更改保单持有人.PDFVIP

Policy Ownership Change Form 保單持有人更改申請表 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 days th after signing this form. You may fax to 3409 8609 or by mail to: 57 floor, Hopewell Centre, 183 Queen’s Road East, Wanchai, Hong Kong. Please DO NOT submit this change form by email. 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。請勿透過電郵遞交此更改表格。 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。 Note: Please complete ALL Sections below. 註：請填妥以下所有部份。 Change of Ownership 更改保單持有人 Section A Note: 1. All benefit payment options (if applicable) under your policy will be reset to default option. 2. Payor Benefit rider (if applicable) will be cancelled. 第一部 註：1. 所有保障支付方式(如適用) ，將自動更新為預設選項。 2. 附加保障-付款人保障將被取消 。 Please provide the reason for Policy Ownership Change 請提供更改保單持有人之原因 New Policyowner Nam