Signature of Insured Clause Samples

Signature of Insured. In case of occurrence of Insured event please immediately contact Savitar Group Assistance Company by phone Annex No.1 to Insurance Contract for persons traveling within Ukraine 1. Subject matter of Contract 1.1. Subject matter of Contract are property interests not contradicting the law, related to possible medical expenses for diagnostics and treatment of COVID-19 when Insured travels within Ukraine. 1.2. Insured persons are individuals under the age of 70 years for whom Contract was concluded.
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Signature of Insured. Signature of Legal representative: (For a minor under the age of 7 or a person with no capacity, his/her legal representative shall sign and sign on his/her behalf; for a person above the age of 7 but has not attained the age of 20, he/she and his/her legal representative shall both sign.) Signature of Designated Person: ID Card No.: Phone No.: ( ID Card No. is not required if the designated person is an agent ) Certificate No. of Agent: Agent Code: For Bancassurance only Branch/Name of Branch: Signature of sales representative: Employee No.: (If agent accept the appointment of the Principal, the agent should present to bear witness as the Proposer/Insured/legal representative sign this form in person.) ※To ensure your rights and interests relevant to this application, we may call or visit you for confirmation if necessary! “Policy Loan Regulations”
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Signature of Insured. In case of occurrence of Insured event please immediately contact Savitar Group by calling tel. +▇▇▇ ▇▇ ▇▇▇ ▇▇ ▇▇ or by e-mail: ▇▇▇@▇▇▇▇▇▇▇-▇▇.▇▇▇. Skype: Savitar044 Annex No.1 to Insurance Contract for persons traveling within Ukraine 1. Subject matter of Contract 1.1. Subject matter of Contract are property interests not contradicting the law, related to possible medical expenses for diagnostics and treatment of COVID-19 when Insured travels within Ukraine. 1.2. Insured persons are individuals under the age of 70 years for whom Contract was concluded.
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Signature of Insured. In case of occurrence of Insured event please immediately contact the L.I.C Assistance: phone: + ▇▇ ▇▇▇ ▇▇▇ ▇▇ ▇▇; e-mail: ▇▇▇▇@▇▇▇.▇▇▇▇.▇▇ Annex No.1 to Insurance Contract for persons traveling within Ukraine 1. Subject matter of Contract 1.1. Subject matter of Contract are property interests not contradicting the law, related to possible medical expenses for diagnostics and treatment of COVID-19 when Insured travels within Ukraine. 1.2. Insured persons are individuals under the age of 70 years for whom Contract was concluded.
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Signature of Insured. (Ver.3.1.1)
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Related to Signature of Insured

  • Signature of Director Name of director (block letters) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ............................................................... Signature of director/company secretary* *delete whichever is not applicable ............................................................... Name of director/company secretary* (block letters) *delete whichever is not applicable

  • Your Signature (Sign exactly as your name appears on the face of this Note) Signature Guarantee*: _________________________ * Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee).

  • Signature Signature For the participant For the institution

  • Signature of witness Address of Witness

  • Signature Guarantee Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor program reasonably acceptable to the Trustee)