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房屋保险 | Home Insurance

免责声明
申请表中的中文翻译仅供参考，所有内容以英文原文为准。如有任何歧义或不一致，以英文原文为准。
Disclaimer
The Chinese translation in the application form is for reference purposes only. In case of any discrepancies or inconsistencies, the English original text shall prevail.
物业持有人名称*
Insured name
出生日期*
DOB
DD slash MM slash YYYY
房屋类型*
Type of Property
承保物业地址*
Insured Property Address

街道地址 Street 区 Suburb 州 State 邮编 Postcode
保单生效日期*
Inception Date
DD slash MM slash YYYY

保存表格，稍后继续 / Save and Continue Later

投保内容
建筑投保金额*
Building Sum Insured
财产投保金额*
Contents Sum Insured
- 添加价值$10,000以上的贵重物品
Valuebles over AUD$10,000
物品名称 / Item 描述 / Description 价值 / Value（$）

保存表格，稍后继续 / Save and Continue Later

建筑详情
该物业最初建造的时间是什么时候（不包括装修）？*
When was the property originally constructed (excluding renovations)?
外墙结构*
Construction of Walls
屋顶结构*
Construction of Roof
地板结构*
Construction of Floors
楼层数*
Storeys
卧室数量*
Number of bedrooms
浴室/套间的数量*
Number of bathrooms/ensuites
门是否配有钥匙锁？*
Does the property have deadlocks on doors ?
- 部分有 / Some doors
- 全部都有 / All doors
- 都没有 / None
窗上是否配有锁？*
Does the property have locks on windows ?
- 部分有 / Some windows
- 全部都有 / All windows
- 都没有 / None
防盗系统*
Alarm system
申报信息
该物业是否用于除家庭办公室以外的商业用途？*
Is the property used for business purposes other than home office?
- 是 / Yes
- 否 / No
该物业目前是否正在进行或计划在本保险期间内开始施工或装修？*
Is the property currently, or scheduled to start construction or renovation within this period of insurance？
- 是 / Yes
- 否 / No
该物业是否状况不佳或维护不当？*
Is the property in poor condition or poorly maintained?
- 是 / Yes
- 否 / No
该物业目前是否处于空置状态，或预计在保险保障期间连续空置超过90天?*
Is the property currently unoccupied or expected to be unoccupied for more than 90 continuous days during the period of cover?
- 是 / Yes
- 否 / No
该物业是否受到任何遗产名录/国家信托名录或相关条例的保护？*
Is the property under any heritage listing/National Trust listing or order?
- 是 / Yes
- 否 / No
该物业是否用作旅社、酒店、服务式公寓、寄宿公寓、民宿或宾馆？*
Is the property used as a hostel, hotel, serviced apartment, boarding house, bed and breakfast or guesthouse?
- 是 / Yes
- 否 / No
该物业是否用于社区住房或公共住房？*
Is the property used for community housing or public housing?
- 是 / Yes
- 否 / No
该土地面积是否超过2公顷？*
Does the land exceed 2 hectares?
- 是 / Yes
- 否 / No

保存表格，稍后继续 / Save and Continue Later

在过去三年中，您是否曾被保险公司拒绝承保或取消过保单？*
Have you been declined insurance or had a policy cancelled by the insurer in the past 3 years?
- 是 / Yes
- 否 / No
在过去五年中，被保险人是否有刑事定罪？*
Has the insured have criminal convictions in the past 5 years?
- 是 / Yes
- 否 / No
您或任何待投保人是否曾被宣告破产且至少未解除破产状态1年以上？*
Have you or any of the persons to be insured been declared bankrupt and not been discharged for at least 1 year ?
- 是 / Yes
- 否 / No
在过去三年中，这个或任何其他物业是否有过建筑和/或财产索赔？*
Have you or any of the persons to be insured made a claim on any insurer for loss or damage ?
- 是 / Yes
- 否 / No
如有上述，请简略描述：*
If "Yes" ，please provide details
申请人*
Applicant
电话*
Contact Number
邮箱*
Email
备注信息
Notes
声明 Declaration*
By submitting this Declaration, I acknowledged that I am authorised by all the Applicants to make this Declaration and the contents of this form are true and complete. Applicants are under a continuing obligation to immediately inform the insurer of any change in the particulars or statements contained in this form up until the contract is entered into. I have read, understood and accept the Terms and Conditions & Privacy Collection Notice.
- 我承认保险合同所有申请人均授权本人作为代表签署本声并且此表格的内容真实完整。
- 我已认真阅读并同意相关服务条款和隐私政策。
签署日期*
Date of Application
DD slash MM slash YYYY

保存表格，稍后继续 / Save and Continue Later

Financial Service Guide | Privacy | Complaint | Code of Practice

Aushine Insurance Pty Ltd ABN 83 632 949 172 is an Authorised Representative 001275756 of Insurance House Pty Ltd ABN 33 006 500 072 AFSL 240954

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