ABSOLUTE DEED OF ASSIGNMENT

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1 ABSOLUTE DEED OF ASSIGNMENT RM10.00 Stamping Fee I, whose name and particulars are set out in Part 1 of the Schedule, (hereinafter called the Participant) for the consideration set out in Part 2 of the Schedule, do hereby assign to the person whose name and particulars are set out in Part 3 of the Schedule (hereinafter called the Assignee ) absolutely, the family Takaful certificate, the full particulars of which are set out in Part 4 of the Schedule (hereinafter called the Certificate ) and all certificate monies or to become payable under or by virtue thereof and all benefits and advantages thereof including but not restricted to the cash surrender and financing value thereof and any dividends that may be declared upon the Certificate from time to time. I, hereby declare that the Certificate is now valid and in full force and that I will not omit or knowingly suffer anything to be done whereby the Certificate may be rendered void or voidable or the Assignee or anyone claiming title through it be prevented from receiving the Certificate and that if the Certificate shall become voidable or void I shall forthwith at my own sole cost do all such things as may be necessary for keeping the same on foot or for enabling PRUDENTIAL BSN TAKAFUL BERHAD (hereinafter called PruBSN ) to effect a new certificate or certificates for such sum or sums as would have been payable under the void certificate if the person covered had ceased immediately before the same became void and that I shall punctually pay all contribution for keeping on foot the Certificate or any new and substituted certificate as and when the same shall become due. I declare that a receipt signed by the Assignee shall fully discharge PruBSN from its liabilities and obligations under the Certificate. In witness whereof I and the Assignee have hereunto set our hands on the date set out in Part 5 of the Schedule. In addition, the Assignee acknowledges that PruBSN may be obliged to comply with or, at its sole and absolute discretion, choose to have regard to, observe or fulfill the requirements or expectations of the laws, regulations, orders, guidelines, codes, market standard, good practices and requests of or agreements with public, judicial, taxation, governmental and other regulatory authorities or self-regulatory bodies (hereinafter called the Authorities and each an Authority ) in various jurisdictions as promulgated and amended from time to time (hereinafter called the Applicable Requirements ). In this connection, the Assignee agrees that PruBSN may take any and all steps to ensure its compliance or adherence (whether voluntary or otherwise) with the Applicable Requirements. The Assignee agrees that PruBSN may disclose the Assignee particulars or any information to any Authority in connection with the Applicable Requirements whether effected directly or sent through any of its Head Office(s) or other related corporations or in such manner as it deem fit. The Assignee shall provide PruBSN with further information as may be required for disclosure to any Authority within such time as may be reasonably required. The Assignee further agrees to co-operate with PruBSN to enable it to comply with its obligations under all Applicable Requirements concerning the Takaful certificates with PruBSN. The Assignee agrees to update PruBSN in a timely manner of any change of any of the details previously provided to it and shall notify PruBSN immediately if the Assignee s tax status or tax residency changes or if become tax resident in more than one country. If any of these changes occur, PruBSN reserves the right to request certain documents or information from the Assignee, which the Assignee must provide at the Assignee own cost, including but not limited to, duly completed and/or executed (and, if necessary, notarized) tax declarations or forms. If the Assignee does not provide PruBSN with the information or documents requested in a timely manner or if any information or documents provided are not up-to-date, accurate or complete such that PruBSN is unable to ensure its ongoing compliance or adherence with the Applicable Requirements, the Assignee agrees that: (a) to the extent permitted under applicable law, PruBSN may withhold payment of any amount due to the Assignee [or the Assignee s personal representatives] under the Assignee s Takaful certificate in compliance with the Applicable Requirements [and/or pay the same to any relevant Authority on the Assignee behalf]; and/or (b) PruBSN may take any and all steps as it deem fit to ensure its compliance or adherence with the Applicable Requirements, or otherwise to protect its legal and/or commercial interests. The Assignee acknowledge that the information contained in this form and information regarding the Assignee and any Reportable Account(s) may be provided to the tax authorities of the country / jurisdiction in which this account(s) is / are maintained and exchanged with tax authorities of another country / jurisdiction or countries / jurisdictions in which the Assignee may be tax resident pursuant to intergovernmental agreements to exchange financial account information. The Assignee undertake to advise Prudential BSN Takaful Berhad on any change in circumstances which affects the tax residency status of the Assignee or causes the information contained herein to become incorrect or incomplete, and to provide Prudential BSN Takaful Berhad with a suitably updated self-certification and declaration of such change in circumstances. The Assignee understands that this form shall be read together with the Privacy Policy on your website at or the Privacy Notice in the proposal form. If the Assignee have any question on your Privacy Policy / Notice, the Assignee shall contact your Customer Service Officer at or to customer@prubsn.com.my. Further information on tax residence may be found on the OECD website on / or please seek appropriate tax advice. The Assignee agrees that the Assignee s personal information given to PruBSN or obtained by PruBSN now or at a later date will be shared with PruBSN affiliates (this includes any entity within the Prudential Group of Companies or Bank Simpanan Nasional Group of Companies). This information may be used by PruBSN affiliates for the purposes of assisting PruBSN in carrying out its activities and duties as a Takaful operator or for marketing, promotion and cross selling purposes. If the Assignee objects to share this information with PruBSN affiliates for marketing, promotion and cross selling purposes, the Assignee will let PruBSN know in writing to PruBSN Customer Service. * * DOA/ Version / Versi 2.5 May 2017 Page / Mukasurat 1/6

2 SURAT IKATAN PENYERAHAN HAK MUTLAK SAYA, seperti nama dan butiran yang dinyatakan dalam Bahagian 1 Jadual, (selepas ini disebut Peserta ) untuk pertimbangan yang dinyatakan dalam Bahagian 2 Jadual, dengan ini secara mutlak menyerahkan kepada pihak yang nama dan butirannya dinyatakan dalam Bahagian 3 Jadual (selepas ini disebut Penerima Serah Hak ) sijil Takaful ini yang butirannya dinyatakan di Bahagian 4 Jadual (selepas ini disebut Sijil ). Kesemua wang yang disumbangkan atau yang patut dibayar di bawah sijil atau berkaitan dengannya termasuk kesemua manfaat dan faedah tidak hanya meliputi serahan tunai dan nilai pembiayaan sebarang dividen yang mungkin diisytiharkan ke atas sijil dari masa ke semasa. Saya dengan ini mengisytiharkan bahawa Sijil ini sah dan berkuatkuasa sepenuhnya dan bahawa saya tidak akan mengabaikan atau sengaja melakukan kelalaian yang boleh menyebabkan Sijil ini terbatal atau boleh terbatal atau Penerima Serah Hak atau sesiapa saja yang menuntut hak milik Sijil ini ditegah daripada menerima Sijil ini. Sekiranya Sijil ini dibatalkan atau terbatal saya akan serta-merta bertindak melakukan semua yang diperlukan bagi perlaksanaan sijil ini atau membolehkan PRUDENTIAL BSN TAKAFUL BERHAD (selepas ini disebut PruBSN ) menguatkuasakan satu sijil atau sijil-sijil baru dengan satu jumlah atau jumlah-jumlah seperti yang boleh dibayar di bawah sijil yang terbatal jika orang yang dilindungi meninggal dunia serta-merta sebelum Sijil itu terbatal. Saya akan membayar semua sumbangan tepat pada masanya bagi perlaksanaan Sijil ini atau sebarang Sijil gantian baru apabila bayarannya perlu dijelaskan. Saya mengaku bahawa penerimaan yang ditandatangani oleh Penerima Serah Hak akan melepaskan PruBSN sepenuhnya daripada semua liabiliti dan hutang di bawah Sijil ini. Dengan ini disaksikan bahawa, saya dan Penerima Serah Hak, telah menurunkan tandatangan kami pada tarikh yang dinyatakan dalam Bahagian 5 Jadual. Di samping itu, Penerima Serah Hak mengakui bahawa PruBSN boleh diwajibkan mematuhi atau, mengikut budi bicara mutlak mereka, memilih untuk memberi pemerhatian kepada, mematuhi atau memenuhi keperluan atau kehendak undang-undang, peraturan, perintah, garis panduan, kod, piawaian pasaran, amalan yang baik dan permintaan atau perjanjian dengan badan-badan awam, kehakiman, cukai, kerajaan dan pihak berkuasa kawal selia atau kawal selia sendiri (iaitu "Pelbagai Pihak Berkuasa" dan masing-masing satu "Pihak Berkuasa") dalam pelbagai bidang kuasa seperti yang termaktub dan dipinda dari masa ke semasa (selepas ini disebut "Syarat-syarat yang Berkenaan" ). Dalam hubungan ini, Penerima Serah Hak bersetuju bahawa PruBSN boleh mengambil sebarang dan semua langkah untuk memastikan pematuhan PruBSN (sama ada secara sukarela atau sebaliknya) kepada Syarat-syarat yang Berkenaan. Penerima Serah Hak bersetuju bahawa PruBSN boleh mendedahkan butiran Penerima Serah Hak atau sebarang maklumat kepada mana-mana Pihak Berkuasa berhubung dengan Syarat-syarat yang Berkenaan sama ada dilaksanakan secara langsung atau dihantar melalui mana-mana Ibu Pejabat mereka atau syarikat-syarikat lain yang berkaitan atau sebarang cara sebagaimana yang PruBSN anggap patut. Penerima Serah Hak hendaklah memberi maklumat lanjut yang mungkin diperlukan untuk pendedahan kepada mana-mana Pihak Berkuasa dalam masa yang mungkin dikehendaki secara munasabah. Penerima Serah Hak juga bersetuju untuk bekerjasama dengan PruBSN untuk membolehkan PruBSN mematuhi tanggungjawab mereka di bawah semua Syarat-syarat yang Berkenaan yang berkaitan sijil Takaful Penerima Serah Hak PruBSN. Penerima Serah Hak bersetuju untuk mengemaskini sebarang perubahan pada mana-mana butiran sebelum ini yang diberikan kepada PruBSN tepat pada masanya dan hendaklah memberitahu PruBSN dengan kadar segera jika status cukai Penerima Serah Hak atau perubahan cukai kediaman atau jika Penerima Serah Hak menjadi pemastautin cukai di beberapa negara. Jika mana-mana perubahan ini berlaku, PruBSN mempunyai hak untuk meminta dokumen atau maklumat tertentu daripada Penerima Serah Hak, di mana Penerima Serah Hak mesti memberikan pada PruBSN atas kos Penerima Serah Hak sendiri, termasuk tetapi tidak terhad kepada, pengisytiharan cukai atau pelbagai borang yang lengkap dan / atau dilaksanakan (dan, jika perlu, disahkan). Jika Penerima Serah Hak tidak menyediakan PruBSN dengan maklumat atau dokumen yang diminta tepat pada masanya atau jika sebarang maklumat atau dokumen yang diberikan tidak terkini, tepat atau lengkap seperti yang diminta, yang mana menyebabkan PruBSN gagal untuk mematuhi Syarat-syarat Berkenaan, Penerima Serah Hak bersetuju bahawa: (a) setakat dibenarkan di bawah undang-undang, PruBSN boleh menyekat pembayaran sebarang jumlah yang dibayar kepada Penerima Serah Hak [atau wakil peribadi Penerima Serah Hak] di bawah sijil takaful Penerima Serah Hak dalam mematuhi Syarat-syarat yang Berkenaan [dan / atau membayar kepada mana-mana pihak Berkuasa yang berkenaan bagi pihak Penerima Serah Hak] dan / atau; (b) PruBSN boleh mengambil mana-mana dan semua langkah seperti yang PruBSN anggap sesuai untuk memastikan kepatuhan kepada Syarat-syarat Berkenaan, atau sebaliknya untuk melindungi undang-undang dan / atau kepentingan komersial. Penerima Serah Hak mengakui bahawa maklumat yang terkandung di dalam borang ini dan maklumat yang berkaitan dengan Penerima Serah Hak dan sebarang Akaun yang Perlu Lapor mungkin akan diberikan kepada pihak berkuasa cukai di negara / bidang kuasa di mana akaun-akaun ini diselenggara dan saling bertukar dengan pihak berkuasa cukai di negara / bidang kuasa lain atau negara-negara / bidang-bidang kuasa di mana Penerima Serah Hak adalah penduduk bercukai menurut kepada perjanjian antara kerajaan untuk bertukar maklumat berkaitan akaun kewangan. Penerima Serah Hak berjanji untuk memberitahu Prudential BSN Takaful Berhad tentang sebarang perubahan keadaan yang memberikan kesan ke atas status pencukaian Penerima Serah Hak atau menyebabkan maklumat yang terkandung di sini menjadi tidak benar atau tidak lengkap, dan untuk memberikan Prudential BSN Takaful Berhad borang pengesahan-diri yang dikemaskinikan dan perakuan tentang sebarang perubahan keadaan tersebut. Penerima Serah Hak faham bahawa borang ini hendaklah dibaca bersama Polisi Privasi di laman sesawang anda di atau Notis Privasi di dalam borang cadangan. Jika Penerima Serah Hak mempunyai sebarang pertanyaan mengenai Notis / Polisi Privasi anda, Penerima Serah Hak hendaklah menghubungi Pegawai Khidmat pelanggan anda di atau kepada customer@prubsn.com.my. Untuk mengetahui lebih lanjut mengenai cukai kediaman, sila rujuk laman web OECD di atau sila dapatkan nasihat cukai daripada pihak yang berkenaan. Penerima Serah Hak bersetuju yang maklumat peribadi Penerima Serah Hak yang diberikan kepada PruBSN atau yang PruBSN perolehi sekarang atau pada masa akan datang akan dikongsi dengan rakan niaga PruBSN (ini termasuk mana-mana entiti dalam Kumpulan Syarikat Prudential atau Kumpulan Syarikat Bank Simpanan Nasional). Maklumat ini boleh digunakan oleh rakan niaga PruBSN untuk tujuan membantu PruBSN dalam menjalankan aktiviti-aktiviti dan tugasan PruBSN sebagai pengendali Takaful atau untuk tujuan pemasaran, promosi dan jualan silang. Jika Penerima Serah Hak tidak bersetuju untuk berkongsi maklumat ini dengan rakan niaga PruBSN untuk tujuan pemasaran, promosi dan jualan silang, Penerima Serah Hak akan memaklumkan kepada PruBSN secara bertulis kepada Khidmat Pelanggan PruBSN. DOA/ Version / Versi 2.5 May 2017 Page / Mukasurat 2/6

3 .... Signature of the Participant / Tandatangan Peserta.... Signature of the Assignee / Tandatangan Penerima Serah Hak PruBSN may share the Assignee s personal information with third parties for strategic alliances and / or for marketing and promotional purposes. (Tick the box to give consent or leave the box empty to withhold consent. This consent can be withdrawn at anytime by notice in writing to PruBSN Customer Service). Penerima Serah Hak boleh berkongsi maklumat peribadi Penerima Serah Hak dengan pihak ketiga untuk pakatan strategik dan / atau untuk tujuan pemasaran dan promosi. (Tandakan kotak untuk memberikan persetujuan atau meninggalkan kotak kosong untuk tidak memberi kebenaran. Kebenaran ini boleh ditarik balik pada bila-bila masa dengan memberi notis bertulis kepada Khidmat Pelanggan PruBSN. Agree / Setuju... Signature of Witness / Tandatangan Saksi Name / Nama: NRIC No / No. KP Baru: Address / Alamat:.... Signature of Witness / Tandatangan Saksi Name / Nama: NRIC No / No. KP Baru: Address / Alamat: This form is furnished by PRUDENTIAL BSN TAKAFUL BERHAD as a form of service, but PruBSNt assumes no responsibility for the validity of this assignment or for its effects in the rights of the parties to it. (This form requires to be stamped to the value of RM10.00 at a stamping office before it is returned to PruBSN) Borang ini disediakan oleh PRUDENTIAL BSN TAKAFUL BERHAD sebagai satu bentuk perkhidmatan, tetapi PruBSN tidak bertanggungjawab terhadap kesahihan penyerahan hak ini atau kesan terhadap hak pihak-pihak yang terlibat dalam penyerahan ini. (Borang ini hendaklah disetemkan dengan nilai RM10.00 di pejabat setem sebelum dipulangkan kepada PruBSN) NOTE: By virtue of paragraph 7 Schedule 10 of Islamic Financial Services Act 2013, where the Takaful benefits, wholly or partly, have been assigned to a person, the claim of the person entitled under the assignee shall have priority over the claim of the nominee and subject to the rights under the assignment being preserved, PruBSN may pay the balance of any Takaful benefits to the nominee, if any. NOTA: Menurut perenggan 7 Jadual 10 Akta Perkhidmatan Kewangan Islam 2013, jika manfaat Takaful, secara keseluruhannya atau sebahagiannya, telah diserah hak kepada seseorang, tuntutan orang yang berhak di bawah pemegang serah hak itu hendaklah mendapat keutamaan ke atas tuntutan penama dan tertakluk kepada hak di bawah serah hak yang disimpan itu, PruBSN mungkin membayar baki manfaat Takaful itu kepada penama, jika ada. DOA/ Version / Versi 2.5 May 2017 Page / Mukasurat 3/6

4 Schedule / Jadual Part 1 / Bahagian 1 Full Name / Nama Penuh (Name and par culars of the Par cipant) / (Nama dan bu ran Peserta) NRIC No or Passport No./ No. KP atau No. Pasport Date of Birth / Tarikh Lahir Address / Alamat Part 2 / Bahagian 2 (The considera on for this assignment) / (Per mbangan serah hak ini) Reason / Sebab Part 3 / Bahagian 3 (Name and par culars of the Assignee) / (Nama dan Bu ran Penerima Serah Hak) Full Name / Nama Penuh NRIC No or Passport No./ No. KP atau No. Pasport Date of birth / Tarikh Lahir Country of birth (COB) / Negara Kelahiran Na onality / Warganegara Occupa on / Pekerjaan Name of Employer/ Business / Nama Majikan/ Perniagaan Nature of Business / Bidang Perniagaan Residen al address / Alamat Kediaman INDIVIDUAL / INDIVIDU INSTITUTION / INSTITUSI Registra on No. / No. Penda aran Note / Nota : Should the Assignee is an en ty, please proceed to submit together with En ty Declara on Form (FATCA & CRS). You may download the form via prubsn.com.my. / Jika Penerima serah Hak tersebut adalah en, sila hantarkan bersama Borang Akuan En (FATCA & CRS). Anda boleh muat turun borang melalui prubsn.com.my. Postcode / Poskod City / Bandar State / Negeri Correspondence address / Alamat Surat-menyurat Postcode / Poskod City / Bandar State / Negeri Employer or Business Address / Alamat Majikan atau Perniagaan Contact Number / Nombor Telefon Do you currently file tax return in the United States? Adakah anda mempunyai rekod di Amerika Syarikat? Are you a tax resident(s) in, or do you file tax returns in any country other than Malaysia? Please complete Cer ficate Individual Tax Residency Self-Cer fica on Form if answered Yes. You may download the form via prubsn.com.my. Adakah anda pemastau n bercukai di, atau adakah anda memfailkan pulangan cukai di negara lain selain Malaysia? Sila lengkapkan Sijil Borang Pengesahan-Diri Cukai Pemastau n Individu jika telah menjawab YA. Anda boleh muat turun borang melalui prubsn.com.my. Postcode / Poskod State / Negeri Residen al No. / No. Telefon Rumah Mobile No. / No. Telefon Bimbit Office No. / No. Telefon Pejabat Yes / Ya Yes / Ya City / Bandar No / Tidak No / Tidak DOA/ Version / Versi 2.5 May 2017 Page / Mukasurat 4/6

5 Part 4 / Bahagian 4 Cer ficate No. / Nombor Sijil (Par culars of Cer ficate) / (Bu ran Sijil) Cer ficate Date / Tarikh Sijil Part 5 / Bahagian 5 (Date of this Absolute Deed of Assignment) / (Tarikh Serah Hak) TO / KEPADA: PRUDENTIAL BSN TAKAFUL BERHAD I, the abovenamed Participant, do hereby give PruBSN notice of this Deed of Assignment and shall be grateful if PruBSN would acknowledge and take note of the same. Saya, Peserta di atas, dengan ini memberi notis Surat Ikatan Penyerahan Hak ini dan memohon jasa baik PruBSN untuk memberikan pengakuan penerimaannya Date / Tarikh : Signature of the Participant / Tandatangan Peserta We, PRUDENTIAL BSN TAKAFUL BERHAD, in acknowledging receipt of the notice of assignment, express no opinion as to the validity or legal effect of any such notice. Kami, PRUDENTIAL BSN TAKAFUL BERHAD dalam mengakui penerimaan notis Penyerahan Hak ini, tidak memberikan sebarang pendapat mengenai pengesahan atau penguatkuasaan notis ini dari segi perundangan.... Date / Tarikh : Authorised Signature / Tandatangan yang Dibenarkan DOA/ Version / Versi 2.5 May 2017 Page / Mukasurat 5/6

6 Privacy Notice We will process the personal data provided by you in this form and it is obligatory for you to provide the personal data required herein. If you fail to provide such data, we will not be able to process your application. We will process the personal data for the purposes of processing, assessing and determining your application or carrying out any activity in relation to or in connection with carrying out our duties as a takaful operator. We may share the data with our related, associated or affiliated companies (this includes entity within the Prudential Group of Companies or Bank Simpanan Nasional Group of Companies), service providers under contract who help with our business operations (including those overseas); any person, who is under a duty of confidentiality and who has undertaken to keep such data confidential; and any person consented by you or to whom we are under an obligation to make disclosure under the requirements of any law, rules, regulations, court order, codes of practice or guidelines binding on us including, without limitation, any applicable regulators, governmental bodies, or industry recognised bodies such as the Life Insurance Association of Malaysia and Malaysian Takaful Association, and where otherwise required by law. We reserve the right to disclose your personal data if required to do so by law, or in the good faith believe that such action is reasonably necessary to comply with the legal process, respond to claims, or to protect the rights, property or safety of our company, our employees, customers, or the public. If we are merged or acquired by another entity, personally identifiable information may be transferred to such entity as part of the merger or acquisition. If you are supplying personal data of other parties such as your family members, legal guardians, nominees, directors, shareholders or officers, please do ensure that you have obtained their consent and bring this notice to their attention. Where you elect to limit our right to process the personal data, you may contact us. For avoidance of doubt, the withdrawal or limitation does not include processing of mandatory personal data. This notice shall be read together with our Privacy Policy on our website, and our Privacy Notice in our Proposal Form. If you have any question about this notice, please contact:- Customer Service Officer, customer@prubsn.com.my Telephone: Fax: Notis Privasi Kami akan memproses data peribadi yang diberikan oleh anda dalam borang ini dan ia adalah wajib untuk anda memberi data peribadi yang dikehendaki kepada kami. Jika anda gagal berbuat demikian, kami tidak akan dapat memproses permohonan anda. Kami akan memproses data peribadi bagi tujuan pemprosesan, penilaian dan menentukan permohonan anda atau menjalankan sebarang aktiviti yang berkaitan dengan operasi kami sebagai pengendali takaful. Kami mungkin akan berkongsi data tersebut dengan syarikat berkaitan, sekutu atau gabungan kami (termasuk entiti dalam Syarikat Kumpulan Prudential atau Syarikat Kumpulan Bank Simpanan Nasional), pembekal perkhidmatan di bawah kontrak yang membantu operasi perniagaan kami (termasuk yang di luar negara); mana-mana individu, yang bertanggungjawab memegang kerahsiaan dan telah berjanji untuk menyimpan data tersebut secara sulit; dan mana-mana individu yang dibenarkan oleh anda atau kepada sesiapa yang mana kami mempunyai kewajipan untuk membuat pendedahan yang dikehendaki oleh mana-mana undang-undang, peraturan, perintah mahkamah, kod praktis atau garis panduan yang kami terikat dengannya termasuk, tanpa terhad, mana-mana pegawai selia yang berkaitan, badan kerajaan atau badan yang diiktiraf oleh industri seperti Persatuan Insurans Hayat Malaysia dan Persatuan Takaful Malaysia, dan jika dikehendaki oleh undang-undang. Kami berhak mendedahkan data peribadi anda sekiranya dikehendaki berbuat demikian oleh undang-undang, atau secara jujur percaya bahawa tindakan tersebut adalah perlu dan munasabah bagi mematuhi proses undang-undang, menjawab tuntutan, atau untuk melindungi hak, harta atau keselamatan syarikat kami, pekerja kami, pelanggan, atau orang awam. Jika kami bergabung atau diambil alih oleh entiti yang lain, maklumat peribadi anda yang dikenal pasti mungkin dipindahkan kepada entiti tersebut sebagai sebahagian daripada gabungan atau pengambilalihan. Jika anda membekalkan data peribadi pihak-pihak lain seperti ahli keluarga, penjaga sah, penama, pengarah, pemegang saham atau pengawai, sila pastikan anda telah mendapat keizinan mereka dan membawa notis ini untuk perhatian mereka. Jika anda memilih untuk menghadkan hak kami untuk memproses data peribadi, anda boleh berbuat demikian secara bertulis kepada kami. Untuk mengelakkan keraguan, penarikan balik atau pembatasan tidak termasuk memproses data peribadi yang wajib. Notis ini hendaklah dibaca bersama Polisi Privasi di laman web kami, dan Notis Privasi kami di dalam Borang Cadangan. Jika anda mempunyai sebarang soalan mengenai notis ini, sila hubungi:- Pegawai Khidmat Pelanggan, E-mel: customer@prubsn.com.my Telefon: Faks: Prudential BSN Takaful Berhad (Company No H) Level 8A Menara Prudential, No. 10, Jalan Sultan Ismail, Kuala Lumpur. P. O. Box 10928, Kuala Lumpur. Customer Service: Fax: customer@prubsn.com.my Website: DOA/ Version / Versi 2.5 May 2017 Page / Mukasurat 6/6

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