NewBusiness(Motor) - Issued
Product Type 01 | ປະກັນໄພພາຫະນະ / Motor Insurance Product Sub Type 02 | ປະກັນໄພຍານພາຫະນະພາກສະມັກໃຈ / Voluntary Motor Insurance Policy No 2010200030770, Seq No : 1
Agent ID A000000001 | ທະນາຄານ ເອັສທີ ຈຳກັດ Client ID C000001845 | ທ່ານ ຄຳຊ້າງ ຄຳມະນີ Reference No M0039364
Driver Client ID | Are there young drivers less than 25 years old No
Driver License No Date of Issue Date of Expiry
Vehicle ລາວ / Laos Vehicle Type Header ລົດເບົາສ່ວນຕົວ ຫຼຸດ 2000 ຊີຊີ / Private car less than 2000 cc Power(CC.) 1600
Brand Kia Model Cerato Engine G4FCAH222543 Chassis KNAFU41AA5869191
Plate-Letter Color / Yellow-black Plate No ກມ 1313 Plate Province ນະຄອນຫຼວງວຽງຈັນ / Vientiane Capital Car Use Type ສ່ວນຕົວ / Private
Seat Capacity 5 Gross Tonnage 0 Year Manufacturing 2010 Year Registration 2010
New Price Market Price Age 16
Package Option1 Start Date 13-12-2025 Effecive Date 13-12-2025 End Date 13-12-2026
Third party Liability Cover Owner Damage Cover Driver and Passenger Cover
Bodily Injury max per accident 250,000,000.00 Damage resultion from a collision 0.00 Death max per person 25,000,000.00
Death max per person 25,000,000.00 Damage to the Vehicle from fire , theft and glass breakage 0.00 Total Permanent Disability max per person 25,000,000.00
Total Permanent Disability max per person 25,000,000.00 Medical expenses max per person 2,500,000.00
Medical expenses max per person 2,500,000.00
Hospitalization allowance 160,000.00
Damage to property max per accident 17,500,000.00 % of Sum Insured 0.00
Defense and Recourse cover max per accident 200,000.00 % of Damage cost 0.00 Minimun damage 0.00
Premium 271,680.00 Discount 0.00 KIP Stamp 20,000.00 Vat 27,168.00
Beneficiary Relationship Total Premium 318,848.00
Telephone No Mobile No 020 55395366 Fax No E-Mail
Print Invoice Yes Include Vat Yes % Commission Rate 18.00 Commission 48,902.40
Remark Renew from 2010200024370, Discount 50% / 00223

Reinsurance Retype Participants Start Date End Date Guarantee Premium RI Commission Stamp Vat Total Premium
WHOLE ACCOUNT QUOTA SHARE TREATY-MOTOR RETENTION ST-MUANG THAI INSURANCE COMPANY LIMITED 13/12/2025 13/12/2026 125,000,000.00 135,840.00 0.00 20,000.00 13,584.00 169,424.00
WHOLE ACCOUNT QUOTA SHARE TREATY-MOTOR QUOTA SHARE HANNOVER RUCK SE MALAYSIAN BRANCH 13/12/2025 13/12/2026 100,000,000.00 108,672.00 32,601.60 20,000.00 10,867.20 106,937.60
WHOLE ACCOUNT QUOTA SHARE TREATY-MOTOR QUOTA SHARE MUANG THAI INSURANCE PUBLIC COMPANY LIMITED 13/12/2025 13/12/2026 25,000,000.00 27,168.00 8,150.40 20,000.00 2,716.80 41,734.40

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