财产一切险投保申请书

您的位置:首页 - 保险合同 - 财产一切险投保申请书
 

财产一切险投保申请书

【题    目】财产一切险投保申请书

【颁布单位】国家工商管理局经济合同司

 

 

          全文

    投保单号:

    本申请书由投保人如实和尽可能详尽地填写并签章后作为向承保人投保财产一切险的依据。本申请书为该财产一切险保险单的组成部分。

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

|投保人:                                                                      |

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

|地址:                                          |电话号码:                  |

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

|保险财产地址:                                                                |

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

|保险期限:          月    自        至    中午12时正                      |

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

|建筑情形及周围情况:                                                          |

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

|保险财产使用性质:                                                            |

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

|是否有警报系统或安全保卫系统:                                                |

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

|以往损失情况:                                                                |

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

|费率:                                    保险费:                            |

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

    项目号    |    保险财产名称    |    投保金额    |    每次事故免赔额    |

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

              |                    |                |                      |

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

              |                    |                |                      |

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

              |                    |                |                      |

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

                    如此处不够  请在背面填写。                                |

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

|总保险金额:                                                                  |

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

|备注:                                                                        |

                                                                              |

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

日期___于___投保人签章___

 
 

合同我自通版权所有 Copyright 2007 友情链接:杭州旅游网 - 宁波旅游网