人更改表格.PDF

BENEFICIARY CHANGE FORM 受益人更 改 表 格 Code of Intermediary 中介人編號 Name of Intermediary 中介人姓名 Contact No. 聯絡號碼 Code of District / Broker 區域 / 經紀編號 Name of District / Broker 區域 / 經紀名稱 Policy No. 保單號碼 Name of Policyowner 保單持有人姓名 Name of Insured 受保人姓名 Contact No. 聯絡號碼 Important Note 重要提示: Please complete and return to Metropolitan Life Insurance Company of Hong Kong Limited /MetLife Limited (wherever applicable)(“MetLife”) within 30 days after signing this form. You may fax to 3409 8609, or by email to customerservices@.hk or by mail to: Level 20, Cityplaza 3, 14 Taikoo Wan Road, Taikoo Shing, Hong Kong. 請填妥及簽署此表格並於 30 天內交回美商大都會人壽保險香港有限公司/大都會人壽保險有限公司(如適用)(「大都會人壽」)處理。閣下可傳真至 3409 8609 或電郵至 customerservices@.hk 或寄交回香港太古城太古灣道 14 號太古城中心 3 座 20 樓。 Any changes or amendments in this form must be countersigned by the policyowner in full signature. 保單持有人必須在此表格內任何更改或修改的地方簽署作實。 General Enquiries 一般查詢 For general enquiries, please call our Customer Services Hotline on 2199 1000 during hotline service hours, from Monday to Friday, 9:00am to 5:30pm and Saturday 9:00am to 1:00pm (except public holidays). 一般查詢，請於熱線服務時間內，星期一至星期五，上午九時至下午五時半，及星期六上午九時至下午一時(公眾假期除外) ，致電客戶服務熱線 2199 1000。 Beneficiary class 受益人級別 Full Name of Beneficiary (Please fill in BLOCK letters) Relationship to insured Beneficiary Identity No. Share (%) Primary Secondary 受益人姓名(請以英文正楷填寫) 與受保人關係 受益人身份證明號碼 分配比率 (百分比) 基本 次位