Policy No. - chinalife.com.hk

PS-FIN02/201707 of 3 __ ___ 313 22 22/F, CLI Building, 313 Hennessy Road, Wan Chai, HK Tel: 2545 8111 Fax: 2544 4395 _____ Request for Policy Maturity Form Policy No. The expression the Company used in this form refers to China Life Insurance (Overseas) Company Limited. Insurance Intermediary s Information Insurance Intermediary s Name 1. / / Branch/Intermediary s Code/ Registration Code 1. Mobile No. 1. 2. 2. 2. Part 1 Policy Information Name of Insured ( ) (If the Insured is different from the Policyholder, please complete this part.) Name of Policyholder Last Name First Name Last Name First Name Part 2 Important Notes 1. The maturity amount will be paid only on or after the maturity The specimen signature of Policyholder must match our Company s ( ) ( ) Please submit identity document(s) of Policyholder and bank account details ( bank book front page or relevant document(s)that can show the name of bank account holder and bank account no.)

PS-FIN02/201707 P. 2 of 3 第四部份 領款方式 (續) Part 4 Payment Methods (Continue) 支票支付 (本公司將開付以保單持有人抬頭之劃線支票) ...

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