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    Pengarah Imigresen Negeri Selangor Bahagian Pekerja Asing Tingkat 2, Kompleks Pkns 40550 Shah Alam Selangor

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    Ong wk
    This document is an insurance guarantee issued by AIG Malaysia Insurance Berhad to LIEW MOTOR for one foreign worker, Packirisamy Durai from India. The guarantee amount is RM750 and is effective from April 16, 2019 until October 15, 2020. It guarantees payment of repatriation expenses if the worker needs to be repatriated during his employment with LIEW MOTOR in Malaysia. An invoice for RM63 was also issued for the foreign workers insurance guarantee premium.

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    Pengarah Imigresen Negeri Selangor Bahagian Pekerja Asing Tingkat 2, Kompleks Pkns 40550 Shah Alam Selangor

    Uploaded by

    Ong wk
    52 views3 pages
    This document is an insurance guarantee issued by AIG Malaysia Insurance Berhad to LIEW MOTOR for one foreign worker, Packirisamy Durai from India. The guarantee amount is RM750 and is effective from April 16, 2019 until October 15, 2020. It guarantees payment of repatriation expenses if the worker needs to be repatriated during his employment with LIEW MOTOR in Malaysia. An invoice for RM63 was also issued for the foreign workers insurance guarantee premium.

    Original Title

    LIEW MOTOR-000605394-H-FWIG-MIG0007724

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    This document is an insurance guarantee issued by AIG Malaysia Insurance Berhad to LIEW MOTOR for one foreign worker, Packirisamy Durai from India. The guarantee amount is RM750 and is effective from April 16, 2019 until October 15, 2020. It guarantees payment of repatriation expenses if the worker needs to be repatriated during his employment with LIEW MOTOR in Malaysia. An invoice for RM63 was also issued for the foreign workers insurance guarantee premium.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    52 views3 pages

    Pengarah Imigresen Negeri Selangor Bahagian Pekerja Asing Tingkat 2, Kompleks Pkns 40550 Shah Alam Selangor

    Uploaded by

    Ong wk
    This document is an insurance guarantee issued by AIG Malaysia Insurance Berhad to LIEW MOTOR for one foreign worker, Packirisamy Durai from India. The guarantee amount is RM750 and is effective from April 16, 2019 until October 15, 2020. It guarantees payment of repatriation expenses if the worker needs to be repatriated during his employment with LIEW MOTOR in Malaysia. An invoice for RM63 was also issued for the foreign workers insurance guarantee premium.

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    Date : 22-03-2019

    Pengarah Imigresen Negeri Selangor


    Bahagian Pekerja Asing
    Tingkat 2, Kompleks Pkns
    40550 Shah Alam
    Selangor

    Dear Sir(s),

    Re: Our Insurance Guarantee No. : MIG0007724


    For an amount of : RM 750.00

    As requested by LIEW MOTOR of NO.7&9LORONG 51A/227B, SEK 51A, PETALING


    JAYA, 46100, SELANGOR. 46100 SELANGOR Darul Ehsan, we hereby guarantee and
    agree to pay on your written demand up to the maximum aggregate sum of Ringgit
    Malaysia: SEVEN HUNDRED AND FIFTY (RM 750.00) only, being the amount of security
    deposit required to be deposited with you for one (1) worker(s) (as per list attached)
    employed by the said LIEW MOTOR 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
    LIEW MOTOR.

    This Guarantee is effective from 16-04-2019 until 15-10-2020 within the limit of the
    aforesaid.

    Notwithstanding the above, any claim arising hereunder must reach us in writing latest by
    15-10-2020 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.

    AIG Malaysia Insurance Berhad


    Issued by
    Workers Name List
    List Attaching To and Forming Part of Insurance Guarantee

    This is an integral part of


    Insurance Guarantee (IG) No. : MIG0007724
    Name of the Company/Employer : LIEW MOTOR
    Immigration Department : Imigresen Malaysia
    Period : 16-04-2019 to 15-10-2020 18 Months

    Total Amount of IG : RM 750.00

    NO NAME OF WORKER NATIONALITY PASSPORT NO AMOUNT (RM)


    1 Packirisamy Durai India K0848832 750.00
    Invoice (Invois)

    The Policyholder (Pemilik Polisi) : Policy Number (Nombor Polisi) : Invoice No (No. Invois) :
    LIEW MOTOR MIG0007724 WS50028157
    NO.7&9LORONG 51A/227B, SEK 51A, PETALING
    JAYA
    46100 SELANGOR Endorsement Effective
    Period of Insurance (Tempoh Date (Tarikh
    Insurans) : Pengendorsan) :
    From / Dari 16-04-2019

    To / Hingga 15-10-2020
    (Both dates inclusive at 12.01 am standard time)
    (termasuk kedua-dua tarikh pada 12.01 am waktu piawai)

    Endorsement No(No.
    Producer Code (kod Pengeluar) : Policy Type (Jenis Polisi) : Pengendorsan) :
    0501949000 New Business (Baharu)

    Producer Name / Address / Tel (Nama / Alamat / Premium Composition (Komposisi Premium) :
    Telefon Pengeluar) :
    My E.G. COMMERCE SDN.BHD Premium (Premium) : RM 50.00
    LEVEL 8.1 FIRST AVENUE
    No. 1, FIRST AVENUE Rebate (Rebat) : RM 0.00
    PERSIARAN BANDAR UTAMA
    PETALING JAYA
    47800

    Service Tax(Cukai Perkhidmatan) : RM 3.00


    Product Name (Nama Produk) : (6.00%)

    Stamp Duty (Duti Setem) : RM 10.00

    Foreign Workers Insurance Guarantee Total Premium(Jumlah Premium) : : RM 63.00

    Remark (Catatan) :

    Premium for Foreign Workers Insurance Guarantee

    Issuing Office (Pejabat Pengeluaran) : Kuala Lumpur


    Issue Date(Tarikh Pengeluaran) : 22-03-2019

    This is a computer generated document, no signature required.(Ini adalah dokumen janaan komputer, tandatangan tidak diperlukan)

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