Aoma Dec 2022 (8W4)

Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

AGENCY OFFICE MAINTENANCE ALLOWANCE

APPLICATION FORM
Please select the Agency Office Maintenance Allowance you are applying for:

1
Category A QLs who occupy agency office in PruBSN branch
2
Category B QLs who occupy agency office outside PruBSN branch

1 – Please submit application letter & copy Letter of Offer to staff.


2 – Please submit application letter, copy Tenancy Agreement & Letter of Offer to staff.

I hereby declare that the information above is accurate and undertaken to abide by the terms
and conditions stated in the Agency Circular ref. no.: C08/0318.

TO BE COMPLETED BY APPLICANT (QUALITY LEADER)

ATHIRAH SYAFIQAH BINTI ADAM


LEADER’S NAME: ……………………………………….…………..… LEADER’S CODE : 8 W 4 0 0 0 0 1

012-238 6849 LEVEL 3, Lot 3A -01-GR,


CONTACT NO: ………………………………………… OFFICE ADRESS : ………………………………..……………………………
JALAN WANGSA DELIMA 10, D'WANGSA
…………………………………………….............................
53300 WANGSA MAJU, KUALA LUMPUR
………………………………………………………………….

04/10/2022 6/12/2022
16/1/2023 qw
QL’S SIGNATURE: ……………………………………… DATE : …………………………

RECOMMENDATION BY BUSINESS DEVELOPMENT MANAGER (BDM) / REGIONAL DEVELOPMENT MANAGER (RDM)


AND HEAD OF DIRECT AGENCY (HDA)

BUSINESS DEVELOPMENT MANAGER (BDM) / REGIONAL DEVELOPMENT MANAGER (RDM)

RECOMMENDED NOT RECOMMENDED


Recommend subject to AOM fullfilment
COMMENT: ……………………………………………………………………………………………………….….
...........................................…………………………………………………………………………..

Azlan Nurhadi Bin Kamarul Azhar


Type text here NAME : ………………………..…………………
SIGNATURE / DATE : ……………………………..…

HEAD OF DIRECT AGENCY

RECOMMENDED NOT RECOMMENDED

COMMENT: …………………………………………………………………………………………………..

.....................................………………………………………………………………………………….

SIGNATURE / DATE : ………………………………… HDA NAME : ..………………………………………..


APPROVAL BY MANAGEMENT

APPROVED NOT APPROVED

EFFECTIVE DATE OF PROMOTION: ………………..…………………..

COMMENT: ………………………………………………………………………………………………………..
………......................................................…………………………………………………………………....

SIGNATURE / DATE : ………………………………………………..


Head of Agency / Chief Agency Officer

FOR USE OF AGENCY SUPPORT

QL’s ACHIEVEMENT :-

DIRECT UNIT PRODUCTION : ………………………………..

CURRENT YEAR PERSISTENCY : ……………………………

FIRST YEAR PERSISTENY : …………………………………..

SIGNATURE / DATE : …………………………………. NAME : ……………….……………………………

You might also like