PDF《SERVICE MAINTENANCE FORM》

MPF For Internal Use Only Employer Plan No.

: Signature verified / Processed by: Checked by: Date: Date: To 致: AIA International Limited 友邦保险(国际)有限公司 (Incorporated in Bermuda with limited liability 於百慕达注册成立之有限公司) 8/F, AIA Financial Centre,

712 Prince Edward Road East, Kowloon, Hong Kong 香港九龙太子道东

712 号友邦九龙金融中心

8 楼Employer Hotline 雇主热线:

2100 1888 Member Hotline 成员热线:

2200 6288 Fax No. 传真号码:

2565 0001 For Internal Use Only Employer Plan No.: Signature verified / Processed by: Checked by: Date: Date: (Incorporated in Bermuda with limited liability 於百慕达注册成立之有限公司) 8/F, AIA Financial Centre,

712 Prince Edward Road East, Kowloon, Hong Kong 香港九龙太子道东

712 号友邦九龙金融中心

8 楼Employer Hotline 雇主热线:

2100 1888 Member Hotline 成员热线:

2200 6288 Fax No. 传真号码:

2565 0001 INTERACTIVE VOICE RESPONSE (IVR) SYSTEM / INTERACTIVE WEBSITE SERVICE MAINTENANCE FORM 互动语音回应系统 / 互动网页服务更新表格 Employer Plan No. 雇主计划编号 : Employer Name 雇主名称 : Contact Person 联络人 : Tel. No. 电话号码: Please re-issue Personal Identification Number / Password for the following service(s): [Please tick the appropriate box(es)] 请重发以下服务之私人密码: ( 请在适当的空格内划上「?」) ? Interactive Voice Response (IVR) System 互动语音回应系统 ? Interactive Website 互动网页 Please disable the following service(s): [Please tick the appropriate box(es)] 请终止以下服务: ( 请在适当的空格内划上「?」) ? Interactive Voice Response (IVR) System 互动语音回应系统 ? Interactive Website 互动网页 Note 注意: Please allow

10 business days for processing 办理申请手续需时十个营业日 Authorized signature and company chop 授权人签署及公司印鉴 Date: ccyy/mm/dd 日期: 年/月/日B24_v6 (11/2018)