中银学生人身平安保险计划投保书（3页）.pdf
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NOTES 备注﹕
1. 请以英文正楷填写本投保书及在适当方格内加「」号。本申请须经核保程序。投保书上如有任何更改，请於更正资料旁签署作实。
Please complete the form in English BLOCK
LETTERS and please put a “” in the box
as appropriate. This application is subject
to underwriting. Any changes in this Proposal
Form should be endorsed.
2. 為保障受保学生的利益，若不清楚此投保书需要透露的资料内容，请致电中银集团保险有限公司 (下称“中银集团保险”) 保险热线 (852) 3187 5100查询。若未能充份透露实情，将会使受保学生得不到所需的保障，甚至使保单失效。
If you have any doubt on what should be
disclosed in this Proposal Form,
please contact Bank of China Group Insurance
Company Limited (named below as “BOCG
Insurance”) hotline (852) 3187 5100 for
the interests of the Insured
Student. Failure to disclose may mean that
the policy will not provide the Insured
Student with the coverage required, or may
invalidate the policy altogether.
3. 若此投保书所含的内容与保单条款有任何歧异，概以保单為準。
In the event that the information contained in
this Proposal Form does not conform to the
terms in any policy issued, the policy terms
shall prevail.
4. 此保险计划乃由中银集团保险承保。
This insurance plan is underwritten by
BOCG Insurance.
投保人资料 Details of the proposed Insured
1. 英文姓名Name in English (请先填写姓氏Surname first):
2. 中文姓名Name in Chinese:
1. 请以英文正楷填写本投保书及在适当方格内加「」号。本申请须经核保程序。投保书上如有任何更改，请於更正资料旁签署作实。
Please complete the form in English BLOCK
LETTERS and please put a “” in the box
as appropriate. This application is subject
to underwriting. Any changes in this Proposal
Form should be endorsed.
2. 為保障受保学生的利益，若不清楚此投保书需要透露的资料内容，请致电中银集团保险有限公司 (下称“中银集团保险”) 保险热线 (852) 3187 5100查询。若未能充份透露实情，将会使受保学生得不到所需的保障，甚至使保单失效。
If you have any doubt on what should be
disclosed in this Proposal Form,
please contact Bank of China Group Insurance
Company Limited (named below as “BOCG
Insurance”) hotline (852) 3187 5100 for
the interests of the Insured
Student. Failure to disclose may mean that
the policy will not provide the Insured
Student with the coverage required, or may
invalidate the policy altogether.
3. 若此投保书所含的内容与保单条款有任何歧异，概以保单為準。
In the event that the information contained in
this Proposal Form does not conform to the
terms in any policy issued, the policy terms
shall prevail.
4. 此保险计划乃由中银集团保险承保。
This insurance plan is underwritten by
BOCG Insurance.
投保人资料 Details of the proposed Insured
1. 英文姓名Name in English (请先填写姓氏Surname first):
2. 中文姓名Name in Chinese:
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