苏黎世中国商务行险投保单——商旅易团体保障计划（自.PDFVIP

苏黎世中国商务旅行保险投保单——商旅易团体保障计划 （自选式） Zurich China Business Travel Insurance Application Form -BTA Group Plan (Tailor-made) 投保须知 Important Information 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. 若本投保单英文译本与中文有异，以中文版本为准。Should there be any inconsistency between Chinese and English version of this application form, the Chinese version shall prevail. 3. 被保险人的投保年龄：18-80 周岁，以投保时被保险人的周岁年龄为准。其中71-80 周岁的被保险人投保，需经过保险公司的特别审核。Insured Persons must be from 18 to 80 years of age inclusive upon application. The Insured Person aged from 71 to 80 years old can only be insured upon the company acceptance. 4. 在中国法律允许或要求的范围内，客户同意或授权投保公司将其个人信息及其保单信息提供给北京意外及健康保险信息平台以作合理利用。如果填写 手机号码我们将为您提供免费的投保短信提示。Insurer is permitted or authorized to provide client ’s personal and policy information to Beijing Casualty and Health Insurance Information Platform for reasonable usage within the scope of Chinese laws and regulations. We will provide free application tips via text message if applicant provides his/her mobile numbers. 投保人基本信息 Basic Information of Policyholder 投保人名称 组织机构代码 Name of Policyholder Registered Number 注册地址 邮政编码