个人全球医疗保险投保单INDIVIDUALHEALTHPLANAPPLICATION.PDF

中银环球守护—个人全球医疗保险投保单 INDIVIDUAL HEALTH PLAN APPLICATION FORM 中银保险上海分公司地址： 321 9 200002 上海四川中路 号 楼 BOC Insurance Shanghai Branch: 9F No.321 Sichuan Road(M), Shanghai, China 200002 尊敬的客户： Dear member, 1. 为使您充分了解投保内容并维护您的权益，投保前请向业务代表索要保险条款，并要求业务代表详细解释保险条款，特别是保险责任、 责任免除等重要内容。请在业务代表已解释保险条款，您已仔细阅读本保险相关内容和条款，确认已充分理解保险责任、责任免除、如实 告知、合同解除等重要事项后做出投保决定。 In order for you to fully understand the insurance applied for and so as to protect your rights and interests, please ask sales representative/broker for the policy wording and detailed explanations of the policy wording, particularly in terms of important contents such as benefits and exclusions before apply. Please make your application decision only when sales representative has explained the policy wording; you have carefully read relevant insurance contents and policy wording; and you have fully understood important issues like benefits, exclusions, honest disclosure and contract cancellation. 2. 投保单及其它保险人认为有必要的资料（以下简称“投保资料”）是本公司签发保险单的依据，将成为保险合同的重要组成部分，对于 本公司提出的各项询问，投保人、被保险人须如实告知，本公司承诺对投保资料内容保密。 The Application Form, and other files deemed necessary by the Insurer (hereinafter “application files ”) are basis for the Insurer to issue the Insurance Contract and will be an important part of the Insurance Contract. For all inquires of the Insurer, the Policyho lder and the Insured should disclose honestly, the Insurer guarantee to keep confidential of the application files. 3. 本投保单须由投保人亲笔签名确认,不得以任何形式委托他人代签。 The application form may only be signed by the policyholder. No other party or person may sign on behalf of the policyholder. 4. 若您已填写投保资料并签名，将视为您已充分理解保险条款并同意遵守。 If you fill in and sign the application files, it should