PDF《雇员赔偿保险投保书》

2541 4338 或 电邮至 [email protected] Personal Data Collection Statement The information you provide to us is collected to enable us to carry on insurance business and may be used for the purpose of ? Any insurance or financial related product or service or any alternations, variations, cancellation or renewal of them. ? Any claim or analysis of it And may be transferred to any related business partners, companies carrying on insurance or reinsurance related business or an intermediary or a claims or investigation or other service provider providing services relevant to insurance business or any association or federation of insurance companies that exists or is formed from time to time. You have the right to obtain access to and to request correction of any personal information concerning yourself held by CPIC. Requests for such access can be made to our Personal Data (Privacy) Ordinance Compliance Officer accordingly. Tel : (852)

2541 4338 or E-mail : [email protected] 本人/本公司兹声明上述各项均属确实并同意本投保书作为双方订立契约之根 I/My company hereby declare that all the particulars of this proposal are true, and I/We agree that this proposal shall be the basis of Contract between myself/ourselves and China Pacific Insurance Co.,(HK) Ltd 投保人签署及公司盖章 日期 Proposer's Signature with Co. Chop if Applicable Date Official Use only Agent Code G. P. Client Code N. P. Account Handler A. C. Remark D. C.