平安保险货物运输险投保单

货物运输险投保单APPLICATIONFORTRANSPORTATIONINSURANCE被保险人:JOYANDSUCCESS(HONGKONG)CO.,LIMITED.Insured:本投保单由投保人如实填写并签章后作为向本公司投保货物运输保险的依据,本投保单为该货物运输保险单的组成部分。TheApplicantisrequiredtofillinthefollowingitemsingoodfaithandasdetailedaspossible,andaffixsignaturetothisapplication,whichshallbetreatedasproofofapplicationtotheCompanyforcargotransportationinsuranceandconstituteanintegralpartoftheinsurancepolicycoveringcargo.兹拟向中国平安财产保险股份有限公司投保下列货物运输保险:HereinapplytotheCompanyforTransportationInsuranceoffollowingcargo:PX2-4261RQUANTITY:455SETSPX2-4292RQUANTITY:42SETSUSD285845.00LCNO:LC910311000027合同号(CONTRACTNO.)11CRTV-01090HK请将投保的险别及条件注明如下:Pleasestaterisksinsuredagainstandconditions:ALLRISKSANDWARRISKSCLAIMSPAYABLEINCHINAINCURRENCYOFTHEDRAFTWAREHOUSETOWAREHOUSEATNO.32DONGSANHUANZHONGROAD,CHAOYANGDISTRICT,BEIJING,100020,P.R.CHINA请将保险货物项目、标记、数量及包装注明此上。Pleasestateitems,marks,quantityandpackingofcargoinsuredhereabove.装载运输工具：航空航班号：CI511船龄：集装箱运输：是否整船运输：是否FALTNO.CI511AgeofVesselContainerLoadingYesNoWholeVesselTransportationYesNo发票或提单号:MAWBNo.:297-00712073HAWBNo.:SP-8862195InvoiceNo.orB/LNo.开航日期:2011年8月20日Slg.onorabt.YearMonthDay自：TAIPEI,TAIWAN国港（地）经：国港（地）至BEIJING,CHINA国港（地）From:CountryPortVia:CountryPortTo:CountryPort发票金额:AmountInvoice:USD285845.00加成比例110%Plus:保险金额:USD314429.50AmountInsured:费率0.07%Rate:保险费Premium:备注Remarks:投保人兹声明所填上述内容属实,对贵公司就货物运输保险条款及附加条款(包括责任免除部分)的说明已经了解,同意按照该条款投保货物运输保险。Ideclarethataboveistruetothebestofmyknowledgeandbelief,andherebyagreethattheapplicationbeincorporatedintothepolicy.IhavereadandunderstandtheCompany’scargotransportationinsuranceclausesandextensions(includingtheExclusions).投保人签章:送单地址:Name/SealofProposer:DeliveryAddress:北京嘉信恒联国际贸易有限公司北京市朝阳区望京中环南路甲2号佳境天城B座1907室电话：[phone]传真：[phone]联系人：孙鹏联系人地址:同上或Linkmenaddress:Dittoor电话:Tel:日期:2010年8月19日Date:YearMonthDay保险公司填写核保人意见：投保单号：保单号：