Levy collected by the Insurance Authority has been imposed on relevant policy at the applicable rate. The payment received for such levy will be remitted to the Insurance Authority under the prescribed arrangement. For further information, please visit www.fwd.com.hk or contact: (852) 3123 3123.
保險業監管局已向相關的保單按規定的徵費率徵收保費徵費。已收取的徵費付款會按規定轉付予保險業監管局,詳情請瀏覽www.fwd.com.hk 或聯絡(852) 3123 3123。
以下保費已包括保監局徵費:
計劃/保費(港幣):
A計劃- $4054.05
B計劃- $3153.15
(原價:$4,502.70)
(原價:$3,502.10)
請剔選以下方格:
本人/本人等已參閱及明白此保險之
聲明及授權及收集個人資料聲明
,並同意接受其約束。
投保人英文全名:
身份証號碼: