平安团体人身险(帐户型)被保险人清单(一式两联,第一联公司留存)TheinsuredlistforPingAnGroupInsurance(AccountManagement)(Induplicate,thefirstretainedbytheinsurer)投保单位:单证条形码号:本页人数:人;共页第页Insuredgroup:Barcode:Numberofinsuredofthispage:;pagesintotalPage序号No
申请类型TypeofApplication被保险人姓名NameofInsured证件类型TypeofDocument证件号码ID
性别Gender生日DateofBirth层级Rank险种:Insurancetype:险种:Insurancetype:保费合计SumofPremium单位缴费Corporatecontribution单位代缴Corporatepayforothers个人缴费Individualcontribution单位缴费Corporatecontribution单位代缴Corporatepayforothers个人缴费Individualcontribution制表人TabulationPeople:制表日期Tabulationdate:年Year月Month日Date投保单位盖章ApplicationSealed:以下为保险公司填写Thefollowingwillbecompletedbythecompany:业务员姓名Agent:业务员代码AgentCode:核保人Underwriter:说明:1、投资选择栏中M1代表稳健投资帐户;M2代表平衡投资帐户;M3代表进取投资帐户
Description:1、“M1”in“Investmentoptions”meanssteadyinvestmentaccount;