QSN/SGM-MV/III/2026:158
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : LOREN HERNANDO HIDAYAT QQ FITROH A MALIK
as owner and / or its associated and / or its subsidiary and / or inter related companies
for their respective rights and interests
Area : 2 Jakarta, Jawa Barat dan Banten
Period : 18 Maret 2026 to 18 Maret 2027
Territorial limit : For Business and Private used
License plate : B 1629 SNP
Year : 2023
Brand/Model : WULING E230REV30KW3LV24X2AT
Acc Tambahan : STICKER FANCHI WARNA HITAM FULL BODY (INCLUDE TSI)
Sum Insured : Rp 140.000.000,-
Coverage : Comprehensive
Third party liability cover max IDR 10.000.000 in Any One Accident
Premium :
Comprehensive 2.47% =
Rp. 3.458.000
Third Party Liability (TJH Pihak ke 3) IDR 10.000.000 =
Rp. 100.000
=
Rp. 3.558.000
Discount 20% =
Rp. 711.600
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 2.908.400


Deductible :

Comprehensive Rp. 300.000 in any one accident
RSMDCC, TSFWD, Earthquake and TS are 10% of claim or min Rp. 500.000 in any one accident
CTL and Stolen are 5% of sum insured

 
Security : Avrist


Disetujui Oleh, Jakarta, 18 April 2026





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