保单更改申请表–保障.PDFVIP

香港太古城英皇道 1111 號太古城中心第 1 期 13 樓 電話 Tel: 2160 8800 保單更改申請表 – 保障 13/F, Cityplaza One, 1111 Kings Road, Taikoo Shing, Hong Kong 傳真 Fax: 2866 0785 Application for Policy Change - Benefits ｢中銀集團人壽保險有限公司｣以下簡稱: ｢本公司｣或｢貴司｣ BOC Group Life Assurance Company Limited referred to hereinafter as “ the Company” 商密三級 Confidential 保險中介人姓名 分行及員工編號 聯絡電話 Name of Insurance Intermediary Branch Code Staff No. Contact Tel No. 注意事項 Notes: (1) 請用正楷填寫。Please complete in BLOCK LETTERS. (2) 請於適用處加 「」。Please tick 「」where appropriate. (3) 保單權益人必須在此表格每頁「保單權益人簽署」位置簽署。Policy Owner MUST sign in Signature of the Policy Owner on each page of this form. (4) 保單權益人必須在此表格內任何更改或修改的地方簽署作實。Any changes or amendments in this form MUST be countersigned by Policy Owner in full signature. (5) 保單權益人請於簽署日期三十日內遞交申請表至本公司。 Please submit the signed form to the Company within 30 days. (6) 如為直銷產品，請提供保單權益人之身份證明文件核實真實副本。For Direct Marketing Products, please submit certified true copy of identity document of Policy Owner. 保單編號 保單權益人姓名 受保人姓名 Policy Number Name of the Policy Owner Name of the Insured 聯絡電話 Contact Tel No 第一部份 PART I 1. 更改保單保障 Change of Policy Benefits 如附加或增大保障 For adding or increasing benefits, (1) 請同時填報申請表第二部份。 Please also complete Part II. (2) 保單權益人如非持有香港身份證而持有中華人民共和國居民身份證，請親臨