Membership Registration / Renewal Form (入會/ 續會表格)
New Registration (入會申請) / Membership Renewal (續會)
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New Registration (入會申請)
Membership Renewal (續會)
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Member Type(會員種類)
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Full Member (正式會員)
Ordinary Member (基本會員)
Support Unit (支持單位)
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SU Type (支持單位種類)
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Support Unit 1 (支持單位 1)
Support Unit 2 (支持單位 2)
Support Unit 3 (支持單位 3)
Diamond Support Unit (鑽石支持單位)
Please Select (請選擇)
TOTAL Annual Fee
正式會員 Full Member
現職登記保險中介人 (Registered Intermediary)
享受所有會員優惠及褔利,有選舉和被選舉權 (Enjoy all members' benefits, right to vote & to be elected)
年費 Annual Fee:HK$200
基本會員 Ordinary Member
現職保險行業人員或與保險相關人仕 (Working or Related to Insurance business)
享受所有會員優惠及褔利 (Enjoy all members' benefits)
年費 Annual Fee:HK$200
支持單位 Suport Unit
以團體名義及可享有相約的附會員 (Registered by group or company with numbers of free unit members)
享受所有會員優惠及褔利 (Enjoy all members' benefits)
支持單位
(Support Unit)
年費 (Annual Fee)
免費附屬會員
Free Registered Unit Members
SU1
HK$400
不多於 / Not more than:5
SU2
HK$700
不多於 / Not more than:20
Su3
HK$1,000
不多於 / Not more than:50
Diamond SU
HK$3,000 or above
人數不限 / Unlimited
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Personal Information (個人資料)
Personal Data collected in application form will be used for membership affairs only會員申請表中收集之個人資料只用作會員服務之用途
Support Unit Particulars (支持單位資料)
Personal Data collected in application form will be used for membership affairs only會員申請表中收集之個人資料只用作會員服務之用途
支持單位名稱 (中文)
Name of Support Unit (English)
聯絡人 (Contact Name)
Mr. / Ms. (先生 / 女士)
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Mr. (先生)
Ms. (女仕)
Full Name (English)
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Last Name (姓氏)
First Name (名字)
姓名 (中文)
Last Name (姓氏)
First Name (名字)
Month of Birth (出生月份)
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January (01)
February (02)
March (03)
April (04)
May (05)
June (06)
July (07)
August (08)
September (09)
October (10)
November (11)
December (12)
Month (月份)
Day of Birth (出生日子)
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01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day (日子)
Work Area (工作範疇)
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Life Insurance (壽險)
General Insurance (一般保險)
Financial Planner (財務策劃)
Other
Work Area (工作範疇)
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Life Insurance (壽險)
General Insurance (一般保險)
Financial Planner (財務策劃)
In house Staff / Management (內勤 / 管理)
Sales / Customer Service (銷售 / 客服)
Other
Insurance Experience (保險業年資)
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1 - 5 Years (1 年至 5年)
6 -10 Years (6 年至10年)
11-15 Years (11年至15年)
16 Years or Over (16年或以上)
Back (回上頁)
Next (往下頁)
Company Name (English)
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Company Name (中文)
Phone (電話)
Mobile (手機號碼)
*
Email Address (電郵地址)
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Mailing Address (聯絡地址)
Unit / Room / Floor (單位 / 樓層)
Building / Street (大廈 / 街道)
District (地區)
请选择
阿富汗
Albania
Algeria
American Samoa
安道爾
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
奧地利
Azerbaijan
The Bahamas
Bahrain
Bangladesh
巴巴多斯
Belarus
比利時
Belize
Benin
Bermuda
Bhutan
玻利維亞
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
加拿大
Cape Verde
開曼群島
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
丹麥
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
芬蘭
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
香港
Hungary
冰島
India
Indonesia
Iran
Iraq
Ireland
以色列
Italy
Jamaica
Japan
Jersey
Jordan
哈萨克斯坦
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
賴索託
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
米克羅尼西亞
Moldova
Monaco
Mongolia
Montenegro
Montserrat
摩洛哥
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
新西兰
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
挪威
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
秘魯
Philippines
Pitcairn Islands
Poland
葡萄牙
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
聖巴泰勒米
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
沙烏地阿拉伯
Senegal
Serbia
Seychelles
Sierra Leone
新加坡
Slovakia
斯洛文尼亞
所羅門群島
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
蘇丹
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
?
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
越南
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Region / Country (區域 / 國家)
Fee Calculation
Support Unit 1
Support Unit 2
Support Unit 3
Diamond Support Unit
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