IMPORTANT NOTICE
重要提示
You have to disclose in this Insurance Application
Form all material facts, which shall form the basis
of the contract made between CHINA TAIPING INSURANCE
(HK) COMPANY LIMITED (the Company) and you, otherwise
the policy issued may be void or voidable at the option
of the Company. If you are in doubt whether a fact is
material, please disclose it this insurance Application
Form. Please complete this form in ENGLISH/CHINESE AND
BLOCK LETTERS and tick√the appropriate box below.
您必须在本保险申请书上填报一切重要有关之事实,因為您与中国太平保险(香港)有限公司(本公司)之合约将以这些事实為根据,否则签发之保单将根据本公司的选择而无效或可使无效。如您不清楚某一项是否重要,也请将其事实在本保险申请书上说明。请以正楷英文/中文填写此份投保书,并於下列适当之方格填上√号。
(I) Particulars of Proposer 投保人资料
(Proposer must be aged 18 or above 投保人必须年满18岁或以上)
1. English Name 英文姓名
2. Chinese Name 中文姓名
Surname 姓
Given Name 名
3. Document Type
证件类别□
HKID Card香港身份证□
Travel Document港澳通行证□
Passport护照
4. Sex 性别
□ Male 男 □ Female 女
Document No.
证件号码
5. Date of Birth
出生日期
D日M月Y年
6. Mobile No.手提电话
7. Home Tel.住宅电话
8. Nationality国籍
□ China Hong Kong 中国香港
□ Mainland China 中国内地
□ China Macau 中国澳门
□ Other 其他
Insuring AgreementThis is your Golfer Insurance Policy and is the evidence of the contract madebetween you and us (“Paofoong Insurance Company (Hong K...
已下载:0次 是否免费:否 上传时间:2024-04-18Insuring AgrementWheres the Insued by a popsal and declanaian which shall be the basisof this contact and is deemed∞be incoponted herein has applied t...
已下载:0次 是否免费:否 上传时间:2024-04-17Insuring AgreementNow this Policy witnesseth that in consideration of ti汜 Insured having paidor agreed to pay to Paofoong Insurance Co. (H.K.) Ltd. (h...
已下载:0次 是否免费:否 上传时间:2024-04-16(1) Insuring ClauseThe Insured and the Company agree:a. the Proposal and Declaration is incorporated and is the basis of thisinsurance contract;b. the...
已下载:0次 是否免费:否 上传时间:2024-04-12供公司使用 — 保险中介详情及印章For company use – intermediary details and stamp保险中介公司:Intermediary company:传真号码:Fax number:电邮地址:Email address:联络姓名:Contact name:官方印章...
已下载:0次 是否免费:否 上传时间:2024-01-24投保单编号:一、投保人、被保险人信息投保人名称、姓名被投保人名称、姓名被保险人地址联系人联系电话二、车辆资讯行驶证车主初次登记日期
已下载:0次 是否免费:否 上传时间:2024-01-19Copyright © 2009-2022 深圳市圈中人电子商务有限公司 粤ICP备05047908号
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