下载后可任意编辑机器损坏险保险合同模板甲方: 乙方: 签订地点: 签订时间: 合同编号: 下载后可任意编辑机器损坏险保险合同模板 1.机器损坏险投保单 machinery breakdown insurance application 保单号 policy no
本投保单由投保人尽可能照实地、具体地填写并签章后作为向本公司投保机器损坏险的 依据
本投保单为该机器损坏险保险单的组成部分
the applicant is required to fill in the following items with utmost faith and as detailed as pos- sible
and affix signature to this application, which shall be the basis of application to the company for machinery breakdown insurance and constitute an integral part of the machinery breakdown in- surance policy
-------------------------------------------- 1
被保险人名称和地址 name and address of the insured: | -------------------------------------------| 2
营业性质 nature of business: | -------------------------------------------| 3
被保险机器所在地 location of machinery to be insured: | ----------------------------