Hang Seng Travel Insurance

Terms & Conditions

	Single Trip Cover
	Annual China Cover
	Annual Global Cover

Declaration

I hereby declare that I have been duly authorised by each of the persons covered under this application including guardian(s) of the child(ren) mentioned in this Proposal Form (together, the "Insured Persons" and each an "Insured Person") to apply for Travelsure Protection Plan and to make the following declarations for and on his/ her/ their behalf. I also hereby declare that each of the Insured Person(s) has agreed to the information under this Proposal Form including these Declarations, and that it is a condition precedent to obtain coverage for each such person that such Insured Person has agreed to all such information. (The above declaration is not applicable to a Proposer applying for his/ her own insurance only.)

I, and on behalf of each of the Insured Person(s), declare that the statements and particulars given herein are to the best knowledge and belief of each of the Insured Person(s), true and complete. I, and on behalf of each of the Insured Person(s), agree that the basis of this contract will be Travelsure Protection Plan Policy and cover will be effective as specified once the proposal is accepted by Hang Seng General Insurance (Hong Kong) Company Limited ("Hang Seng General Insurance") and AXA General Insurance Hong Kong Limited ("AXA General Insurance") and the Policy Schedule is issued. I, and on behalf of each of the Insured Person(s) further declare that:

1.	I, and on behalf of each of the Insured Person(s), hereby apply for Travelsure Protection Plan, deemed and accepted to constitute separate insurance in respect of each such Insured Person, and declare that to the best knowledge and belief of each of the Insured Person(s), the information given in this Proposal Form is true and complete in every aspect and all disclosed information has been verified by each of the Insured Person(s) as true and correct, and that none of the Insured Person(s) is travelling contrary to the advice of a medical practitioner, for the purpose of obtaining medical treatment, or for emigration.
2.	I, and on behalf of each of the Insured Person(s), understand that the insurance policy will be void even accepted if black-rain warning or typhoon signal number 8 or above is hoisted; strikes or industrial actions or airport or airline staff are in progress or any other reasons known to any of the Insured Person(s) that the trip may have to be cancelled or re-scheduled during the time of application.
3.	I, and on behalf of each of the Insured Person(s), understand that this policy is only valid for travel originating from Hong Kong.
4.	I, and on behalf of each of the Insured Person(s), declare that I have obtained the full and complete authority from the Insured Person(s) to sign on this Proposal Form , disclose any personal information being requested to assess this insurance application and make any subsequent request for policy amendment (save for designation or amendment of beneficiary, which must be made by the relevant Insured Person).
5.	I, and on behalf of each of the Insured Person(s), have not withheld any material facts* (i.e. facts relevant to an insurer's decision whether or not to provide coverage) from "Hang Seng General Insurance" and "AXA General Insurance" and that if any material facts shall have been withheld or not truly or fairly stated, this insurance policy shall be null and void.
6.	I, and on behalf of each of the Insured Person(s), agree that this Proposal Form and Declaration shall form the basis of each separate insurance contract between each of the Insured Person(s), "Hang Seng General Insurance" and "AXA General Insurance".
7.	I, and on behalf of each of the Insured Person(s), agree that each of the Insured Person(s) shall review the policy documents, including but not limited to the policy terms and conditions, and ensure the information thereon is correct.

*Note : If you are in doubt as to whether or not particular information or facts are material, please contact our customer representative on 2198-7878 during office hours.