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房屋保险 | Home Insurance
开始申请
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
公寓 / Apartment
独立别墅 / House
联排别墅 / Unit or Townhouse
空地 / Vacant Land
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
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$10,000
物品名称 / Item
描述 / Description
价值 / Value($)
建筑详情
楼层数
*
Storeys
1
2
3+
外墙结构
*
Construction of Walls
普通砖 / Brick Veneer
双砖 / Double Brick
木板 / Wood
水泥 / Cement
其他 / Other
屋顶结构
*
Construction of Roof
瓦 / Tiles
金属 / Metal
石膏板 / Slate
木板 / Wood
其他 / Other
地板结构
*
Construction of Floors
水泥 / Concrete
木板 / Wood
夯土 / Earth
其他 / Other
建筑年份
*
Year Built
防盗系统
*
Alarm system
没有 / None
本地报警系统 / Unmonitored
自动报警系统 / Monitored
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
是否属于历史文物保护建筑 ?
*
Is the property heritage listed ?
是 / Yes
否 / No
土地面积是否超过4,000平方米 ?
*
Is the land size of the property over 4,000sqm ?
是 / Yes
否 / No
物业是否有在您责任范围内需要维护的游泳池,户外按摩池或电梯等设施 ?
*
Are there any swimming pool, outdoor spa or lift that you are liable to maintain ?
是 / Yes
否 / No
请勾选包含的设施
*
Facilities
游泳池 Swimming Pool
户外按摩池 Outdoor Spa
电梯 Lift
您是否与其他单位所有者共享任何公共区域,例如车道,花园和楼梯间 ?
*
Do you share any common areas such as driveways, gardens and stairwells with other units' owners ?
是 / Yes
否 / No
申报信息
该投保物业是否会在保险期内连续空置90天以上 ?
*
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
被保险人是否会在该投保物业中从事商业活动?
*
Is the property used for business purposes?
是 / Yes
否 / No
该投保物业是否会正在或将要进行翻新、装修、扩建、重建等工程?
*
Is the property under or to be under construction, reconstruction or renovation?
是 / Yes
否 / No
该投保物业是否存在状况不佳或维护不当的情况?
*
Is the property in poor condition or poorly maintained?
是 / Yes
否 / No
被保险人是否曾被保险公司取消合同或拒绝续保 ?
*
Had insurance declined, renewal refused, terminated or special conditions imposed by any insurer ?
是 / Yes
否 / No
被保险人是否曾因犯罪行为被控告或定罪 ?
*
Have you or anyone permanently residing with you, been convicted of arson, theft, fraud or violence against any person or property in the last 10 years ?
是 / Yes
否 / No
被保险人是否曾宣布破产 ?
*
Have you been declared bankrupt and not been discharged for at least 1 year?
是 / Yes
否 / No
被保险人在过去5年内,是否曾申请过理赔 ?
*
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
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