更新指示（Please.pdf

CONTACT DETAIL CHANGE FORM 更改聯絡資料表格 Page 1 of 2 || || || || 頁1 共2 PAD-CDCF_0717 To ensure your personal information in our company’s record is up-to-date, please complete this Contact Detail Change Form. 請填寫本更改聯絡資料表格，以確保本公司載有閣下最新的聯絡資料 Code of Intermediary中介人編號 Name of Intermediary 中介人姓名 Contact No. 聯絡號碼 Code of Division / Broker 區域 / 經紀編號 Name of Division / Broker區域 / 經紀名稱 Policy No. 保單號碼 Name of Policyowner 保單持有人姓名 Name of Insured受保人姓名 Contact No. 聯絡號碼 Important Note重要提示: Please complete and return to Metropolitan Life Insurance Company of Hong Kong Limited / MetLife Limited (wherever applicable)(“MetLife”) within 30 days after signing this form. You may fax to 3409 8609, or by email to customerservices@.hk or by mail to: 57th floor, Hopewell Centre, 183 Queen’s Road East, Wanchai, Hong Kong. 請填妥及簽署此表格並於 30 天內交回美商大都會人壽保險香港有限公司/大都會人壽保險有限公司(如適用)(「大都會人壽」)處理。

閣下可傳真至 3409 8609 或電郵至 customerservices@.hk或寄交香港灣仔皇后大道東一百八十三號合和中心五十七樓 Any changes or amendments in this form must be countersigned by the policyowner in full signature. 保單持有人必須在此表格內任何更改或修改的地方簽署作實 General Enquiries 一般查詢 For general enquiries, please call our Customer Services Hotline on 2199 1000 during hotline service hours, from Monday to Friday, 9:00am to 7:00pm and Saturday 9:00am to 1:00pm (except public holidays). 一般查詢，請於熱線服務時間內，星期一至星期五，上午九時至下午七時，及星期六上午九時至下午一時(公眾假期除外) ，致電客戶服務熱線 2199 1000。

Change Instruction 更新指示 ( Please ? the appropriate box below to indicate your instruction. 請於下列適當位置填上 ? 號) 1. Both Residential and Correspondence Addresses Residential Address only Correspondence Address only 居住地址及通訊地址 只限更改居住地址 只限更改通訊地址 If not specified, both residential and correspondence address will be updated. 如沒有指示，居住地址及通訊地址將自動更新 2. Change Address for All Existing Policies Change Address for Above Policy Only 更改現時持有的全部保單之地址 只限更改上述保單之地址 If not specified, the change will apply to ALL existing inforce policies record under your ownership in MetLife. 如沒有指示，您現時於大都會人壽持有的全部生效保單之紀錄將自動更新。

3. Are you a US citizen or US tax resident? 閣下是否美國公民或美國稅務居民？ Yes 是 No 否 If Yes, Please submit IRS Form-W9. 如是，請填交 IRS 表格-W9 4. Have you undergone a change in tax residency as a result of the changes initiated in this form? 閣下之稅務居民身份是否在這申請書獲批後有所改變? Yes No If Yes, Please submit applicable Self-Certification Form 如是，請填交適用的自我證明表格 Please sign on the last page 請在最後頁簽署 CONTACT DETAIL CHANGE FORM 更改聯絡資料表格 Page 2 of 2 || || || || 頁2 共2 PAD-CDCF_0717 Policy No. 保單號碼 New Residential Address 新居住地址 (Please fill in BLOCK LETTERS 請以英文正楷填寫) Note : Please provide the proof of the Residential Address, e.g. bank or credit card statement, utility bill within the last 3 months. 註：請提供居住地址之住址証明。

如近三個月內之銀行帳單、信用卡帳單或水電煤帳單 Room / Flat 室 Floor 樓 Block 座 Name of Building 大廈名稱 Name of Estate 屋苑名稱 Street No. (2) Verifying the customers’ identities and eligibilities for insurance or financial products or services and ensuring ongoing due diligence of the customers; (3) Facilitating the daily operation of the insurance or financial or related services or products provided by MetLife , including without limitation arranging insurance contracts, managing customers’ accounts, monitoring sum assured, performing ongoing and future administration and assessment and underwriting any insurance policy issued by MetLife; (4) Providing and designing any insurance or financial or related product or service; (5) Enforcing the customers’ obligations under the insurance contracts including without limitation collection of insurance premiums and identification documents; (6) Marketing insurance or financial product or service (including without limitation reward, loyalty or privileges programmes or members’ club) of MetLife, or of any of its parent companies, subsidiaries, affiliates, related companies or group companies, or partnering banking and/or financial services providers and telecommunications and social media companies or entities, by mail, fax, electronic mail or other means of communications, or telephone calls addressed to the customers, in respect of which MetLife may or may not be remunerated (collectively “ Direct Marketing Purposes”); (7) Processing (including but not limited to investigating and analyzing) any claim under any insurance policy issued by MetLife and any credit, medical security and underwriting checks; (8) Matching Personal Data (including without limitation sum assured) to determine and recommend any insurance or financial or related products or services that may be of customers’ interest; (9) Creating and maintaining MetLife’s customer profile and segregation and business model 。