苏黎世保险公司北京分公司海外任我行境外旅行保险投保.PDFVIP

苏黎世保险公司北京分公司 “海外任我行”境外旅行保险投保单 ZURICH INSURANCE COMPANY LIMITED BEIJING BRANCH “OVERSEAS EASY TRIP” TRAVEL INSURANCE APPLICATION FORM 投保须知 Application Guide 1.为了维护您的利益，请仔细阅读投保须知、投保人/被保险人声明、保险责任，尤其是责任免除部分条款内容，并听取业务人员的说明。如对业务人员的说 明不明白或有异议的，请在填写本投保单之前向业务人员进行询问，如未询问，视同已经对条款内容完全理解并无异议。请详细填写投保单上所需资料，并 亲笔签名确认。For your own benefit，please read the Application Guide, Applicant / Insured Declaration and benefits, especially the exclusion terms carefully and make sure to understand the explanation from service person, if anything unclear or dissent, please enquiry before fill this application. No enquiry is deemed as understand and agree with the terms and conditions entirely, then please complete the application form and sign below. 2.每位被保险人最多可购买一份本保障计划。超过一份者，超过部分无效。Only one effective coverage for an Insured in one trip. 投保人信息 Applicant Information 姓名/名称 联系电话 Name Tel No. 通讯地址 邮政编码 Correspondence Address Postcode 被保险人信息 Insured Information 姓名 身份证/护照号码 Name ID No. 出生日期 性别 Gender 与投保人关系 Date of Birth