披露与陈述Disclosure and Representation

在填写本投保单前,请先仔细阅读本投保单所附贸易信用保险条款(特别是黑体字部分的内容)。本投保单及任何附件的具体陈述共同构成投保资料且足以作为出具正式保单的基础。所有可能影响风险评估和承保的重要信息必须充分如实披露。 对于不能确定其是否为重要信息的,亦应充分披露。未尽以上披露和陈述义务将给予保险人取消保单并拒绝理赔的权利。如有必要,可另行附纸回答并加附其它相关文件。

Before filling up this proposal form, please read attached Trade Credit Insurance clause thoroughly and pay special attention to those bold clauses. This proposal form and any supporting documents, details and representations constitute Proposal Information and form the basis of the insurance policy. All material facts and information that are likely to influence the assessment or acceptance of this risk should be fully disclosed. If in doubt as to whether anything is material, it should be included. Failure to disclose or truthfully represent material facts and information entitles CPIC to void the policy or avoid claims. Please continue answers on a separate sheet and attach additional documentation as necessary.

投保信息录入方式

您可以直接在下方进行投保信息的录入,也可以点击此处下载投保单模板,完成模板填写之后在此进行上传导入

1.申请人基本信息 Basic Information of Applicant

*公司中文名称 Name of Applicant

*公司英文名称 Name of Applicant

*企业注册号 Registration No.

*成立日期 Date of Establishment

*注册地址 Place of Incorporation

*联系人 Contact Name

*电话 Telephone

*传真 Fax

*电邮地址 E-mail

*企业性质 Type of Organization

*联系人职务 Position of Contact Person

*投保业务类别 Business Nature

*买方所属行业 Sectors Sold To

*投保人关联企业信息 Details of Associated Companies

是否已有信用险保单 Any existing credit insurance cover

否 No

*投保币种 (以下所提供的资料皆以此币种表示)Currency Required (to be used for all information provided)

预计未来12个月的投保营业额Estimated Insurable Turnover of next 12 months

 

2.业务描述 Business Description

投保之产品或服务 Products/Services to be Covered

*投保人关联企业信息 Details of Associated Companies

合同中是否有物权保留条款 Is there retention of title clause in your contract

否 No

销售常用的付款方式Typical Payment Terms of Your Sales

否为买家提供较长赊账期Do you allow long credit period

3.销售额 Turnover

最近三年销售记录
Turnover of Credit Sales for Latest 3 Years

财务年度Financial Year

国内贸易Domestic

出口贸易Export

上一财年出口销售组成
Breakdowns of Export Credit Sales for Last Financial Year

现金交易占比Percentage of Cash Transactions

%

信用证交易占比Percentage of L/C Transactions

%

关联交易占比Percentage of Associated Transactions

赊账交易占比Percentage of O/A Transactions

托收交易占比Percentage of DP&DA Transactions

合计 Total:

预计未来一年内所须投保的信用销售总额(按国别分类)
Forecasted Insurable Credit Sales Turnover in 2015(By Country)

国别
Country

年销售额
Annual Turnover

赊账期内最高的曝险赊销金额
Highest Credit Amount in Credit Period

买家个数
Number of Buyers

付款方式
Payment Terms