Claim Type 赔偿类别
□ Medical Beneft
□ Weekly Accident Indemnity
□ Accidental Dismemberment
□ New claim 首次索偿
□ Pending claim 待决索偿
□ Further claim 再度索偿
□ Review/appeal 重批/覆核
Please provide claim no. for reference 请提供赔偿编号以作参考
Part I (To Be Completed by Claimant/Insured) 甲部(由索偿人/受保人填写)
A. Insured’s Particulars 受保人资料
Policy no.
保单编号
Insured’s name
受保人姓名
HKID card/passport no.
香港身份证/护照号码
Date of birth
出生日期
DD日MM月YYYY年
Sex性别
Age年龄
Tel. no.电话号码
B. Employment Particulars 就业详情
1. Present occupation 现时职业
Duties 工作范围
Employer’s name, address & tel. no.
僱主名称、地址及电话
If more than one occupation, state all and exact nature of occupational duties.
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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