万用寿险保单贷款申请表ApplicationforPolicyLoanonUniversalLife.PDF

万用寿险保单贷款申请表 Application for Policy Loan on Universal Life 只适用于港元或美元保单 Only applicable to HKD or USD policy 香港太古城英皇道1111号太古城中心第1期13楼 电话Tel:2160 8800 13/F, Cityplaza One, 1111 Kings Road, Taikoo Shing, Hong Kong 传真Fax: 2866 0785 ｢中银集团人寿保险有限公司｣ 以下简称: ｢本公司｣或｢贵司｣ 機密文件 Confidential BOC Group Life Assurance Company Limited referred to hereinafter as “the Company” 保险中介人姓名 分行及员工编号 联络电话 Name of Insurance Intermediary Branch Code Staff No. Contact No. 注意事项 Notes: (1) 请用正楷填写。Please complete in BLOCK LETTERS. (2) 请于适用处加「　 」。Please tick 「　 」where appropriate. (3) 请提供保单权益人之身份证明文件核实真实副本。Please submit certified true copy of identity document of Policy Owner. 保单编号 ( 以下简称「保单」) 保单权益人姓名 受保人姓名 Policy Number (the Policy) Name of the Policy Owner Name of the Insured 联络电话 Contact Telephone No A. 保单贷款 Policy Loan 注意事项 Notes: (1) 贷款金额需要符合个别保险计划的规定。Loan amount is subject to the requirement of the respective plan. (2) 本公司不接受以信用卡或缴费灵偿还贷款。Loan repayment by credit card or PPS will not be accepted. 贷款金额  最高贷款金额  贷款金额(保单货币