Electronic Equipment Insurance (BORANG CADANGAN UNTUK Insuran Peralatan Elektronik)

IMPORTANT
STATEMENT PURSUANT TO SECTION 149(4) OF THE INSURANCE ACT, 1996, MALAYSIA.
You are to disclose in this proposal form, fully and faithfully all the facts which you know or ought to know, otherwise the policy issued hereunder may be void.

KENYATAAN MENGIKUT SEKSYEN 149(4) AKTA INSURANS 1996, MALAYSIA.
Anda adalah dikehendaki memberitahu dengan sepenuhnya semua butir-butir yang anda tahu atau yang anda patut tahu dalam borang cadangan ini, jika tidak polisi yang dikeluarkan menurut cadangan ini boleh menjadi tidak sah.

DUTY OF DISCLOSURE PURSUANT TO SECTION 150(1) OF THE INSURANCE ACT, 1996, MALAYSIA
It is the duty of the proposer to disclose to PRINCIPLE INSURER a matter that he/she knows to be relevant (or a reasonable person in the circumstances could be expected to know to be relevant) to the decision of Lonpac Insurance Bhd on whether to accept the risk or not, and the rates and terms to be applied.

TANGGUNGJAWAB PENGEMUKAAN MENGIKUT SEKSYEN 150(1) AKTA INSURANS, 1996, MALAYSIA
Adalah menjadi tanggungjawab seorang pencadang untuk mendedahkan kepada SYARIKAT INSURAN PRINSIPAL sesuatu hal yang dia tahu dan bersangkutan (atau seorang yang munasabah dalam keadaan itu mungkin dijangka tahu dan bersangkutan) kepada keputusan SYARIKAT INSURAN PRINSIPAL sama ada untuk menerima atau tidak risiko, dan kadar dan syarat-syarat yang hendak dipakai.


For Scope of coverage and Product Disclosure Sheet:-
http://www.simonpoonagency.net/spa-accident-casualty-fire-health-motor-marine-property-liability-insurance-malaysia-kuala-lumpur-oug/Home/all-risk-cover/electronic-equipment-insurance

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    A. THE PROPOSER / BUTIRAN PENCADANG

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    B. DECLARATION AND AUTHORIZATION / Pengisytiharan dan Kebenaran

    I/We, the undersigned, declare that to the best of my/our knowledge and belief the statements set forth herein are true and correct and agree that this proposal and supplementary information requested by the Company and furnished in connection herewith shall form the basis of and be incorporated into any contract of insurance which may be concluded between the Proposer and the Company. Saya / Kami, yang menadatangangi di bawah ini, menyatakan bahawa dengan pengetahuan yang terbaik saya / laporan pengetahuan dan keyakinan yang ditetapkan di sini adalah benar dan benar dan bersetuju bahawa cadangan ini dan maklumat tambahan yang diminta oleh Syarikat dan berhubung dengan ini dilengkapi di akan membentuk dasar dan dimasukkan ke dalam kontrak insurans yang boleh disimpulkan antara Pencadang dan Syarikat Insuran.
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