立橋人壽免費新冠肺炎病毒疫苗接種保障
Well Link Life Free Post-Vaccination for COVID-19 Benefit

登記立橋人壽免費新冠肺炎病毒疫苗接種保障

Register for Well Link Life Free Post-Vaccination for COVID-19 Benefit

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)

    • 出生月份及日期(月月/日日)

      Month and 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 Beneficiary 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)(非必填)

      HKID card number (first four characters) (optional)

    • 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

Please note that Well Link Life only accepts your direct family member as the beneficiary

聲明Declaration

  • 我在此聲明及確認,我於登記過程中身處香港

    I hereby declare and confirm that I am in Hong Kong throughout the registration process

  • 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.