HOME COMPREHENSIVE INSURANCE
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- Joella Walker
- 8 years ago
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1 Peace of Mind CBI SUPREME PROTECTION PLAN HOME COMPREHENSIVE INSURANCE CBI SUPREME PROTECTION PLAN HOME COMPREHENSIVE INSURANCE We Care Your Needs Your daily life can be seriously affected in the event of any misfortune happened to your lovely home such as fire, explosion and burglary, etc. CBI Supreme Protection Plan Home Comprehensive will give you a peace of mind and provide you a comprehensive protection to you and your home contents. Comprehensive Coverage, Great Protection CBI Supreme Protection Plan Home Comprehensive provides all risks cover to your home contents such as furniture, electrical appliance, kitchen utensils, clothing and personal valuables. In case your home contents are accidentally lost or damaged, we, subject to the terms and conditions of the policy, will indemnify you against any loss of or damage to your home contents up to the maximum amount stated in the attached Coverage Summary. Free Extensions We care your concerns and offer the following extensions at free of charge: Public liability Lock and window replacement due to burglary Home contents temporarily removed from home Loss of personal cash due to burglary at home Damage to frozen food due to failure of refrigerator or freezer Temporary accommodation Home contents damaged whilst being removed to a new insured location. Personal accident insurance for you and your family members Our Services If unfortunately you require assistance in the event of an accident, China BOCOM Co., Ltd. provides you with 24 hours free emergency assistance referral services: Emergency Electrician Emergency Plumber Airconditioning Engineering 24hour Locksmith General Repairs Handyman. 24 hours General Claims Assistance Buy Domestic Helper Together, Get Special Discount We will offer you a special discount if you purchase CBI Supreme Protection Plan Domestic Helper Comprehensive at the same time. The following plans are available under Domestic Helper : Plan A Standard Plan Plan B Comprehensive Plan (Applicable for oversea domestic helper only) Protect your legal liability under Employees' Compensation Ordinance Coverage in addition to Plan A: 24 Hours Personal Accident Clinical Expenses Surgical & Hospitalization Expenses Dental Expenses. Repatriation Expenses Replacement Expenses & Temporary Helper Expenses * Please refer to our brochure for Domestic Helper Comprehensive regarding the coverage details. Main Exclusions War, Terrorist Act, radioactive contamination, special equipments used or profession, business or employment, contents in open area, contact lenses, mobile telephones, stamps, coins, cheques, credit cards, document of titles and manuscript, etc. Claims Service In the event of any claim under the policy, we strive to provide you with prompt, fair and courteous claims service. Application Procedure To apply, please complete and return the proposal form or call our enquiry hotline for more details. Enquiry Hotline : Personal Information 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 alterations, variation, cancellation or renewal of them and any claim or analysis of it; and may be transferred to any of our related companies or any other company 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 China BOCOM Co., Ltd. Requests for such access can be made to our Data Protection Officer. 16/F., Bank of Communications Tower Gloucester Road, Wan Chai, Hong Kong Tel: Fax: Web Site: Address: info@cbic.hk ISO 9001:2000 Certificate No. : This brochure is used for reference only. Please refer to the policy for exact terms, conditions and exclusions.
2 HOME COMPREHENSIVE INSURANCE PROPOSAL FORM Name of Proposer: Insured Situation: Age of Building: Tel: Fax: ( ) Postal Address (If different from Insured Situation): Period: From D D M M Y Y To D D M M Y Y Purpose of Building` Owned Rented Type of Building: Public Housing Private Housing House " " Please use " " to select coverage Home Contents Coverage () Gross Floor Area (in square feet) Less than ,000 1,0011,500 1,5012,000 2,0012,500 More than 2,500 (HK$) Premium (HK$) ,000 1,200 1,500 1,800 Negotiable (HK$) Annual Premium (HK$) : HK$ A Plan A (95 Less 5% offer)* Domestic B Plan B (95 Less 5% offer)* : HK$ Helper Total Annual Premium: HK$ * Please refer to Domestic Helper Comprehensive Pamphlet Have you made any claim under your home contents policy for past 3 years? If yes, please specify: If you select Domestic Helper, please provide the following informations: Name of Domestic Helper: / I.D. / Passport No. A B A info@cbic.hk ISO 9001:2000 Certificate No. : BR/HIP/1/28/06/07 Date of Birth: Sex: Nationality: BIf you select Plan B, please complete the following about the health condition of your domestic helper: 1. Are you aware of any condition for which your domestic helper may require medical or surgical treatment? yes no 2. Has the domestic helper ever been rejected or subject to special terms and conditions when applying for accident or illness insurance? yes no " " If any the above answer is "yes", please give details. Declaration 1. The Insured premises is solely occupied by me and my family for the purpose of dwelling and, is built of bricks, stone or concrete and roofed with concrete, and age of building not exceed 30 years. 2. I declare that the information given above is true and complete to the best of my knowledge and belief. I further declare that all materials affecting the assessment of this application have been disclosed. 3. I understand that this application will not become effective until this proposal has been accepted by China BOCOM Co., Ltd. and agreed that this Proposal and Declaration shall be the basis of the contract between me and the Insurer. Signature of Proposer: Date: For Office Use Only Agent: Client:
3 1. () ( ( HK$550) HK$60,000 HK$10,000 HK$300,000 HK$20,000 HK$ HK$1,000HK$2 ( 5 ) HK$1,500 HK$50,000 HK$ HK$200,000 A BA 1,000,000 8, , ,000 7,500,000 HK$500 HK$1,000 10% ,000 1,0011,500 1,5012,000 2,0012,500 2,500 HK$550 HK$800 HK$1,000 HK$1,200 HK$1,500 HK$1,800 (HK$) A:(95) B (95) Household Contents "All Risk" 2. Free Extension 3. Public Liability 4. OPTIONAL COVER Domestic Helper OPTIONAL COVER PREMIUM CBI SUPREME PROTECTION PLAN HOME COMPREHENSIVE INSURANCE ITEMS COVERAGE SUMMARY (HK$) Max. Limits (HK$) per year POLICY EXCESS ANNUAL PREMIUM Based on Gross Floor Area (Sq. Ft.) (Min. Premium: HK$550) Cover home contents against accidental losses occurring within Insured premises. The maximum coverage per item of Contents is $60,000. The maximum coverage per item of Valuables within the Insured Premises is $10,000 subject to $300,000 per year. Replacement of damaged locks and keys or installation of damaged windows due to burglary or attempted burglary. Loss or damage to household contents or home appliances while being temporarily removed from home due to renovation, cleaning or repairing, HK$20,000 per item subject to the maximum limit. Loss or damage to Domestic Helper's property at home, HK$1,000 per item subject to the maximum limit. Loss of Personal Cash for you and your family members as a result of burglary. Loss or damage to frozen food due to the failure of refrigerator or freezer. Refrigerator must be under 5 year old. Temporary accommodation if the Insured premises is rendered uninhabitable as a result of an accident, up to $1,500 per day and $50,000 per year. In the event of fire or theft at the Insured Premises, resulting in the death of the Insured of his family members, HK$ per person subject to a maximum HK$200,000 per family per year. Removal of debris as a result of Insured loss. Loss or damage to Home Contents while they are being moved by professional removers to a new insured risk location within Hong Kong. Liability coverage against any claim for bodily injury or property damage against you or your family members occurring within the territory of Hong Kong and Macau. Plan A: Plan B: Protect your legal liability under Employees' Compensation Ordinance Provide Plan A coverage and personal accident, medical expenses, repatriation expenses, replacement and temporary helper expenses. 1,000,000 8, , ,000 7,500,000 Please refer to Domestic Helper Booklet for details HK$500 for each and every claim HK$1,000 or 10% of loss amount for each and every water damage claim, whichever is the greater ,000 1,0011,500 1,5012,000 2,0012,500 More Than 2,500 Domestic Helper Valid from September 1, Price is subject to change without prior notice. COVERAGE SUMMARY HK$550 HK$800 HK$1,000 HK$1,200 HK$1,500 HK$1,800 Negotiable Plan A: (less 5%) Plan B: (less 5%) Please refer to Domestic Helper Comprehensive Pamphlet
4 日 月 年 由 址 者 ISO 9001 : 2008 Certificate No 家 居 綜 合 保 險 投 保 書 HOME COMPREHENSIVE INSURANCE PROPOSAL FORM Name of Proposer/Applicant : 別 途 自 私 住 宅 Insured Situation: Year of Built: 屋 屋 租 屋 Postal Address (If Different from Insured Situation): Insured s Occupation: Telephone No Address: Period of : FROM Year Month Date TO Year Month Date Purpose of Building Owneroccupied Rented Out Type 障 of Building Private Housing Public Housing Independent House Village House If the insured premise is renting out, the insurance coverage will be limited to properties owned by the Insured and the insurance policy will cover only the loss and/or damage caused by resulting from 於 積 呎 積 呎 fire, water, typhoon or flood only. If the insured premise is categorized as public housing, independent house or village house, the company may have rights to amend any terms and/or impose special terms and/or refuse this application. 以 議 Please use to select coverage Home Contents Gross Floor Area Premium Gross Floor Area Premium Coverage (in Square feet) (in Square feet) 請 劃 折 惠 Less than 500 HK$550 1,001 1,500 HK$1, HK$800 1,501 2,000 HK$1, ,000 HK$1,000 2,001 2,500 HK$1,800 More than 2,500 (Negotiable) HK$ A 95 Less 5% Discount Foreign Domestic Helper Plan B 95 Less 5% Discount 名 錄 有 料 明 證 碼 : HK$ * Please refer to Foreign Domestic Helper Comprehensive Pamphlet Total Annual Premium : HK$,, : Have you made any claim under your home contents policy for past 3 years? If Yes, please specify 期 性 別 籍 (If you insure Foreign Domestic Helper, please provide the following information): 您 劃 況 : / : Name of Domestic Helper 者 險 術 保 HKID Card /Passport No. ( / / ) : : : Date of Birth (dd/mm/yy) Sex Nationality B, : If you select Foreign Domestic Helper Plan B, please complete the following about the health condition of your domestic helper. 1.? Yes No 如 金 法 費 Are you aware of any condition for which your domestic helper may require medical or surgical treatment? 2.,? Yes No Has the domestic helper ever been rejected or subject to special terms and conditions when applying for accident or illness insurance? 款 賬, 卡 保 票 If any the 款 above answer is yes, please give details. PREMIUM PAYMENT METHOD Choose the premium payment method below : Cash Transfer *Cheque* * Below ** VISA / ) 交 通 銀 行 客 戶 專 用 通 申 請 人 名 稱 點 建 築 物 落 成 年 份 保 訊 如 與 投 保 地 點 不 同 投 人 職 業 聯 絡 電 話 電 郵 地 址 住 險 期 由 年 月 日 至 年 月 日 保 宅 地 類 點 用 人 住 公 出 共 房 用 作 出 租, 此 保 單 只 保 障 投 保 人 之 獨 財 立 物 房 而 且 保 障 範 圍 只 限 於 由 火 災 水 村 浸 颱 風 或 兩 水 泛 濫 引 起 或 導 致 之 財 物 損 失 請 若 受 保 物 業 被 歸 類 為 公 共 房 屋 獨 立 房 屋 或 村 屋, 保 險 公 司 有 權 修 改 任 何 承 保 條 件 增 加 附 帶 條 件 或 拒 絕 此 投 保 申 請 家 以 居 財 選 擇 物 保 保 障 建 少 築 面 積 平 方 呎 保 費 建 築 面 積 平 方 呎 保 費 海 外 家 傭 保 險 計 劃 優 上 另 行 商 在 參 考 簡 介 全 年 總 保 費 Plan 家 過 去 三 年 曾 否 有 索 償 家 居 保 險 之 記 如 請 詳 細 說 出 綜 合 保 險 請 填 下 列 家 傭 資 料 如 傭 生 選 姓 日 擇 海 外 保 險 計 者 請 填 寫 有 關 您 的 家 傭 健 康 狀 國 香 港 身 份 護 照 號, 以 是 否 知 道 上 述 家 傭 可 能 因 某 種 病 症 而 需 要 接 受 治 療 或 手 繳 的 家 傭 曾 否 被 拒 保 意 外 或 醫 療 保 或 需 附 加 特 別 項 目 或 條 件 才 受 是 否 選 上 擇 付 任 下 保 何 列 費 一 方 項 法 回 繳 答 付 保 是 請 詳 細 說 明 下 列 現 支 票 支 票 抬 頭 需 轉 填 寫 中 國 交 銀 保 險 有 支 限 公 司 以 繳 直 付 接 保 付 費 款 方, 法 需 只 填 適 寫 用 及 於 信 提 以 用 交 個 人 交 直 身 通 接 份 銀 付 投 行 款 保 賬 方 戶 式 直 授 接 權 付 書 電 香 港 中 環 紅 棉 路 號 東 昌 大 廈 樓 8 如 *If paid by cheque, cheque should be made payable to China BOCOM Co., Ltd. payment method is solely used for insurance subscribed by individual ( 話 傳 廈 Direct Debit** (Direct debit from either VISA credit card or Bank of Communications bank account) 真 ** **If premium paid via Direct Debit payment, please complete and return the Direct Debit Payment Authorization Form to us. PROHIP B 1 of 4
5 In the event the application consisting of personal information, such application will not be processed unless this personal information collection statement is duly read and signed by the insurance applicant. (effective from 1 st April, 2013) PERSONAL INFORMATION COLLECTION STATEMENT ( PICS ) PART 1 : COLLECTION AND USE OF PERSONAL DATA China BOCOM Co., Ltd. (hereafter called the Company ) may use the personal data the Company collects from you (whether contained in the insurance application or otherwise) for the following purposes: (i) processing and evaluating your insurance application and any future insurance application you may make; (ii) administering your insurance policy and providing services in relation to your insurance policy; (iii) investigating, processing and paying claims made under your insurance policy; (iv) invoicing and collecting premiums, deductibles for claim settlement and/or any outstanding amounts from you; (v) executing the Direct Debit Payment Authorization for premium payment; (vi) designing products/services for customers; (vii) conducting market research for statistical or other purposes; (viii) matching any data held which relates to you from time to time for any of the purposes listed herein; (ix) conducting identity and/or credit checks and/or debt collection; (x) carrying out other services in connection with the operation of the Company s business; (xi) promotion of insurance and/or financial products or services and/or providing of latest product privilege, new product and/or services information when they become available; (xii) contacting you for any of the above purposes; (xiii) other ancillary purposes which are directly related to the above purposes; and (xiv) complying with applicable laws, regulations or any industry codes or guidelines. Personal data will be collected only for lawful and relevant purposes and all practicable steps will be taken to ensure that personal data held by the Company is accurate. The Company will take all practicable steps to ensure security of the personal data and to avoid unauthorized or accidental access, erasure or other use. The Company may disclose your personal data for the above purposes to the following classes of transferees: (a) third party agents, contractors and advisors who provide administrative, communications, computer, payment, security or other services which assist the Company to carry out the above purposes (including medical service providers, emergency assistance service providers, telemarketers, mailing houses, IT service providers, bank for executing direct debit payment and data processors); (b) in the event of a claim, loss adjudicators, claims investigators and medical advisors; (c) in the event of default, debt collectors and recovery agents; (d) insurance reference bureaus or credit reference bureaus; (e) reinsurers and reinsurance brokers; (f) your insurance broker (if you have one); (g) our legal and professional advisors; (h) our related companies; (i) the Hong Kong Federation of Insurers (or any similar association of insurance companies) and its members; (j) the Claims Complaints Bureau and similar industry bodies; and (k) government agencies and authorities as required or permitted by law. The Company may also use and disclose your personal data otherwise with your consent. Related companies in this form means the holding company of the China BOCOM Co., Ltd (Bank of Communications) which includes branches, subsidiaries, representative offices and/or any corporations or legal entity under the effective management control by the Bank of Communications and/or any subsidiaries and/or representative offices of China BOCOM Co., Ltd, wherever situated. PART 2 : DIRECT MARKETING With your consent, the Company may also use your contact details, demographic information and policy details to contact you with direct marketing communications regarding financial and insurance products by mail, , telephone or mobile message. Please tick the box below to inform us if you do not consent to receive such direct marketing communications. With your consent, the Company may also provide your contact details, demographic information and policy details to our related companies who may send you direct marketing communications regarding financial and insurance products by mail, , telephone or mobile message. Please tick the box below to inform us if you do not consent to us providing your personal data to our related companies and do not wish to receive direct marketing communications from our related companies. I/We do not consent to receive marketing communications from the Company. I/We do not consent to receive marketing communications from the related companies of the Company. If you return this form without ticking the above box it means that you do not wish to optout from any form of direct marketing of the Company and/or its related companies In the event you have informed us in this statement you do not consent to receive direct marketing communications from the related companies of the Company, we will not provide your personal information to the related companies of the Company. However it does not mean that you are not consent the use of personal data by related companies who held or collected your personal information either by its own way or from other channels other than the Company for the purpose of direct marketing communications. IMPORTANT NOTE TO INSURANCE APPLICANT: (1) It is mandatory to provide all of the personal data requested on the insurance application/proposal form. Failure to provide all the personal data requested on this insurance application/proposal form may mean the Company are unable to process your application. (2) The above statement at Part 2 represents your present choice whether or not to receive direct marketing materials and it will supersede all previous choices communicated by you to the Company prior to this application. (3) You may in future withdraw your consent to the use and provision of your personal data for direct marketing. If you wish to withdraw your consent, please inform us in writing to the address in the section on ACCESS AND CORRECTION OF PERSONAL DATA. The Company shall, without charge to you, ensure that you are not included in future direct marketing activities. (4) If you want to know the use and provision of personal data in direct marketing, please contact the Company for further information. 樓 ACCESS AND CORRECTION OF PERSONAL DATA: Under the Personal Data (Privacy) Ordinance (Cap. 486) ( PDPO ), you have the right to ascertain whether the Company holds your personal data, to obtain a copy of the data, and to correct any data that is inaccurate. You may also request the Company to inform you of the type of personal data held by it. Requests for access and correction or for information regarding policies and practices and kinds of data held by the Company should be addressed in writing to: Data Privacy Officer of China BOCOM Co., Ltd. PROHIP B 2 of 4 電 香 港 中 環 紅 棉 路 話 傳 廈 真 路 號 8 號 東 昌 大 廈
6 ); 投 收 部 保 申 請 人 必 須 閱 讀 及 簽 署 此 收 集 個 人 資 料 聲 明 後 有 關 投 保 申 請 將 會 被 處 理 年 月 日 起 生 效 中 國 集 分 交 個 銀 人 理 資 料 的 聲 明 查 收 保 及 集 險 審 及 有 批 使 限 用 閣 公 個 下 司 人 的 ( 資 保 下 料 險 申 本 請 公 或 司 閣 ) 下 可 將 能 來 會 提 使 交 用 的 客 保 戶 險 提 申 供 請 的 個 人 資 料 不 論 是 否 在 投 保 申 請 書 內 所 載 或 從 其 他 途 徑 所 取 得 作 以 下 用 途 : 客 出 行 戶 繳 直 閣 交 接 處 設 下 保 付 理 計 費 及 產 單 通 方 支 品 知 式 付 行 及 授 或 政 閣 權 向 服 工 下 繳 務 保 作 閣 付 ; 單 及 下 保 有 提 收 費 關 供 取 的 與 保 索 費 閣 償 下 自 ; 保 負 單 額 相 及 關 欠 的 款 服 ; 務 ; 向 行 展 統 時 閣 就 計 身 下 本 或 份 提 公 其 條 和 供 司 他 款 / 本 業 目 所 或 公 的 信 務 列 司 經 用 進 的 最 營 行 任 核 新 市 何 查 有 場 目 和 關 產 研 / 品 究 其 或 核 優 ; 他 對 債 惠 務 服 所 追 務 持 推 收 有 廣 ; 的 與 新 閣 產 品 下 有 及 關 服 的 務 任 資 何 訊 資 ; 料 ; 驟 以 它 上 與 上 途 述 聯 用 絡 途 有 閣 直 下 接 ; 關 係 的 附 帶 用 途 ; 及 本 公, 僅 循 將 適 為 合 法 律 和, 相 條 關 列 的 及 目 業 的 内 收 守 集 則 及 指 引 料, 並 將 採 取 一 切 切 實 可 行 的 步 驟, 確 保 本 公 司 所 持 個 人 資 料 的 準 確 性 本 公 司 將 採 取 一 切 切 實 可 行 的 步 應 司 確 保 個 人 資 料 安 全 性, 避 免 發 生 未 經 授 權 或 者 因 意 外 而 擅 自 取 得 刪 除 或 另 行 使 用 個 人 資 料 的 情 況 理 討 亦 可 因 應 上 述 用 途 披 露 閣 下 的 個 人 資 料 予 下 列 各 方 : 上 商 述 電 用 話 途 促, 銷 向 商 本 公 郵 司 寄 提 及 供 印 行 刷 政 服 務 通 商 訊 資 電 訊 腦 科 技 付 服 款 務 供 保 應 安 商 及 其 執 它 行 服 直 務 接 的 付 第 款 三 方 式 代 繳 理 付 保 承 費 包 之 商 銀 及 行 顧 及 問 數 ( 據 包 處 括 理 : 服 醫 務 療 服 務 供 應 商 緊 急 救 援 服 務 供 索 賠 個 案 的 理 賠 師 理 賠 調 查 員 及 醫 療 顧 問 ; 欠 款 的 收 數 公 司 或 索 償 代 理 ; 資 料 服 務 司 及 信 貸 資 料 服 務 公 港 保 公 司 及 再 保 經 險 的 司 保 索 險 保 的 償 業 險 法 關 投 聯 經 律 連 訴 會 紀 局 及 ( 專 及 或 若 同 業 同 有 類 業 類 的 務 的 保 顧 保 險 險 業 公 機 司 聯 會 ) 及 其 會 國 例 要 求 或 許 可 政 府 會 機 以 關 其 它 方 式 使 用 及 披 露 閣 下 的 個 人 資 料 部 交 分 連 銀 公 保 直 險 銷 有 是 促 限 指 銷 本 公 的 司 附 的 屬 控 公 股 司 公 及 司 代 表 交 處 通 銀, 不 行 論 其 中 所 亦 在 包 地 括 交 通 銀 行 屬 下 之 分 行 附 屬 公 司 及 代 表 處 及 或 任 何 被 交 通 銀 行 在 管 理 上 控 制 的 公 司 及 或 中 聯 直 經 接 促 銷 通 訊 若 閣 可 下 能 不 使 欲 用 接 收 閣 有 下 關 的 直 聯 接 絡 促 資 銷 料 通 訊 個, 人 請 基 在 以 資 下 料 的 及 方 保 格 單 内 資 填 料 上, 通 過 書 信 電 郵 電 話 或 流 動 短 訊 與 閣 下 聯 絡, 提 供 金 融 及 保 險 產 品 / / 同 意, 本 公 司 亦 可 能 提 供 閣 下 的 聯 繫 資 料 個 人 基 資 料 及 保 單 資 料 給 本 公 司, 關 連 可 以 以 書 信 電 郵 或 流 動 短 訊 與 閣 下 絡, 提 供 金 融 及 保 險 產 品 的 直 接 促 銷 通 訊 若 閣 下 反 對 本 將 閣 下 個 人 資 料 提 供 給 關 連 公 司 及 不 欲 接 收 關 連 公 司 的 直 接 促 銷 通 訊, 請 在 以 下 的 如 方 格 内 填 上 若 公 促 若 遞 閣 交 下 反 對 接 書 收 而 本 關 沒 連 有 公 的 司 以 直 的 上 直 方 促 接 格 銷 促 内 通 銷 以 訊 通 訊, 顯 請, 示 在 請 閣 方 在 下 格 方 的 内 格 選 填 内 擇 填 上 上 即 代 表 閣 下 並 不 拒 絕 接 收 任 何 形 式 的 直 銷 推 廣 申 司 銷 請 閣 的 用 人 下 關 途 需 在 連 此 公 聲 司 明 使 中 用 已 由 表 其 明 公 不 司 同 原 意 接 擁 收 有 關 連 閣 公 下 司 的 的 個 直 人 接 資 促 料 銷 或 通 其 訊 公, 司 我 從 自 將 己 停 的 止 途 提 徑 供 或 從 閣 其 下 他 的 非 個 經 人 由 資 本 料 公 給 司 予 的 本 途 公 徑 司 收 的 集 關 獲 連 得 公 司 閣, 下 但 之 這 個 並 人 不 資 代 料 表 所 作 閣 出 下 的 反 直 對 接 本 上 請 留 注 部 意 的, 代 重 如 表 要 果 事 項 現 不 在 向 接 本 收 公 司 銷 提 推 供 廣 閣 資 下 料 個 選 人 擇 資, 料 這, 亦 本 取 公 代 司 任 可 何 能 閣 無 下 法 之 提 前 供 已 閣 告 下 知 中 需 國 交 資 銀 料 保 險 產 有 品 限 或 服 務 的, 選 或 擇 無 法 處 理 閣 下 的 要 求 個 撤 回 閣 下 給 予 本 公 司 同 意 請 發 信 至 下 個 人 資 料 的 查 閱 和 更 正 部 份 所 列 的 地 址 通 知 本 公 司 本 公 司 會 在 不 收 取 任 何 費 用 的 情 況 下 根 確 下 保 如 不 會 欲 了 將 解 閣 更 下 多 納 本 入 公 日 司 後 為 的 促 直 銷 接 目 促 的 銷 使 活 用 動 中 閣 下 的 個 人 資 料 的 政 策, 歡 迎 與 本 公 司 聯 絡 索 取 進 一 步 資 料 司 據 所 人 位 資 於 條 持 料 香 例 個, 的 港 人 查 中 資 閣 閱 環 料 下 和 紅 的 有 更 棉 種 權 正 路 類 查 明 號 查 本 東 閱 公 昌 和 司 大 更 是 廈 正 否 的 持 樓 要 有 個 求 人 閣, 資 下 或 料 的 有 保 個 關 護 人 獲 主 資 取 任 料 政 收, 策 獲 取 常 該 規 資 及 料 本 的 公 副 司 本 所, 持 以 的 及 資 更 料 正 種 任 類 何 的 不 資 準 料 確, 的 均 資 應 料 以 書 閣 面 下 形 還 式 可 發 以 送 要 至 求 : 本 中 公 國 司 交 告 銀 知 保 險 閣 有 下 限 本 公 電 香 港 中 環 紅 棉 路 號 東 昌 大 廈 樓 8 分 處 調 發 執 為 1: 不 進 (i) 開 (ii) (iii) 就 (iv) 其 (v) 遵 (vi) (vii) (viii) (ix) (x) (xi) (xii) (xiii) (viii) (a) 就 處 追 再 閣 本 香 (b) (c) (d) (e) 關 保 法 (f) (g) (h) 分 (i) (j) (k) 2: 敬 以 閣 (1) (2) (3) (4) 閣 司 分 2 PROHIP B 及 / 司 紀 ; ; 路 8 稱 問 ; 廈 18 司 構 ; ; 以 員 ; 文 上 正 話 傳 廈 真 理 ( 日 1 效 ) 商 ; 3 of 4
7 If I/WE 明 本 人 DECLARATION 1. / 人 The Insured Premises is built of bricks, stone or concrete and roofed with 分 人 人 concrete, and age of building not exceed 30 years. 人 人 響 人 人 人 人 人 2. / / I / We declare that the information given above is true and complete to the best of my / our knowledge and belief. 3. / I / We understand that this application will not become effective until this proposal has been accepted by China BOCOM Co., Ltd. and agree that this Proposal and Declaration shall be the basis of the contract between me / us and China BOCOM Co., Ltd. 4. / / / / / / / ( / / / 2 / ACKNOWLEDGE AND CONFIRM that I/we have read and understood the Personal Information Collection Statement ( PICS ). I/We confirm that I/we have been advised to read 聲 明 之 明 謹 投 就 白 保 居 投 所 保 書 結 被 構 中 是 所 國 由 知 交 磚 及 銀, 所 保 石 聲 險 或 明 有 三, 限 合 上 公 土 述 司 建 資 接 做 料 受, 全 以 後 部 及 保 屬 障 樓 實 才 齡 無 不 正 訛 超 式 生 過 三 效, 十 及 年 本 公 司 確 認 本 本 公 司 已 閱 讀 並 明 白 收 集 個 人 資 料 的 聲 明 本 公 司 同 確 意 認 該 投 保 本 書 公 和 司 聲 已 明 被 將 通 被 知 用 本 作 雙 本 方 公 合 司 約 須 之 詳 根 細 據 述 料 公, 聲 司 本 明 已 部 詳 本 細 公 閱 中 司 讀 給 特 該 予 此 聲 貴 確 明 司 認 對 的 並 貴 指 同 公 示 意 司 在 中 所 直 國 收 接 交 集 促 銀 或 銷 保 持 中 險 是 有 之 否 限 本 使 公 用 司 及 本 根 將 公 據 本 司 該 的 聲 個 本 明 人 公 使 資 司 用 料 個 及 的 人 轉 影 資 移 料 本 提 不 供 論 本 予 是 公 其 否 司 他 投 的 人 保 個 士 申 人 請 資 書 料 內, 所 包 載 括 或 根 從 據 其 本 他 途 本 徑 公 所 閱 司 取 讀 在 得 該 上 ) 聲 述 明 收 根, 據 集 而 個 以 本 人 上 資 所 投 保 申 請 人 簽 署 投 保 申 請 人 是 公 司, 日 期 本 投 保 書 中 英 文 版 本 如 有 差 異, 概 以 英 文 版 本 為 準 必 須 在 投 保 申 請 人 簽 署 部 分 蓋 上 公 司 印 章 單 投 保 位 須 編 填 沒 號 寫 有 號 : 有 交 通 銀 行 專 用 姓 名 必 須 填 寫 所 有 欄 位 / 保 簽 員 險 署 工 中 編 介 號 人 ) carefully the PICS, and I/we have read it carefully its effect and impact in respect of my/our personal data collected or held by the Company (whether contained in the insurance proposal/application or otherwise). Based on the foregoing, I/we hereby give my/our acknowledgement and agree to the use and transfer of my/our personal data by China BOCOM Co., Ltd. in accordance with the PICS, including the use and provision of my/our personal data for the purpose of direct marketing based on my/our instruction stated at PICS Part 2 above. 若 Signature of Proposer/ Applicant : Date: If the proposer/applicant is a corporation, company s chop is required 必 人 there is any difference between the English version and the Chinese version, the English version shall / prevail. CI ( Comm RD PROHIP B 電 香 港 中 環 紅 棉 路 號 東 昌 大 廈 8 話 傳 廈 真 樓 4 of 4
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