Insuring Clause
Whereas the Insured crrying on the Business by a Proposal
and Declaration which shall be the basis of this contract and
is deemed to be incorporated herein has applied to the
Company for the insurance herein contained and has paid or
agreed to pay the Premium speeified herein as consideration
for such insurunce.
Now this Policy witncsseth that if any employee in the
Insured's immediate servioe shall sustain bodily injury or
death by Accident ocuring or Disease contracted during
the Period of Insurance within the Geographical Area and
arising out of and in the course of his employment by the
Insured in the Business.
The Company will subject to Policy Limit of Indemnity and
to the terms, exceptions and conditions contained in or
endorsed on this Policy (all of which are hereinafter
collectively referred to as "the Terms of this Poliey")
indermmify the Insured against his legal lability in respect of
such bodily injury or death under the Ordinance and
independently of the Ordinance to pay compensation and
damiges and claimant's 008t8 and expenses and alsc
indermmify the Insured against costs and expenses incurred by
or on behalf of the Insurced with the Company's writen
consent in connection therewith.
填表日期: 年 月 日(申请书栏位请详实填写) 保单号码: 日间联络电话:复效项目(请勾选)主契约 主契约及全部附约 全部附约附约:附约要保项目(保额/等级) -请另填列「 台银人寿个人健康险及伤害险之费率可能调整告知书」及「保险契约审阅期间确认声明书」 保险费□已审阅附约保单条款样本或影本(附 1...
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要保单位公司名称部门 统编(*)事故者资料姓名 身分证字号 出生日期 事故者与员工关係年 月 日 □本人□子女 □父母□配偶□其它________员工资料(若事故者即员工,粗框内免填)姓名 身分证字号 出生日期 (*) 保单号码 (*) 等级年 月 日 ___(*) 住所地址 □□□由服务人员或窗口...
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保单号码: 保险理赔给付申请书 【XX专用版】*申请资料及内容*被保险人姓名: *出生年月日: 年 月 日*身分证字号: * 申请种类: 非意外事故(疾病) 意外事故 (择一勾选)*理赔类别(可複选)身故(A) 失能(B) 丧失工作能力豁免保费/ 重疾豁免保费(J) 生命末期(D) 意外险(X)...
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Important Note 重要提示:1. Your request is subject to approval by the Company. If the request is approved, it will be recorded and duplicate copy ofthis f...
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要保人:被保险人:申请日期: 年 月 日为确认要保人∕被保险人具意愿且瞭解其申请事项,本公司有可能採取电访或面访方式连繫保单相关人员,以符合法令要求并确保您的权益。 提醒您:电访显示代表号 XXXXX, 简讯代表门号XXXXX, 简讯内连结 网址开头https://XXXX.tw/。本申请书须于填写...
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事故者基本资料 *事故人与受益人非同一人时,请填写受益人其中一人之联络方式(*)姓 名 (*)身分(居留)证字号(*)联络电话 (*)居住地址 □□□(*)保单号码 15 E-mail □@gmail.com □@yahoo.com.tw□@hotmail.com □其它@行动电话及 E-mail ...
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