MEDICALCLAIMFORM医疗赔偿申请书.PDFVIP

AIA International Limited (Incorporated in Bermuda with limited liability) MEDICAL CLAIM FORM 醫療賠償申請書 PART I (TO BE COMPLETED BY INSURED / CLAIMANT) 第一部份（由受保人或申請人填寫） Policy Number Name of Insured ID Card Number / Passport Number 保單號碼 受保人姓名 身份證號碼 / 護照號碼