立橋人壽免費新冠肺炎病毒病雙重保障
Well Link Life Free Double Benefits for COVID-19

登記立橋人壽免費新冠肺炎病毒病雙重保障

Register for Well Link Life Free Double Benefits for COVID-19

個人資料Personal Information

    • 英文或中文全名(與香港身份證相同)

      Full Name in English or Chinese (Same as HKID card)

      香港身份證號碼(首四位)

      HKID card number (first four characters)

    • 出生日期

      Date of birth

      性別

      Gender

    • 香港聯絡電話號碼

      HK contact phone number

      (+852)

      電郵地址

      Email address

受益人資料(非必填) Beneficiary Information (Optional)

    • 英文或中文全名(與香港身份證相同)

      Full Name in English or Chinese (Same as HKID card)

      與您的關係*

      Relationship with you *

      請選擇 Please Select

* 請注意:立橋人壽只接受您的直系家庭成員為受益人。如未有提供受益人資料,將全數保障撥作遺產處理。

Please note that Well Link Life only accepts your direct family member as the beneficiary. If no information of the beneficiary being provided, all benefits will be paid to the estate.

聲明Declaration

  • 我在此聲明及確認:

    I hereby declare and confirm that:

    • 我於登記過程中身處香港; I am in Hong Kong throughout the registration process;
    • 我從未曾確診過2019冠狀病毒病,而現時亦沒有任何相關的病徵; I have never been diagnosed of COVID-19 and do not have any related signs or symptoms now;
    • 於登記此保障的過去14天內,我沒有曾經被隔離(包括但不限於在隔離中心、隔離營、家居、酒店或類似的住宿地方進行隔離); I have not been quarantined in the past 14 days prior to registration of the benefits (including but not limited to quarantine in quarantine centres, quarantine camps, at home, in hotel or similar dwelling places);
    • 與我同住的人沒有:a) 現時於家居進行强制隔離;或b) 由醫生或香港政府建議接受2019冠狀病毒病的測試;或c) 正等候2019冠狀病毒病測試結果。 No person who lives with me: a) is currently under mandatory quarantine at home; or b) is being recommended by doctor or HKSAR Government to undergo COVID-19 diagnostic test; or c) is awaiting the result of COVID-19 diagnostic test.
  • 我同意立橋人壽使用本人的個人資料作直銷推廣用途,並提供本人的相關個人資料予立橋集團、其成員及其聯營公司或商業合作夥伴使用作直銷用途。詳情請參考本聲明內有關「直銷」部份。(如您不同意,請取消左邊方格剔號。)

    I agree to the use of my personal data by Well Link Life in direct marketing its products and services and provision of my personal data to members of Well Link Group, its associates and business partners for direct marketing purpose. Details can be referred to the “Direct Marketing” section of the Statement. (If you do not agree, please untick the box provided on the left.)

提交 Submit

備註:立橋人壽保留權利要求更多資料(如需要)或拒絶不符合我們條件的登記。

Remarks: Well Link Life reserves the right to request for further information (if necessary) or to reject any registration that does not satisfy our registration rules.