人身保险个人投保单(一) 
(发布日期:2006/6/12 8:32:54)
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    【题    目】人身保险个人投保单(一)

【颁布单位】

  

  

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    兹拟向中国平安保险股份有限公司投保人身保险,内容如下:  投保单编号:

----------------------------------------------------

|    保险种类    |                                                                                  |

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

|投保人|  姓名  |          |  身份证号码  |                |  与被保险人关系  |                |

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

|情  况|  地址  |                                  |邮  编|              |电话|                |

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

|被保险|  姓名  |          |  年龄  |      |性别|      |  身份证号码  |                      |

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

|人情况|  地址  |                                  |邮  编|              |        电话          |

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

|    保险年期    |          |  保险份数  |        |受益人  |            |领取日期|            |

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

|    领取年龄    |          |  领取方式  |        |领取金额|                                    |

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

|    保险期限      |  自        年    月    日中午12时起至        年    月    日中午12时止      |

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

|                                基本保险金额                        |            附加保险金额      |

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

|  意外伤残保额    |                                                |  附加险别  |                |

|  意外身故保额    |                                                |      保额  |                |

|  疾病伤残保额    |                                                |      费率  |                |

|  疾病身故保额    |                                                |            |                |

|  满期保险金额    |                                                |            |            &nbs
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