Loss Notification ID
Company Name  *	Cust. ID Cust. Name WE0001  WELLCOM COMMUNICATIONS (M) SDN BHD 140001 141 (M) SDN BHD 1M0001 1MALAYSIA DEVELOPMENT BERHAD AW0001 A & W (MALAYSIA) SDN BHD AC0013 A CLOUET & COMPANY (KUALA LUMPUR) SDN BHD ACM003 A CLOUET & COMPANY (KUALA LUMPUR) SDN BHD AE0002 A E RUBBER SDN BHD AE0001 A E TECHNOLOGY SDN BHD AEM001 A E TECHNOLOGY SDN BHD AM0004 A.M.E TERAS MARINE SERVICES SDN BHD AP0001 A.P CONCORD SDN BHD AR0014 A.RAHIS SDN BHD AA0001 AADAT TEGUH ENTERPRISE AB0007 AB CONSTRUCTION & ENTERPRISE SUM2155 ABBAS MUNAWWAR BIN KAMARZAMAN SUM2178 ABD MALEK BIN MERAK SU9914 ABD RAZAK B ABDULLAH SU9910 ABD. RAZAK BAKRUN AB0005 ABDAN PRESTIGE SDN BHD SU2105 ABDUL RAFEE BIN OTHMAN SUM2174 ABDUL RAFEE BIN OTHMAN SUM2079 ABDUL RAHIM BIN AMIR SUM9942 ABDUL RAHMAN BIN ALI AB0003 ABDUL RASHID BIN MOHD ISA SUM2129 ABDUL RAZAK BIN ABDUL SUM2142 ABDUL WAHAB BIN BADRUDDIN SU2082 ABDULLAH BIN A RASOL AB0008 ABINA TEKNIK SERVICES AB0006 ABLEACE RAAKIN SDN BHD AB0001 ABLETASK CONSTRUCTION SDN BHD AB0004 ABRAJ MANAGEMENT SDN BHD AB0002 ABRAR CORPORATION BERHAD ABM001 ABRAR CORPORATION BHD SUM9943 ABU BAKAR BIN MAJID SUM2061 ABU BAKAR BIN TAIB SUM2200 ABU HASSAN BIN KENDUT ACM002 ACCUMAX SPC SDN BHD AC0011 ACCUMAX SPC SDN BHD AC0010 ACCUMAX TECHNOLOGY SDN BHD AC0009 ACE VECTOR SDN BHD ACM001 ACHIED ENTERPRISE AC0012 ACHIEVER M&E ENGINEERING SDN BHD AC0008 ACIDCHEM (M) BHD PI0001 ACOT PLASTICS (M) SDN BHD AC0001 ACP INDUSTRIES BHD AC0006 ACP MARKETING SDN BHD AC0003 ACP RESOURCES SDN  BHD AC0007 ACP TECHNOLOGIES SDN BHD AC0002 ACP-DMT SDN BHD AC0005 ACPI ENGINEERING SDN BHD AC0004 ACPI-BALLAST NEDAM SDN. BHD. AD0003 AD JAYA AD0002 ADABI CONSUMER INDUSTRIES SDN BHD SUM2092 ADAM MUZA BIN MUHAYEN SU2051 ADNY JAFEDON BIN AHMAD SUM2073 ADNY JAFFEDON BIN AHMAD AD0001 ADVANCE HOME DECOR KR0002 AE COMPONENTS SDN BHD KRM002 AE COMPONENTS SDN BHD SU0001 AE SURFACE TECH SDN BHD AE0003 AERO TECHNICA SDN BHD AF0001 AFICO HOLDINGS (M) SDN BHD AF0002 AFM GRATA CONSTRUCTION SU2088 AFRAZ ALMAN BIN MUHAMMAD FARHAN AG0002 AGAMAS SDN BHD AG0003 AGENCY PRODUCTS SYNERGY (M) SDN BHD AGM001 AGENCY PRODUCTS SYNERGY (M) SDN BHD AG0004 AGROBASE TRADING SDN BHD AG0001 AGRO-FARMCHEM SDN BHD AH0003 AH NUR CONSTRUCTION & ENGINEERING SU2067 AHIMMAT BIN MYDIN MOHAMED SUM2115 AHIMMAT BIN MYDIN MOHAMED AH0002 AHMAD AZIZ ENTERPRISE SUM2160 AHMAD BIN SALLEH SUM2039 AHMAD BIN YUSOF SU2110 AHMAD FAUZI BIN MOHD AMIN SU2093 AHMAD MUSTAQIM BIN BAHARUDIN SUM2089 AHMAD NURUDDIN BIN SULAIMAN AH0001 AHMAD SHUKRI ENTERPRISE SUM2035 AHMAD ZAKI BIN JOHOR AHM001 AHSAN ENTERPRISE (M) SDN BHD AI0003 AINUL AZAM AND CO SU2102 AINUN NADHIRAH BINTI MOHD RAZIF AI0002 AIR UTARA INDAH SDN BHD AI0001 AIRFILTER ENGINEERING (M) SDN BHD SUM2189 AIZAMUSSALLMAH BINTI MOHD JAIH SU2081 AJIDAN@AJDAN BIN HASHIM AK0001 AKADEMI JCORP SDN BHD AK0002 AKASAH TEGUH ENTERPRISE AL0010 AL QANAAH RESOURCES SDN BHD AL0001 ALAF CEKAL SDN BHD AL0005 ALAM MARITIM (M) SDN BHD AL0008 ALAM SEKITAR ECO TECHNOLOGY SDN BHD AL0004 ALAM SEKITAR MALAYSIA SDN BHD ALM001 ALAM SEKITAR MALAYSIA SDN BHD AL0007 ALCOM NIKKEI SPECIALTY COATING SDN BHD AL0009 ALISYAH TRAVEL & TOURS SDN BHD SUM2002 ALIZA SHARINA BT AHMAD GHITI AL0011 ALL THE WAY TO ELEVEN SDN BHD AL0002 ALMERIA HOLDINGS SDN BHD This is mandatory field Loading…
Contact Person Name  *	This is mandatory field
Tel No.  *	This is mandatory field
Email Address  *	This is mandatory field
Date Of Loss  *	December, 2019 Sun Mon Tue Wed Thu Fri Sat 49 1 2 3 4 5 6 7 50 8 9 10 11 12 13 14 51 15 16 17 18 19 20 21 52 22 23 24 25 26 27 28 01 29 30 31 1 2 3 4 02 5 6 7 8 9 10 11 Today Clear Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec OK Cancel This is mandatory field To December, 2019 Sun Mon Tue Wed Thu Fri Sat 49 1 2 3 4 5 6 7 50 8 9 10 11 12 13 14 51 15 16 17 18 19 20 21 52 22 23 24 25 26 27 28 01 29 30 31 1 2 3 4 02 5 6 7 8 9 10 11 Today Clear Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec OK Cancel This is mandatory field
Time Of Loss	e.g 10.00 AM/PM
Discovery Date From	December, 2019 Sun Mon Tue Wed Thu Fri Sat 49 1 2 3 4 5 6 7 50 8 9 10 11 12 13 14 51 15 16 17 18 19 20 21 52 22 23 24 25 26 27 28 01 29 30 31 1 2 3 4 02 5 6 7 8 9 10 11 Today Clear Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec OK Cancel
Vehicle Reg. No./Vessel Name
Loss Location / Branch
Circumstances  *	This is mandatory field

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The Event has resulted in the following :  *

i) Loss/damage to my/our premises
ii) Loss/damage to the Contents of my/our premises
iii) Loss/damage to my/our other property
iV) Loss/damage to Third Party property
v) Bodily injury/sickness to my/our employee(s)
vii) Bodily injury/sickness to Third Party persons

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Preliminary estimate of property damage / loss : (if available)

RM

Invalid value

Submit

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