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-------------------------------- 核保人及日期____________ Date_______________ 日期 地址 | 14. 備注Remarks: --------------------------------------------------------| | --- |No | --- |No ---否 | --- | 有無配置專業(yè)維修人員? --------------------------------------------------------| | --- |Noamp。 --- |No | 11. 操作人員Operator: | | ---否amp。 --- | |Yes ---否 ---是 9. --------------------------------------------------------- Note:(1)Major Technical Parameter:Output, Speed, Capacity, Loading 備,應(yīng)說明燃料、壓力和溫度。 說明:(1)主要技術(shù)參數(shù)指機(jī)器的輸出功率、速度、容量、負(fù)荷等,如屬電器設(shè)備,應(yīng)說明電壓、電流量、轉(zhuǎn)速,如屬蒸氣設(shè)amp。 Sum Insured Year of Manu. Model 保險金額 項(xiàng)目 Insured Sum Insured Year of Manu. Model 保險金額 項(xiàng)目 Insured -------------------------------------------- -------------------------------------------| | 其他費(fèi)用 | 專業(yè)費(fèi)用 ------------- | 滅火費(fèi)用 ------------- Debris Removal Expenses | ----------| | Insured Items 每次事故*免賠額 項(xiàng)目 -------------------------------------------|Period of Insurance: 日零時起至 : | and Address of the Insured: for Machinery Breakdown Insurance and constitute an integral part of the Machinery Breakdown Insurance Policy.本投保單為該機(jī)器損壞險保險單的組成部分。 Policy No. 保單號機(jī)器損壞險保險合同(中英文)全文詳細(xì): 依據(jù)。The Applicant is required to fill in the following items with utmost faith and as detailed as po sible. and affix signature to this application, which shall be the basis of application to the Company -------------------------------------------- of Machinery to be Insured:-------------------------------------------| 個月, 年 Months, from 0:00 of