CONFIRMATION OF PREMIUM PAID STATEMENT FOR YEAR 2016

Date : 31/12/2016

*30365552*
IL2013014214-1(30365552)-CPPS-TRAD

LETCHUMI A/P KRISNAMOORTHY

NO 9 JALAN MANGGIS
TAMAN ORKID
86200 SIMPANG RENGAM
JOHOR

Policy Number : IL2013014214-1 (30365552)

Policy Owner : LETCHUMI A/P KRISNAMOORTHY
Life Assured : LETCHUMI A/P KRISNAMOORTHY
Commencement Date : 19/12/2013
Policy Status as at Statement Date : In Force

Premium Paid 01/01/2016 - 31/12/2016

Life Premium Dread Disease Accident Assurance Medical Riders

Premium GST Premium GST Premium GST Premium GST
(RM) (RM) (RM) (RM) (RM) (RM) (RM) (RM)
850.20 2.20 85.80# 0.00 159.00 9.60 898.80** 54.80

Total Premium (RM) 1,993.80

Goods and Services Tax (GST)
(RM) 66.60

Explanatory Notes:

* Education Life Insurance Plan

If your coverage is classified under Education, you are entitled to claim 100% of the premiums paid under Education Insurance.

** Rider with Medical Expenses

If your coverage is classified under Medical, you are entitled to claim 100% of the premiums paid under Medical Insurance.

# Rider Packaged with Dread Disease

If your coverage is classified under Dread Disease, you are entitled to claim 100% of the premiums paid under Medical Insurance.

@ Basic Life Insurance Plan Packaged with Dread Disease

If your policy is classified under Dread Disease coverage, only 60% of premiums paid are eligible for tax relief under Medical Insurance.
However, you may, at your discretion, choose to claim 100% of premiums paid under Life Insurance.

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