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机器损坏险保险合同

  机器损坏险投保单 

  machinery breakdown insurance application 

  保单号:___________________

  policy no. ________________

  本投保单由投保人尽可能如实地、详细地填写并签章后作为向本公司投保机器损坏险的依据。本投保单为该机器损坏险保险单的组成部分。 

  the applicant is required to fill in the following items with utmost faith and as detailed as pos-sible. and affix signature to this application, which shall be the basis of application to the company for machinery breakdown insurance and constitute an integral part of the machinery breakdown in-surance policy. 

  1.被保险人名称和地址name and address of the insured:

  2.营业性质nature of business:

  3.被保险机器所在地location of machinery to be insured:

  4.保险期限:        个月,    年    月    日零时起至    年    月 &n

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