平安团体人身险(帐户型)被保险人清单(一式两联

平安团体人身险（帐户型）被保险人清单（一式两联，第一联公司留存）TheinsuredlistforPingAnGroupInsurance(AccountManagement)(Induplicate,thefirstretainedbytheinsurer)投保单位：单证条形码号：本页人数：人；共页第页Insuredgroup:Barcode:Numberofinsuredofthispage:;pagesintotalPage序号No.申请类型TypeofApplication被保险人姓名NameofInsured证件类型TypeofDocument证件号码ID.No.性别Gender生日DateofBirth层级Rank险种:Insurancetype:险种:Insurancetype:保费合计SumofPremium投资选择（％）Investmentoptions(%)A服务年数计算起始日Dateofserviceyearbeginning职业及职业代码Professionandthecode申请日期Dateofapplication其他Others单位缴费Corporatecontribution单位代缴Corporatepayforothers个人缴费Individualcontribution单位缴费Corporatecontribution单位代缴Corporatepayforothers个人缴费IndividualcontributionM1M2M3制表人TabulationPeople：制表日期Tabulationdate：年Year月Month日Date投保单位盖章ApplicationSealed:以下为保险公司填写Thefollowingwillbecompletedbythecompany:业务员姓名Agent：业务员代码AgentCode：核保人Underwriter：说明：1、投资选择栏中M1代表稳健投资帐户；M2代表平衡投资帐户；M3代表进取投资帐户。Description：1、“M1”in“Investmentoptions”meanssteadyinvestmentaccount;”M2”meansbalancedinvestmentaccount;”M3”meansaggressiveinvestmentaccount.2、A表示被保险人所属的归属比例职级。“A”meanstherankofthebelongedratiooftheInsured.3、归属比例计算起始日，如缺省，默认为保单生效日。If“thebeginningdateofbelongedratio”isblank,thedefaultwillbetheeffectivedateofthepolicy.4、申请类型为空则默认为契约，否则请填写详细保全申请项目。If“TypeofApplication”isblank,thedefaultiscontract,otherwisepleasefilloutthedetailsofthepolicyadjustment.备注：对中、英文文义的理解存在分歧的，以中文为准。