Transcription of 「太 平 旅 遊 寶」 投 保 書 “TAIPING …
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「太 平 旅 遊 寶」 投 保 書 “TAIPING …
P. 1/4 TIP/PF-02015 TAIPING COMPREHENSIVE TRAVEL SCHEME PROPOSAL FORM Please answer items below and tick the boxes where appropriate and inform Co. if any of them has been altered PARTICULARS OF PROPOSER Company Name: No.: Individual Name: Sex: HKID Card No.: Correspondence Address: # E-Policy E-mail Address: Contact Tel. No.: Fax No.: # Proposer will not receive our policy by mail if he/she selects to receive electronic policy. INSURANCE COVER Insurance Plan: Deluxe Plan Premier Plan ( ) Short-tour Plan (Guangdong Province & Macau) Premium Type: Insured Insured Couple ( ) Insured(Father or Mother) & Children Insured Couple & Children Trips Type: ( 6 ) Single Trip Cover (Age Limit: over 6 weeks) ( ) ( 6 -75 )3 Months(Multiple Trips Cover) (Age Limit: over)
p. 1/4 tip/pf-02015 「太 平 旅 遊 寶」 投 保 書 “taiping comprehensive travel scheme” proposal form 請填報以下項目資料，並在適當的空格填上 ，如有變更必須通知保險公司
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