Declaration, Terms and ConditionsAccidentSuranceDeclaration for AccidentSurance I, on behalf of each of myself, my spouse and my child/children (if any), hereby declare as follows:1
I (Insured)/We (Insured, insured spouse and insured child/children) hereby apply for AccidentSurance within the Hong Kong Special Administrative Region and declare that the statements and particulars given in this application are to the best of my/our knowledge and belief, true and complete, and that this application will form the basis of my/our contract with AXA General Insurance Hong Kong Limited
I/We further declare that: (i)I am/We are in good health and free from physical impairment or deformity
(ii)I and my insured spouse are both under 60 years of age and the insured child/children is/are six months