团体医疗团体人寿保险健康申报表.PDF

團體醫療 / 團體人壽保險健康申報表 Group Medical / Group Life Insurance Health Declaration Form E-mail: employeebenefits@ To be completed by Employee in Block Letters Fax : 2850 3003 () Employer Name (Policyholder) Group Medical Policy No. Affiliated Company Name Group Life Policy No. Employee Name (Same as ID Card / Passport)