个人意外伤害保险索赔申请书.doc

文档介绍：identInsuranceClaimForm所有问题均须由被保险人/索赔申请人完全回答保单号码AllquestionsmustbeansweredbyInsured/:联系电话:电子邮件::被保险人姓名英文/中文 年龄NameofInsuredinfull(English/Chinese)Age________________保单持有人英文/中文 NameofPolicyHolderinfull(English/Chinese)_____________________________________________________________________被保险人地址邮政编码AddressofInsured______________________________________________________________Postalcode_______________________联络电话(日间固定电话)联络电话(手机).(Daytime)____________________________________________Mobile____________________________________________职业(请详述) upation(describefully)(若索赔申请人为被保险人本人,无需填写此栏Iftheapplicantistheinsured,thispartcanbeignored)索赔申请人姓名英文/中文 年龄Nameoftheapplicantinfull(English/Chinese)____________________________________________Age______________________索赔申请人地址邮政编码Add_________________________________________________________________________Postalcode_________________________联络电话(日间固定电话) 联络电话(手机).(Daytime)(Theinsuranceperiodisfrom)________________