团体住院赔偿申请表GROUP.PDFVIP

團體住院賠償申請表 GROUP HOSPITALIZATION CLAIM FORM 僱主名稱Name of Employer 團體保單編號Group Policy No.. - 重要須知 IMPORTANT NOTE - 請以正楷填寫本申請表。任何資料如有更改，僱員/病者/索償人必須在更改的位置簽署作實。Please complete this form in BLOCK LETTERS. All amendments should be endorsed by the Employee /Patient /Claimant in full signature. - 本申請表中所用之「本公司」或「貴公司」之表述指中國人壽保險（海外）股份有限公司。The expressions the Company or our Company used in this form refers to China Life