主卡持卡人英/葡文姓名
Principal Cardholder Full Name in English/Portuguese: 		 
 
 
     
  主卡信用卡號碼
Principal Card No.		  
 
 
     
  請選擇使用是次旅遊保險之人士:
Please indicate the insured cardholder:		  
  主卡持卡人使用 Principal Cardholder only  
  附屬卡持卡人使用 Supplementary Cardholder only  
     
  流動電話號碼(必須與本行登記之紀錄相同)
Mobile Phone No. (must match the one registered with the Bank):		  
   
     
 

離澳日期   (年月日選擇)
Departure Date from Macau

  
   
  (合資格之WORLD、VIVA或白金信用卡客戶可獲免費7日指定旅遊保險，而宏富理財信用卡客戶可獲免費14日指定旅遊保險。Qualified World, VIVA or Platinum Credit Cardholders are entitled to a 7-day free travel insurance. Premier Banking Credit Cardholders are entitled to a 14-day free travel insurance.)  
     
  是否需要承保新冠肺炎的旅遊保險證明書*?
Do you require Complimentary COVID-19 Travel Insurance Certificate? 		 
  是 Yes  
  否 No  
  *某些地區/國家要求旅客攜有相關證明備查 Some regions/ countries request visitors to provide a proof of COVID-19 travel insurance.  
     
 

註﹕

  1. 請按此查詢「保障範圍」及「主要不受保事項」。
  2. 若客戶未能於推廣期內成功登記或登記之資料不正確，本行有權拒絕接納有關之登記並毋須預先通知。
  3. 如需修改信用卡境外之保安設定，請聯絡信用卡部2832 3641。

Note:

  1. For more details on the “Scope of Coverage” and “Main Exclusions”, please click here.
  2. If the information registered by the customers is incorrect, the Bank reserves the right to refuse accepting the registration without giving prior notice.
  3. If the overseas security setting of credit card is required to amend, please contact Credit Card Department 2832 3641.
  
     
 
本人確認上述所有資料均正確無誤。
I confirm that the above information is true and correct.
 
 
本人已閱讀並同意接受活動條款及細則。
I have read and agreed with the Terms and Conditions of this promotional program.
 
     
 
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