QSN/SGM-MV/IV/2026:224
Motor Vehicle Insurance
Wording : PSAKBI (Polis Standar Asuransi Kendaraan bermotor Indonesia)
The Insured : YENI SUSIANA QQ JUSTINUS RAINER TJAHJADI
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 : 29 April 2026 to 29 April 2027
Territorial limit : For Business and Private used
License plate : B 2176 SYP
Year : 2018
Brand/Model : TOYOTA VOXY 2.0 AT
Sum Insured : Rp 230.000.000,-
Coverage : Comprehensive
Third party liability cover max IDR 10.000.000 in Any One Accident
Premium :
Comprehensive 2.08% =
Rp. 4.784.000
Loading rate 0.312% =
Rp. 717.600
Third Party Liability (TJH Pihak ke 3) IDR 10.000.000 =
Rp. 100.000
=
Rp. 5.601.600
Discount 22.5% =
Rp. 1.260.360
Stamp and Duty =
Rp. 62.000
Net Premium =
Rp. 4.403.240


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, 06 Juni 2026





Dipersiapkan Oleh,