啟動立橋免費意外保障
To activate Well Link Free Accidental Benefit
啟動「立橋免費意外保障」
(此免費保障由立橋人壽提供)
To activate Well Link Free Accidental Benefit
(this free benefit is provided by Well Link Life)
推薦編號（非必填）
Referral Code (Optional)
英文全名（與香港身份證相同）
Full Name in English
(Same as HKID card)
香港身份證號碼
HKID card number
出生日期（必須介乎18至65歲）
Date of birth
(must be within age 18 to 65)
性別
Gender
香港聯絡電話號碼
HK contact phone number
電郵地址#
Email address#
出生地區
Place of birth
國籍
Nationality
行業
Industry
職業
Occupation
# 電郵將會作為我們與您聯絡的主要渠道
Email will be our main communication channel with you in future
英文全名（與香港身份證相同）
Full Name in English
(Same as HKID card)
與您的關係*
Relationship with you *
* 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，意外身故保障金將全數撥作遺產處理。
Please note that Well Link Life only accepts your direct family member as the beneficiary. If no information of the beneficiary being provided, Accidental Death Benefit will be paid to your estate.
我在此聲明及確認，我於啟動過程中身處香港
I hereby declare and confirm that I am in Hong Kong throughout the activating process
我在此確認我已閱讀、明白及同意以下各項：
I hereby confirm that I have read, understood and agreed to the followings:
我同意立橋人壽使用本人的個人資料為我提供優惠通知、產品推介、及直接促銷推廣用途，並提供本人的相關個人資料予立橋保險集團、立橋金融集團、其成員及其聯營公司或商業合作夥伴使用作優惠通知、產品推介及直接促銷等用途。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 promotion offer, products and services and provision of my personal data to members of Well Link Group, Well Link Security Group, its associates and business partners for direct marketing its promotion offer, products and services 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.)
如您提供給立橋人壽的任何個人資料有變更，包括職業轉變，或職業範圍或性質有重大變更時，應即時以書面方式將該等轉變通知立橋人壽。
If there is any change of your personal information, include change occupation or materially changes the scope or nature of work, please notify Well Link Life of the changes in writing immediately.
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啟動。
Remarks: Well Link Life reserves the right to request for further information (if necessary) or to reject any activation that does not satisfy our rules.
