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  • Kurnia Insurans (Malaysia) Berhad (44191-P) : E-Policy / Endorsement Submission Sheet (Motor)

    Diunggah oleh

    Yuen Thou
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    Account No. Agency Name SUMMIT POINT TRADING Agent Name Batch No. Date of Issue K1759764E C / Note No. Insured Name Vehicle Vehicle No. Type Gross Total NCD% Comm. S / Tax Transfer S / Duty Nett Premium Status Fee Payable ONG LEE TING PC 227. SUBMITTED YEE MEI YEN PC 409.

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    010611

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    Account No. Agency Name SUMMIT POINT TRADING Agent Name Batch No. Date of Issue K1759764E C / Note No. Insured Name Vehicle Vehicle No. Type Gross Total NCD% Comm. S / Tax Transfer S / Duty Nett Premium Status Fee Payable ONG LEE TING PC 227. SUBMITTED YEE MEI YEN PC 409.

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    Attribution Non-Commercial (BY-NC)
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    47 tayangan1 halaman

    Kurnia Insurans (Malaysia) Berhad (44191-P) : E-Policy / Endorsement Submission Sheet (Motor)

    Diunggah oleh

    Yuen Thou
    Account No. Agency Name SUMMIT POINT TRADING Agent Name Batch No. Date of Issue K1759764E C / Note No. Insured Name Vehicle Vehicle No. Type Gross Total NCD% Comm. S / Tax Transfer S / Duty Nett Premium Status Fee Payable ONG LEE TING PC 227. SUBMITTED YEE MEI YEN PC 409.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 1

    BR-CN-F21

    REV: B

    Kurnia Insurans (Malaysia) Berhad (44191-P)


    e-POLICY / ENDORSEMENT SUBMISSION SHEET (MOTOR)
    Date 01-06-2011
    Account No. A01400-00
    Agency Name SUMMIT POINT TRADING
    Agent Name
    Batch No. K1759764E

    Date of C/Note No. Insured Name C/N Type Vehicle Vehicle No. Gross Total NCD% Comm. S/Tax Transfer S/Duty Nett Premium Status Replacement
    Issue Type Payable Fee No.
    23-05-2011 JVB4323033 ONG LEE TING R PC WLU8548 241.74 251.74 55.00 24.17 0.00 0.00 10.00 227.57 SUBMITTED

    26-05-2011 JVB4336392 YEE MEI YEN R PC WRJ7983 443.53 453.53 38.33 44.35 0.00 0.00 10.00 409.18 SUBMITTED

    26-05-2011 JVB4336393 CHONG YEN PENG R PC WKX7893 486.02 496.02 25.00 48.60 0.00 0.00 10.00 447.42 SUBMITTED

    Grand Total 1171.29 1201.29 117.12 0.00 0.00 30.00 1084.17

    No. Payment Mode Cheque No. / Card No. / Payment Description ePAI Status/Approval Code Amount (RM)
    1 Cheque HSBC929968 251.75

    2 PAI FORM - Payment 5400********0256 832.42


    Authorization Instruction
    Total Amount Received (RM) 1084.17

    Agent's Stamp & Signature

    * Credit Card, Signatory must be Cardmember and signature as per Card Account.

    Page 1 01-06-2011 / 01:55:46 PM

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