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財(cái)產(chǎn)一切險(xiǎn)投保申請(qǐng)書

2016-03-19 塵埃 評(píng)論0

 投保單號(hào):

    本申請(qǐng)書由投保人如實(shí)和盡可能詳盡地填寫并簽章后作為向承保人投保財(cái)產(chǎn)一切險(xiǎn)的依據(jù)。本申請(qǐng)書為該財(cái)產(chǎn)一切險(xiǎn)保險(xiǎn)單的組成部分。

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|投保人:                                                                      |

|---------------------------------------|

|地址:                                          |電話號(hào)碼:                  |

|---------------------------------------|

|保險(xiǎn)財(cái)產(chǎn)地址:                                                                |

|---------------------------------------|

|保險(xiǎn)期限:          個(gè)月    自        至    中午12時(shí)正                      |

|---------------------------------------|

|建筑情形及周圍情況:                                                          |

|---------------------------------------|

|保險(xiǎn)財(cái)產(chǎn)使用性質(zhì):                                                            |

|---------------------------------------|

|是否有警報(bào)系統(tǒng)或安全保衛(wèi)系統(tǒng):                                                |

|---------------------------------------|

|以往損失情況:                                                                |

|---------------------------------------|



|費(fèi)率:                                    保險(xiǎn)費(fèi):                            |

|---------------------------------------|

|    項(xiàng)目號(hào)    |    保險(xiǎn)財(cái)產(chǎn)名稱    |    投保金額    |    每次事故免賠額    |

|-------|----------|--------|-----------|

|              |                    |                |                      |

|-------|----------|--------|-----------|

|              |                    |                |                      |

|-------|----------|--------|-----------|

|              |                    |                |                      |

|---------------------------------------|

|                    如此處不夠  請(qǐng)?jiān)诒趁嫣顚憽?nbsp;                               |

|---------------------------------------|

|總保險(xiǎn)金額:                                                                  |

|---------------------------------------|

|備注:                                                                        |

|                                                                              |

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日期___于___投保人簽章___

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