Claim Type 理賠申請項目:
□Death Claim 死亡
A. INSURED’S PARTICULARS 被保險人資料
Policy no. 保單號碼
Insured’s name 被保險人姓名
passport no. 護照號碼( )
Date of birth 出生日期
DD日 MM月 YYYY 年
Sex 性別
Age 年齡
Tel. no. 電話號碼
B. OTHER INSURANCE COVERAGE 其他保險資料
Does the insured have any other insurance policy covering this case?
被保險人有無投保其他家保險公司? □無 □有
If “Yes”, please complete below particulars.
若有,請詳細填寫以下資料:
Name of insurer 保險公司名稱 :
C. ACCIDENT PARTICULARS 意外事故經過
1. When (date and time) did the accident occur?
Insuring ClauseWhereas the Insured crrying on the Business by a Proposaland Declaration which shall be the basis of this contract andis deemed to be i...
已下载:0次 是否免费:否 上传时间:2024-04-23Insuring AgreementIn consideration of the Insured named in the Schedule hereto paying toPaofoong Insurance Company (Hong Kong) Limited (hereinafter ca...
已下载:0次 是否免费:否 上传时间:2024-04-22Insuring AgreementThe Insured having paid or agreed to pay to the Company the premium andthe Company agree to provide coverage during the period of in...
已下载:0次 是否免费:否 上传时间:2024-04-19Insuring 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...
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