This Policy reflects the terms and conditions of the contract of insurance as agreed between you and the Company.

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Transcription:

(62605-U) This Policy is issued in consideration of the payment of premium as specified in the Policy Schedule and pursuant to the answers given in your Proposal Form (or when you applied for this insurance) and any other disclosures made by you between the time of submission of your Proposal Form (or when you applied for this insurance) and the time this contract is entered into. The answers and any other disclosures given by you shall form part of this contract of insurance between you and Berjaya Sompo Insurance Berhad (hereinafter called "the Company"). However, in the event of any pre-contractural misrepresentation made in relation to your answers or in any disclosures given by you, only the remedies in Schedule 9 of the Financial Services Act 2013 will apply. This Policy reflects the terms and conditions of the contract of insurance as agreed between you and the Company. "You and Your" or "The Insured" means the person(s) named on the Schedule as the insured. Polisi dikeluarkan sejajar dengan pembayaran dari premium yang ditentukan dalam Jadual Polisi dan menurut kepada kenyataan yang telah dikemukakan di dalam borang cadangan (atau semasa permohonan insurans ini) dan segala kenyataan yang telah dibuat oleh pihak anda pada atau semasa penyerahan borang cadangan (atau semasa permohonan insurans ini) dan pada masa perjanjian ini ditandatangani. Jawapan dan sebarang pernyataan lain yang anda berikan akan menjadi sebahagian daripada kontrak insurans antara anda dan Berjaya Sompo Insurance Berhad (dinamakan sebagai "Syarikat" kemudian dari ini). Walau bagaimanapun, sekiranya terdapat sebarang salah nyata semasa pra-kontrak berhubung dengan jawapan anda atau di mana-mana pernyataan yang diberikan oleh anda, hanya remedi yang terdapat dalam Jadual 9 Akta Perkhidmatan Kewangan 2013 akan diguna pakai, Polisi ini bertindak atas terma-terma dan syarat-syarat kontrak insurans seperti yang telah dipersetujui antara anda dan pihak kami. "Anda atau Pihak Diinsuranskan" bermakna orang yang dinamakan di dalam Jadual iaitu pihak diinsuranskan. (FWHSPO/012015)

MALAYSIAN GOVERNMENT HOSPITAL shall mean a hospital charges which charges of services are subject to the Perintah Fi (Perubatan) (Kos Perkhidmatan) 2014 and/or its subsequent amendments if any. HOSPITAL KERAJAAN MALAYSIA hendaklah bermaksud hospital yang bayaran khidmatnya tertakluk kepada Perintah Fi (Perubatan) (Kos Perkhidmatan) 2014 dan/atau pindaan berikutnya jika ada.

As charged in accordance to charges consistent with Third (3 rd ) Class Room & Board in a Non-Corporatized Malaysian Government Hospital in conformance to the charges specified under Perintah Fi (Perubatan) (Kos Perkhidmatan) 2014 Bayaran yang dikenakan mengikut bayaran yang selaras dengan Bilik & Makan Kelas Ketiga (Ke-3) di Hospital Kerajaan Bukan Korporat mengikut Perintah Fi (Perubatan) (Kos Perkhidmatan) 2014

DUTY OF DISCLOSURE Where you have applied for this Insurance wholly for purposes related to your trade, business or profession, you had a duty to disclose any matter that you know to be relevant to our decision in accepting the risks and determining the rates and terms to be applied and any matter a reasonable person in the circumstances could be expected to know to be relevant otherwise it may result in avoidance of your contract of insurance, refusal or reduction of your claim(s), change of terms or termination of your contract of insurance. You also have a duty to tell us immediately if at any time after your contract of insurance has been entered into, varied or renewed with us any of the information given in the Proposal Form (or when you applied for this insurance) is inaccurate or has changed. KEWAJIPAN PENDEDAHAN Apabila anda telah memohon insurans ini sepenuhnya untuk tujuan yang berkaitan dengan perdagangan, perniagaan atau profesion anda, anda mempunyai kewajipan untuk mendedahkan apa-apa perkara yang anda tahu yang akan mempengaruhi keputusan kami dalam menerima risiko dan menentukan kadar dan terma yang dikenakan dan apa-apa perkara yang munasabah yang boleh dijangka, jika tidak ia boleh mengakibatkan pembatalan kontrak insurans, keengganan atau pengurangan gantirugi, perubahan terma atau penamatan kontrak insurans anda. Anda juga mempunyai kewajipan untuk memberitahu kami dengan serta-merta jika pada bila-bila masa selepas kontrak insurans anda ditandatangani, diubah atau diperbaharui dengan kami, apa-apa maklumat yang diberikan di dalam Borang Cadangan (atau semasa permohonan insurans ini) tidak tepat atau telah berubah. Head Office : 18th Floor, Menara BGI, Plaza Berjaya, 12, Jalan Imbi, 55100 Kuala Lumpur. P.O. Box 12433, 50778 Kuala Lumpur. Tel : (Customer Service) 03-2141 3323/2117 2118 Fax : 03-2142 4730 Toll Free No : 1-800-889-933 http://www.berjayasompo.com.my E-mail : info@berjayasompo.com.my Alor Setar Tel : 04-771 6123 Fax : 04-771 6121 Batu Pahat Tel : 07-433 1066 Fax : 07-435 1066 Bintulu Tel : 086-312 575, 313 576/7 Fax : 086-313 578 Butterworth Tel : 04-323 4200 Fax : 04-323 4209 Ipoh Tel : 05-241 3895 Fax : 05-241 3904 Johor Bahru Tel : 07-387 1066 Fax : 07-387 3166 Klang Tel : 03-3324 9896 Fax : 03-3324 9946 Kluang Tel : 07-774 1066/771 Fax : 07-772 1066 Kota Bharu Tel : 09-747 6444 /8444 Fax : 09-747 7357 Kota Kinabalu Tel : 088-701 000 to 701 004 Fax : 088-701 193/005 KualaTerengganu Tel : 09-631 8550/9550 Fax : 09-631 7550 Kuantan Tel : 09-516 5620/1 Fax : 09-516 522 Kuching Tel : 082-417 858 Fax : 082-428 857 Melaka Tel : 06-281 3382 Fax : 06-281 2762 Penang Tel : 04-899 4340 Fax : 04-899 0018 Sandakan Tel : 089-272 168 Fax : 089-272 163 Sitiawan Tel : 05-688 1895 Fax : 05-688 4897 Taiping Tel : 05-805 3895/7 Fax : 05-807 3904 Tawau Tel : 089-777 811/812 Fax : 089-777 813 Teluk Intan Tel : 05-621 7325/491 Fax : 05-621 5692 9