新贸易信用保险投保单

公司名称 Name of Applicant 企业注册号 Registration No.成立日期 Date of Establishment 注册地址 Place of Incorporation 联系人 Contact Name

联系人职务 Position of Contact Person 电话 Telephone 传真 Fax 电邮地址 E-mail

企业性质 Type of Organization 投保业务类别 Business Nature 买方所属行业 Sectors Sold To 投保人关联企业信息

Details of Associated Companies

内贸Domestic

出口 Export

业务的特殊性 Business Particularity

2.业务描述 Business Description

1.申请人基本信息 Basic Information of A pplicant

贸易信用保险投保单

TRADE CREDIT INSURANCE APPLICATION FORM

披露与陈述Disclosure and Representation

在填写本投保单前，请先仔细阅读本投保单所附贸易信用保险条款（特别是黑体字部分的内容）。本投保单及任何附件的具体陈述共同构成投保资料且足以作为出具正式保单的基础。所有可能影响风险评估和承保的重要信息必须充分如实披露。 对于不能确定其是否为重要信息的，亦应充分披露。未尽以上披露和陈述义务将给予保险人取消保单并拒绝理赔的权利。如有必要，可另行附纸回答并加附其它相关文件。

Before filling up this proposal form, please read attached Trade Credit Insurance clause thoroughly and pay special attention to those bold clauses. This proposal form and any supporting documents, details and representations constitute Proposal Information and form the basis of the insurance policy.

All material facts and information that are likely to influence the assessment or acceptance of this risk should be fully disclosed. If in doubt as to whether anything is material, it should be included. Failure to disclose or truthfully represent material facts and information entitles CPIC to void the policy or avoid claims. Please continue answers on a separate sheet and attach additional documentation as necessary.

是否已有信用险保单 Any existing credit insurance cover 如是，保险公司名称 If yes, name of insurance company

（比如寄售、季节性销售、半成品、长期合同 Such as

consignment, seasonal sales, semi-finished goods, long-term contract)

合同中是否有物权保留条款 I s there retention of title clause in your contract

销售常用的付款方式（信用证、托收、赊销）Typical Payment Terms of Your Sales （L/C, DP, DA, OA）

否为买家提供较长赊账期（如“是”，请告知最长的赊账期）Do you allow long credit period (If "yes", please specify the longest credit period extended)

投保之产品或服务 P roducts/Services to be Covered 投保币种 (以下所提供的资料皆以此币种表示)

Currency Required (to be used for all information provided)

预计未来12个月的投保营业额

Estimated Insurable Turnover of next 12

CNY