中银保险雇员赔偿保险投保书(4页).pdf
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保险范围 : 保障僱主对属下僱员因工遭受意外伤亡或患以该项业务有关之职业性疾病法律规定下之责任。
Cover : Indemnity against employers’ liability at
law to pay compensation in respect of bodily injury
by accident or disease to their employees.
保险公司之标準保单是不保障不在所保地区范围内法院裁判。
The indemnity under the insurance company’s standard
form of Policy will not apply in respect of judgments
which are not in the first instance
delivered by or obtained from a Court of competent
jurisdiction in the Geographical Area covered by the Policy.
投保人/投保公司名称 Name of proposed Insured /
proposed Insured Company
香港身份证号码 HKID Card No. /
商业登记证号码 Business Registration No. ___
电话Tel ____
通讯地址 Mailing address ___
营业地址 Business address ____
营业性质 Business 电子邮箱 e-mail
工作详情 Particulars of work
保险期限由 From 至 To (Both Dates Inclusive)
所有属於僱员补偿条例下之员工均须包括内
ALL EMPLOYEES WITHIN THE SCOPE OF THE EMPOLYEES’
COMPENSATION ORDINANCE MUST BE INCLUDED
僱员工作类别
Description of Employees
僱员人数估计
Estimated
Number of
Employees