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只供內部使用 For Internal Use 保單捐贈及更改保單受益人申請 …

Policy No. For Internal Use . Policy Donation and Beneficiary Appointment Form With policy donation PS-CHG06. Policy No. Insurance Intermediary's Information 1. / / 1. 1. Insurance Branch/Intermediary's Code/ Mobile No. Intermediary 's 2. registration Code 2. 2. Name . Please complete this form in BLOCK LETTERS. All amendments should be endorsed by the Policyholder in full signature.. The expression the Company used in this form refers to China Life Insurance (Overseas) Company Limited. / / / .. All previous designations of Charitable Institution(s) / CharitableTrust(s) / Beneficiariary(ies) / Trustee(s) under the policy specified in this form (the "Policy"). shall be revoked once the application under this form is accepted and approved by the Company.

Insurance Intermediary ’s Name. 1. 分行 / 中介人編號 / 註冊編號. Branch/Intermediary’s Code/ Registration Code. 1. 流動電話號碼. Mobile No.

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