太平汽车险保单批改通知申请书（2页）.pdf-保险单证-保险资料库

太平汽车险保单批改通知申请书（2页）.pdf

请填报以下项目资料，并在适当的空格填上及如有变更必须通知中国太平保险(香港)有限公司(下称该公司)。删去不适用者。
Please complete this form and tick the boxe(s)
where appropriate and inform the China Taiping
Insurance (HK) Company Ltd.(hereinafter called
the Company) if any of them has been altered.
Delete where appropriate
保户资料Information of Insured
公司corporate
名称 :Name
保单号码Policy no.
个人姓名Individual Name
姓: 名 :Surname: Given Name:
登记車牌号码Registration mark
更改项目生效日期
Effective date ______时间Time :
(日/月/年)dd/mm/yyyy)
聯络电话号码Contact phone No.
电邮地址E-mail Address
更改受保项目资料 Item(s) required for amendment
(1) 保户资料*Particulars of Insured*
保户名称Name of Insured
保户住址Address of Insured
保户职业/行业Occupation/Trade of Insured