更改自动递增方式.PDFVIP

Policy Benefit Option Change Form 保單利益選擇保單利益選擇更改更改表格表格 保單保單利益選擇利益選擇更改更改表格表格 Code of Intermediary 中介人編號 Name of Intermediary 中介人姓名 Contact No. 聯絡號碼 Code of Division / Broker 區域 / 經紀編號 Name of Division / 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 th days after signing this form. You may fax to 3409 8609, or by email to customerservices@.hk or by mail to: 57 floor, Hopewell Centre, 183 Queen’s Road East, Wanchai, 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或寄交香港灣仔皇后大道東一百八十三號合和中心五十七樓。 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 7:00pm 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，上午九時至下午七時，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。 [ 1 ] Change of Automatic Increase Option 更改自動遞增方式 Decline Automatic Increase for next Policy Year 取消下一保單年度自動遞增 [ 2 ] Change of Dividend / Guaranteed Cash Coupon Option 更改提取紅利 / 保證可支取現金方式 Dividend 紅利 Guaranteed Cash Coupon 保證可支取現金 Note: 1. If not specified, both dividend option (if applicable) and guaranteed cash coupon option (if applicable) will be updated.