新光产物新种险批改申请书（2页）.xls

新种险批改申请书                                        基  本  资  料    
险种                                    
批单份数        正本        副本    
保单号码                                            批单号码                                            被保险人                                            被保险人住所                                            经营业务种类                                            批改日期                                            改项目                                                批单有效日期        自民国____年____月____日____时起至民国____年____月____日____时止    申  请  加  批  事  项    兹经通知并双方同意本保险单批改如下：                    被       保       险       人       签      章       处  
       
     收   件   日   期        
上开投保产物批改事项请核发批单凭执为祷                                要保人签章:                                            核  定        复  核        再  保     
   初  核        经办代号：            保 经 代 签 署        
经纪人/代理人代号：                            
业务员签名：