保单更改申请表–保障.PDF

香港太古城英皇道 1111 号太古城中心第1 期 13 楼 电话 Tel: 2160 8800 保单更改申请表 – 保障 13/F, Cityplaza One, 1111 Kings Road, Taikoo Shing, Hong Kong 传真 Fax: 2866 0785 ?中银集团人寿保险有限公司?以下简称: ?本公司?或?贵司? Application for Policy Change - Benefits BOC Group Life Assurance Company Limited referred to hereinafter as “the Company” 商密三级 Confidential 保险中介人姓名 分行及员工编号 联络电话 Name of Insurance Intermediary Branch Code Staff No. Contact Tel No. 注意事项 Notes: (1) 请用正楷填写。Please complete in BLOCK LETTERS. (2) 请于适用处加「?」。Please tick 「?」where appropriate. (3) 保单权益人必须在此表格每页「保单权益人签署」位置签署。Policy Owner MUST sign in Signature of the Policy Owner on each page of this form. (4) 保单权益人必须在此表格内任何更改或修改的地方签署作实。Any changes or amendments in this form MUST be countersigned by Policy Owner in full signature. (5) 保单权益人请于签署日期三十日内递交申请表至本公司。 Please submit the signed form to the Company within 30 days. (6) 如为直销产品，请提供保单权益人之身份证明文件核实真实副本。For Direct Marketing Products, please submit certified true copy of identity document of Policy Owner. 保单编号 保单权益人姓名 受保人姓名 Policy Number Name of the Policy Owner Name of the Insured 联络电话 Contact Tel No 第一部份 PART I 1.更改保单保障 Change of Policy Benefits 如附加或增大保障 For adding or increasing benefits, (1) 请同时填报申请表第二部份。 Please also complete Part II. (2) 保单权益人如非持有香港身份证而持有中华人民共和国居民身份证，请亲临香港签署「重要资料声明书 - 内地人士在港投购人身/寿险保单」，连同相