Level 12

WEST WING
THE ICON, NO. 1, JALAN 1/68F, JALAN TUN RAZAK,
KUALA LUMPUR
55000 WILAYAH PERSEKUTUAN
MALAYSIA
Tel: 03-21803000
Fax (General): 03-92812729
Fax (Claims Dept): 03-92812729
(Pause 403)
Fax (RI Dept): 03-92812729
(Pause 374)
Website: www.rhbinsurance.com.my
(Service Tax Reg No : W10-1808-31042862)

Date : 18/04/2019

JABATAN IMIGRESEN NEGERI SELANGOR

PENGARAH IMIGRESEN NEGERI SELANGOR
BAHAGIAN PEKERJA ASING
TINGKAT 2, KOMPLEKS PKNS
40550 SHAH ALAM
SELANGOR

Dear Sir(s),

RE : Our Insurance Guarantee No : MG236142

For Amount RM : 4,750.00

As requested by EURO SPACE INDUSTRIES (M) SDN BHD,WISMA EURO LOT 21, RAWANG INDUSTRIAL ESTATE,
RAWANG, 48000, SELANGOR we hereby guarantee and agree to pay on your written demand up to the maximum aggregate
sum of RINGGIT MALAYSIA: FOUR THOUSAND SEVEN HUNDRED AND FIFTY(RM 4,750.00) only, being the amount
of security deposit required to be deposited with you for Nine 9 worker(s) (as per list attached) employed by the said EURO
SPACE INDUSTRIES (M) SDN BHD being surety for the repatriation expenses in the event that any one of them be repatriated
in their course of stay in Malaysia as employees of EURO SPACE INDUSTRIES (M) SDN BHD

This Guarantee is effective from 02/05/2019 until 01/11/2020 within the limit of the aforesaid.

Notwithstanding the above, any claim arising hereunder must reach us in writing latest by 01/11/2020 and our liability to pay any
claim under this Guarantee shall expire on the said date notwithstanding the fact that this Guarantee may not be returned to us for
cancellation.

Yours faithfully,
RHB INSURANCE BERHAD(38000-U)

KONG SHU YIN AUTHORISED SIGNATORY

CHIEF EXECUTIVE OFFICER

AUTHORISED SIGNATURES
In the event that any sales and services tax, value added tax or any similar tax and any other duties, taxes, levies or imposts (collectively referred to as “Applicable Tax”) whatsoever are introduced by
any authority and are payable under the laws of Malaysia in connection with any supply of goods and/or services made or deemed to be made under this Policy, the Company will be entitled to charge the
Policyholder for such amounts and the Policyholder agree to pay the Company the Applicable Tax allowed by the laws of Malaysia. Such Applicable Tax payable shall be paid in addition to the
applicable Premiums and other charges. All provisions in this Policy on payment of Premiums and default there of shall apply equally to the Applicable Tax.
Sekiranya sebarang cukai jualan dan perkhidmatan, cukai nilai tambah atau sebarang cukai yang sama ( secara kolektif dirujuk sebagai “Cukai Berkaitan” dan sebarang duti, cukai, levi atau apa
sahaja impos yang lain diperkenalkan oleh mana mana pihak yang berkuasa dan perlu dibayar di bawah undang-undang Malaysia sehubungan dengan sebarang pembekalan barang dan/atau
perkhidmatan yang dilakukan atau dianggap telah dilakukan di bawah Polisi ini, pihak Syarikat berhak mengenakan bayaran kepada Pemegang Polisi untuk amaun tersebut dan Pemegang Polisi
bersetuju untuk membayar Cukai Berkaitan dan sebarang duti, cukai, levi, atau apa sahaja impos yang lain yang dibenarkan oleh undang undang Malaysia kepada pihak Syarikat. Cukai, duti, levi atau
impos yang perlu dibayar hendaklah dibayar sebagai tambahan kepada premium dan lain lain caj berkaitan. Semua peruntukan di dalam Polisi ini berkenaan pembayaran premium dan keingkaran
daripadanya hendaklah digunapakai secara sama untuk Cukai Berkaitan dan sebarang duti, cukai, levi atau impos yang lain.
 Level 12
WEST WING
THE ICON, NO. 1, JALAN 1/68F, JALAN TUN RAZAK,
KUALA LUMPUR
55000 WILAYAH PERSEKUTUAN
MALAYSIA
Tel: 03-21803000
Fax (General): 03-92812729
Fax (Claims Dept): 03-92812729
(Pause 403)
Fax (RI Dept): 03-92812729
(Pause 374)
Website: www.rhbinsurance.com.my
(Service Tax Reg No : W10-1808-31042862)
Workers Name List
List Attaching To and Forming Part of Insurance Guarantee
As At 18/04/2019
This is an integral part of
Insurance Guarantee (IG) No. : MG236142
Name of the Company/Employer : EURO SPACE INDUSTRIES (M) SDN BHD
Amount of IG : RM 4,750.00
NO NAME OF WORKER COUNTRY PASSPORT NO AMOUNT (RM)
1 SURENDRA MUKHIYA NEPAL 09245338 750.00
2 MOHAMMAD RUBEL HOSEN BANGLADESH BM0603560 500.00
3 HELAL MONDAL BANGLADESH BM0452240 500.00
4 NAZMAL HOSSAIN BANGLADESH BM0603559 500.00
5 SHAKIL KHAN BANGLADESH BM0603558 500.00
6 NUR MOHAMMAD BANGLADESH BL0531705 500.00
7 RAFIQUL ISLAM BANGLADESH BL0809523 500.00
8 FORHAD HOSEN BANGLADESH BL0809542 500.00
9 MOTALIB PAIKAR BANGLADESH BM0457157 500.00
----END OF LIST----

** Worker works in State of Sabah,East Malaysia

*** Worker works in State of Sarawak,East Malaysia

Yours faithfully,
RHB INSURANCE BERHAD(38000-U)

KONG SHU YIN AUTHORISED SIGNATORY

CHIEF EXECUTIVE OFFICER

AUTHORISED SIGNATURES
 Level 12
WEST WING
THE ICON, NO. 1, JALAN 1/68F, JALAN TUN RAZAK,
KUALA LUMPUR
55000 WILAYAH PERSEKUTUAN
MALAYSIA
Tel: 03-21803000
Fax (General): 03-92812729
Fax (Claims Dept): 03-92812729
(Pause 403)
Fax (RI Dept): 03-92812729
(Pause 374)
Website: www.rhbinsurance.com.my
(Service Tax Reg No : W10-1808-31042862)

INVOICE

EURO SPACE INDUSTRIES (M) SDN BHD

WISMA EURO LOT 21, RAWANG INDUSTRIAL ESTATE, RAWANG, 48000, SELANGOR

TYPE OF POLICY : FOREIGN WORKER BOND

CERTIFICATE NO : MG236142

TRANSACTION DATE : 18-Apr-2019

INVOICE NO : FTX201904834373

INVOICE DATE : 18-Apr-2019

PERIOD OF COVER : 02-May-2019 TO 01-Nov-2020

INSURED'S NAME : EURO SPACE INDUSTRIES (M) SDN BHD

SST REG NO :

INSURED'S ADDRESS : WISMA EURO LOT 21, RAWANG INDUSTRIAL ESTATE, RAWANG, 48000, SELANGOR
INTERMEDIARY : KL3011282

INTERMEDIARY NAME : KADAR HALUS SDN BHD - FORIEGN WORKER (INTERNAL)

SST REG NO : W10-1808-31042862

INTERMEDIARY : LOT 8.02, LEVEL 8 FIRST AVENUE,BANDAR UTAMA PETALING JAYA.

ADDRESS
RINGGIT MALAYSIA RM

PREMIUM 71.25

LESS DISCOUNT 0.00

TOTAL PAYABLE AMOUNT BEFORE SERVICE TAX* 71.25

ADD 6.00% SERVICE TAX 4.28

ADD STAMP DUTY 10.00

NET DUE 85.53

THANK YOU
THIS IS A COMPUTER GENERATED DOCUMENT. NO SIGNATURE IS REQUIRED.