保险合同变更/解除申请书保单号码:投保人/被保险人姓名:联系电话/手机:投保人要求保险合同作如下变更(请在“□”中用“√”标注您的选择,并填写变更内容于横线上):□投保人联系方式变更通讯地址:)_________市___________区/县_______________________________________________邮政编码:__________E-mail:_______________________________手机号码:____________________________□更正客户资料信息(请同时提供身份证件复印件)姓名:________________________证件类型:___________________证件号码:____________________________□变更受益人/信息资料(请同时提供身份证件复印件):______________________证件类型:___________________证件号码:____________________________与被保险人关系:________________________受益份额/顺序::______________________证件类型:___________________证件号码:____________________:________与被保险人关系:________________________受益份额/顺序::______________________证件类型:___________________证件号码:___________________________
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