIL PENGHARGAAN Setinggi-tinggi penghargaan dan terima kasih kepada NUR INSYIRAH NATASHA BINTI FARIZAL Pengarah Politeknik Muadzam Shah, Pahang. 030727-10-0668 KETUA AJK MULTIMEDIA diatas kerjasama yang diberikan dalam menjayakan PROGRAM PENGANTARABANGSAAN INTERNATIONAL EXPEDITION AND CSR (AMAZING NATURE ACROSS KRABI-HATYAI, THAILAND). HAJI CHE ALIAS BIN MOHD YUSOF diatas sumbangan sebagai 11-15 MEI 2023 pada 114
LAPORAN 115
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Kertas Kerja Surat Pelepasan Kuliah Pelajar Kertas Kerja Melaksanakan Program Pengantarabangsaan ke JPPKK Surat Pengesahan Permohonan Program Bertugas Rasmi Ke Luar Negara Surat Memohon Kebenaran Pelaksanaan Program Pengantarabangsaan ke JPPKK Lampiran A Borang Menghadiri Persidangan, Seminar dan Lawatan Rasmi Ke Luar Negeri Surat Makluman Kementerian Hal Ehwal Luar Negeri Surat Makluman Konsulat Pendaftaran e-konsular SENARAI SEMAK 1.PERMOHONAN DAN KELULUSAN PROGRAM Catatan 135
Borang Pemilihan Pembekal Borang Pendaftaran dan Penematan Pembekal Sistem eVendor SENARAI SEMAK 2. PENGURUSAN WARAN KHAS (OS42000) Catatan 136
Memohon Kebenaran Melaksanakan CSR Surat Sumbangan Sijil CSR Surat Memohon Kebenaran Lawatan SENARAI SEMAK 3. PENGURUSAN SUMBER PROGRAM (OPTIONAL) Catatan 137
Surat Pemakluman Kepada Ibu Bapa/Penjaga Borang Akuan Lepas Tanggung Pelajar/Peserta Surat Lepas Tanggung (Corona Virus) Perakuan Pelepasan Tanggungjawan Ibu Bapa/Penjaga Borang Akuan Status Kesihatan SENARAI SEMAK 4. PENGURUSAN PELAJAR Catatan 138
Aturcara Program Insurance Senarai Kehadiran Pelajar/Peserta Rooming List Banner Tag Nama Tag Bagasi Sijil Penghargaan Laporan SENARAI SEMAK 5. PENGURUSAN PERJALANAN PROGRAM Catatan 139
QR Code Senarai Semak (Tourism Expedition) 140
(online) e ISBN 978-629-7620-24-4 Tourism Expedition Guidebook POLITEKNIK MUADZAM SHAH 9 786297 620244