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英文姓名( 先生 / 小姐 / 太太/ 女士 )* 請先填寫姓氏 Name in English (Mr. / Miss / Mrs. / Ms.)* Surname first 請提供改名契副本Please provide a copy of deed poll 中文姓名Name in Chinese 聯絡人姓名Name of contact person 職業Occupation 聯絡電話( 住宅 ...
(香港以外留學學生)」,投保人請以英文 正楷填寫及在適當方格 內加「 」號。任何答案如有更改,敬請在旁簽署。If the extension of “Student Studying outside Hong Kong Benefit (Basic Benefits)” and/ or ...
個人醫療保險批改申請書. 公司專用 For office use. 經手人Input By. 香港中環德輔道中71號永安集團大廈九樓. 9/F., Wing On House, 71 Des Voeux Road Central, Hong Kong. 電話Tel:3187 5100. 傳真Fax:3906 9906.
Insured Person Amendment Application Form for Group Medical Insurance. 地址 : 香港中環德輔道中71 號永安集團大廈9樓客戶服務熱線 : 3187 5100傳真 : 3906 9906. Add : 9/F., Wing On House, 71 Des Voeux Road Central, Hong Kong Customer Service Hotline:3187 5100 Fax : 3906 9906. 保單編號 :
Out-Patient Medical Insurance Plan Proposal Form. 通訊地址:香港中環德輔道中71 號永安集團大廈9樓 Correspondence Address: 9/F., Wing On House, 71 Des Voeux Road Central, Hong Kong. 客戶服務熱線Customer Services Hotline:31875100.
Page 2 of 11 HEM-A-DIR-2023-V02 客戶注意事項 Important Notes to the Customer : 1. 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
1. 投保人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,敬請在旁簽署。 The Proposer has to complete the form in English BLOCK LETTERS and please put a “ ”in the box as appropriate. Any changes to be made should be signed by the2.