PROPOSAL FOR PROPERTY INSURANCE
投保单号:___________
No.:_______________
本申请书由投保人如实地、尽可能详尽地填写并签章后作为向本公司投保财产险的依据。本申请书为该财产险保险单的组成部分。
The Applicant is required to fill in the following items in goodfaith and as detailed as possible,and affix signature to this proposal,which shall be treated as proof of application to the Company for Property Insurance and constitute an integral part of the Insurance Policy covering the property listed below.
被保险人:
Insured:
保险财产地址:
Insured Property Situated at:
保险期限: 个月 自 零时正 至 二十四时正
Period of Insurance: Months from 00:00 of to 24:00 hours of
建筑情形及周围情况:
Structure of Construction and Surroundings:
保险财产使用性质:
Nature of Use of Insured Property:
是否有警报系统或安全保卫系统:
Is there any alarming system or security protection system:
以往损失情况:
Past Loss Record:
保险财产名称
Description of Property Insured
投保金额
Sum Insured
每次事故免赔额
Deducuctible for
Any One Accident
房屋建筑
Buildings
装置及家具
Fittings,Fixtures and Furniture
机械设备
Machinery
仓储物
Stock
其他物品
Others
总保险金额
TotalSum Insured
费率 保险费
Rate Premium
备 注
Remarks
投保人(签名盖章)_____________________
Signature/Seal of Proposer
电 话_________________________________
Telephone______________________________
地 址
Address
日 期
Date
附:
财产险投保申请书是由投保人填写并签章,统一印制的表格,是向保险公司投保财产险的依据。要求投保人如实地尽可能详尽地填写。