People's Insurance Company of China enterprise property insurance Application form

Insured unit:

　　 Insurance property Address:

Associated person: Telephone:

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We hereby insure the following property to the People's Insurance Company of China Enterprise property Insurance:

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The title of insurance covers the amount of premium.

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Membrana

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Membrana

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Membrana

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Membrana

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The total amount of insurance is RMB.

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The premium rate is $1000 per thousand.

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Insurance: RMB.

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The period of insurance is: from month to month.

From twenty-four to the end of the month.

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Note: this policy is not accepted by the insurance company or signed by the insurance company.

No insurance is available until the insurance policy is issued. Signature of insured unit:

Membrana

The date of issue of insurance policy, the date of signature, and the date of the month.

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