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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”) customer service hotline (852) 3187 5100 for the interests of the proposed Insured/proposed Insured Company. Failure to disclose may mean that the policy will not provide the ...
GMD-CF/OP-2019-V00 團體醫療保險 Group Medical Insurance - 門診醫療索賠申請書Outpatient Benefit Claim Form 投保單位 Policyholder Name： 保單號碼 Policyholder Number： 受保員工姓名 Name of Employee: 所屬部門 Department : 受保員工編號 Insured
Page 2 of 4 BGI-A-2021-V06 承保期 Period of Insurance 由 From ( 日D / 月M / 年 Y) 至 To ( 日D / 月M / 年 Y) (首尾兩日包括在內 Both dates inclusive) 投保標的物詳情Particulars of Property to be Insured 投保額 Sum Insured
2 收集個人資料聲明 Personal Information Collection Statement 本人明白本人提供的資料為中銀集團保險提供保險業務所需，並可能使用於下列目的 I understand that the information provided by me to BOCG Insurance is collected to enable BOCG Insurance to carry ...
