被保险
Insur 本投保单
The Appl icant is requi red to
fill in the follo wing item s in good faith and as detai led as possi ble, and affix sign ature to this appli catio n, whic h shall be
treat 兹拟向
请
将投
NOM B.V. MARTEN MEESWEG 32 1578 AV P.O. Box 738, Rotterdam, Netherlands 中国平安财产保险股份有限公司
PING AN PROPERTY & CASUALTY INSURANCE COMPANY OF CHINA ,LTD.
进 出 口 货 物 运 输 险 投 保 单
APPLICATION FOR IMP/EXP TRANSPORTATION
否
No
Yes Yes
No
na.