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  1. 9/F., Wing On House, 71 Des Voeux Road Central, Hong Kong. 7 5100傳真Fax:3906 9906HOSPITALISATION & SURGICAL CLAIM FORM 住院及手術索賠申請書Please complete and sign this claim form and make sure the original copies of invoices a. d receipts are attached請填妥本申請書及簽署後連同有關 . 據正本一併遞交。Note ...

  2. 簽署須與上述扣賬銀行戶口/信用卡簽署式樣相同。如付款戶口為聯名戶口,各戶口持有人均需在此簽署。 (Signature should be the same as the specimen signature on Bank Account/ Credit Card spe cified above. If the Account to be debited is a joint Account

  3. 若以信託投保,請於中銀集團保險網頁www.bocgins.com 下載「客戶信息收集表」, 填妥後連同投保書一同遞交。. 如有任何查詢,請聯絡客戶服務熱線(852) 3187 5100。. If insured is Trust, please download"Customer Information Collection Form"in BOCG Insurance website www.bocgins.com, complete and submit ...

  4. 中國銀行(香港)有限公司(“中銀香港”)以中銀集團保險的委任保險代理身份分銷本計劃,本計劃為中銀集團保險的產品,而非中銀香港的產品。 Bank of China (Hong Kong) Limited (“BOCHK”) is an appointed insurance agent of BOCG Insurance for distribution of this Plan. This Plan is a product of BOCG Insurance but not BOCHK.

  5. 請填妥本申請書及簽署後連同有關單據正本,病理學、內規鏡、診斷性化驗/檢驗報告、手術室撮要副本一併遞交。. Please complete and sign this claim form and make sure the original copies of invoices & receipts and copies of histopathology, endoscopic, diagnostic/laboratory tests report, operating theatre ...

  6. 投保單位簽署及蓋印 : Authorized Signature & Stamp of Policyholder : - 現存或不時成立的任何保險公司協會或聯會或類同組織(『聯會』),以達到任何上述或有關目的,或以便『聯會』執行其監管職能,或其他基於保險業或任何『聯會』會員的利益而不時在

  7. 請以英文正楷填寫及在適當方格內加「 」號。任何答案如有更改,請投保人在旁簽署。 Please complete in English BLOCK LETTERS and tick the box where appropriate. Any changes to be made should be signed by the Proposer. 2.

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