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‘综合意外’保障计划申请书
Complementary Personal Accident Plan Application Form
APPLICATION NUMBER
NAME OF THE INSURANCE AGENT
INSURANCE AGENT CODE
IMPORTANT NOTE
All the information you provide in or pursuant to this application form, and the terms of the application form (including without limitation the terms in the
“Declaration, Agreement and Authorizations” section) shall form part of the terms of the proposed contract between you and FTLife Insurance Company
Limited (“FTLife”) which will be binding on yo
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