en-sg	WARNING: It is usually disadvantageous to replace an existing life insurance policy with a new one.
zh-cn	警告：以新的人寿保险单取代现有的人寿保险单通常是不利的。

en-sg	Some of the disadvantages are:
zh-cn	其中一些不利因素有：

en-sg	(i) you may not be insurable on standard terms;
zh-cn	(i) 您可能无法按照标准条款来投保；

en-sg	(ii) you may have to pay a higher premium in view of higher age;
zh-cn	(ii) 您可能由于更高的年龄而必须支付更高的保费；

en-sg	(iii) this may result in losing the financial benefits accumulated over the years.
zh-cn	(iii) 这可能会导致损失多年积累的财务收益。

en-sg	In your own interest, we would advise that you consult your present insurer before making a final decision.
zh-cn	为了您的自身利益，我们建议您在作出最后决定之前，先咨询您目前的保险公司。

en-sg	Hear from both sides and make a careful comparison.
zh-cn	听取双方的观点，并进行仔细的比较。

en-sg	You should be sure that you are making a decision that is in your best interest.
zh-cn	您应当确保作出符合自己最佳利益的决定。

en-sg	If you are a Citizen of Singapore, have you resided in Singapore at any time during the past five years?
zh-cn	如果您是新加坡的公民，在过去五年里，您是否曾于任何时候居住在新加坡？

en-sg	Yes
zh-cn	□是

en-sg	No
zh-cn	□否

en-sg	If you are currently residing in Singapore, but NOT a Citizen of Singapore, please complete questions 10 and 11.
zh-cn	如果您目前居住在新加坡，但不是新加坡的公民，请填写问题10和11。

en-sg	Please select one of the following checkboxes:
zh-cn	请选择下列其中一个复选框：

en-sg	I am a Permanent Resident of Singapore
zh-cn	□我是新加坡的永久居民

en-sg	I hold a work pass or permit required under the Singapore Employment of Foreign Manpower Act (Cap. 914)
zh-cn	□我持有《新加坡外国人力雇佣法案》（第91A章）所要求的工作准证或许可证

en-sg	I hold a pass or permit required under the Singapore Immigration Act (Cap. 133) that has a duration of longer than 90 days
zh-cn	□我持有《新加坡移民法案》（第133章）所要求的期限长于90天的准证或许可证

en-sg	How long have you been residing in Singapore in the immediate past 12 months?
zh-cn	在最近12个月里，您在新加坡居住了多长时间？

en-sg	1-90 days
zh-cn	□1 - 90天

en-sg	91 - 182 days
zh-cn	□91 - 182天

en-sg	≥183 days
zh-cn	□≥183天

en-sg	Postal Code
zh-cn	邮政编码

en-sg	How long have you resided in the country listed in 18?
zh-cn	您在问题18中所列出的国家居住了多长时间？

en-sg	If your response to 18a was less than 3 years, please list all of your countries of residence for the past 3 years.
zh-cn	如果您对问题18a的回答是少于3年，请列出您在过去3年里曾居住过的所有国家。

en-sg	Correspondence Address (if different from above)
zh-cn	通讯地址（如与上述地址不同）

en-sg	Postal Code
zh-cn	邮政编码

en-sg	Page 1 of 8
zh-cn	第1页，共8页

en-sg	GST Registered
zh-cn	消费税注册

en-sg	Yes
zh-cn	□是

en-sg	GST Registration No.
zh-cn	消费税注册号码：

en-sg	No
zh-cn	□否

en-sg	If you are a Citizen of Singapore, have you resided in Singapore at any time during the past five years?
zh-cn	如果您是新加坡的公民，在过去五年里，您是否曾于任何时候居住在新加坡？

en-sg	Yes
zh-cn	□是

en-sg	No
zh-cn	□否

en-sg	If you are currently residing in Singapore, but NOT a Citizen of Singapore, please complete questions 32 and 33.
zh-cn	如果您目前居住在新加坡，但不是新加坡的公民，请填写问题32和33。

en-sg	Please select one of the following checkboxes:
zh-cn	请选择下列其中一个复选框：

en-sg	I am a Permanent Resident of Singapore
zh-cn	□我是新加坡的永久居民

en-sg	I hold a work pass or permit under the Singapore Employment of Foreign Manpower Act (Cap. 91A)
zh-cn	□我持有《新加坡外国人力雇佣法案》（第91A章）所要求的工作准证或许可证91A)

en-sg	I hold a pass or permit under the Singapore Immigration Act (Cap. 133) that has a duration of longer than 90 days
zh-cn	□我持有《新加坡移民法案》（第133章）所要求的期限长于90天的准证或许可证

en-sg	How long have you been residing in Singapore in the immediate past 12 months?
zh-cn	在最近12个月里，您在新加坡居住了多长时间？

en-sg	1-90 days
zh-cn	□1 - 90天

en-sg	91 - 182 days
zh-cn	□91 - 182天

en-sg	≥183 days
zh-cn	□≥183天

en-sg	Postal Code
zh-cn	邮政编码

en-sg	Postal Code
zh-cn	邮政编码

en-sg	Postal Code
zh-cn	邮政编码

en-sg	Postal Code
zh-cn	邮政编码

en-sg	Page 2 of 8
zh-cn	第2页，共8页

en-sg	If Entity: (i.e. partnership, corporation, trust, other)
zh-cn	如果是实体（即合伙企业、公司、信托机构等等）

en-sg	Wire/TT
zh-cn	□电汇

en-sg	Bank Draft
zh-cn	□银行汇票

en-sg	Check
zh-cn	□支票

en-sg	DO NOT PAY ANY PREMIUM WITH THIS APPLICATION.
zh-cn	请勿随同此申请书支付任何保费。

en-sg	Page 3 of 8
zh-cn	第3页，共8页

en-sg	Mail Additional Premium Notices To (Address) if
zh-cn	将附加保费通知单邮寄至（地址）（如适用）

en-sg	Page 4 of 8
zh-cn	第4页，共8页

en-sg	Page 6 of 8
zh-cn	第6页，共8页

en-sg	No premium shall be paid or accepted before the Company requests in writing,
zh-cn	在公司以书面形式要求之前，不得支付或接受任何保费。

en-sg	I, the Proposed Insured, and I, the Proposed Owner (if different), understand the information obtained by use of the Authorization will be used by the Company to determine eligibility for insurance and eligibility for benefits under an existing policy.
zh-cn	本人（准投保人）及本人（准所有人）（如非准投保人）明白，通过使用此授权书所获得的资料将由公司用于确定保险资格及根据现有保单获得赔偿的资格。

en-sg	Any information obtained will not be released by the Company to any person or organization except to reinsuring companies or other persons or organizations performing business or legal services in connection to my Application, claim or may be otherwise lawfully required or as I may authorize
zh-cn	除再保公司或执行与本人的申请书、索赔有关的商业或法律服务的其他人员或组织，或法律另有要求或本人授权的情况外，公司不会将所获得的任何资料披露给任何人员或组织。

en-sg	A copy of the Benefits Illustration, Product Summary, and Fact Find (if applicable) has been provided.
zh-cn	已提供一份赔偿说明、产品目录及客户资料调查（如适用）的副本。

en-sg	The contents of these documents have been explained to my satisfaction, and I have read and understood them;
zh-cn	对这些文件的内容已作出令我满意的解释，本人已阅读和理解这些内容；

en-sg	I have been informed and directed to view or download a copy of Your Guide to Life Insurance from www.transamerica.com.sg or www.lia.org.sg; and
zh-cn	经告知和指导，本人已从www.transamerica.com.sg或www.lia.org.sg浏览或下载一份《人寿保险指南》的副本；

en-sg	I have read the Section 25 (5) Insurance Act (Cap. 142) warning stated on the front of this Application form.
zh-cn	本人已阅读此申请书前面所述的 25 (5) 《保险法案》（第142章）第25 (5)条的警告。

en-sg	I, the Proposed Insured, and I, the Proposed Owner (if different), know that I may request to receive a copy of this Authorization.
zh-cn	本人（准投保人）及本人（准所有人）（如非准投保人）知道，本人可要求取得一份此授权书的副本。

en-sg	I, the Proposed Insured, and I, the Proposed Owner (if different), agree that a photocopy of this Authorization shall be valid as the original.
zh-cn	本人（准投保人）及本人（准所有人）（如非准投保人）同意，此授权书的复印件与原件同样有效。

en-sg	I, the Proposed Insured, and I, the Proposed Owner (if different), agree this Authorization shall be valid for two and one half years from the date shown below, regardless of my condition and whether living or deceased.
zh-cn	本人（准投保人）及本人（准所有人）（如非准投保人）同意，此授权书应自下述日期起两年半内有效，不论本人情况如何及是否在世。

en-sg	Page 7 of 8
zh-cn	第7页，共8页

en-sg	I, the Proposed Owner, hereby declare and confirm that, unless otherwise indicated below*, I am the Beneficial Owner and ultimately own or have effective control over this insurance policy.
zh-cn	本人（准所有人）兹声明和确认，除非下文另有说明﹡，本人即为此保单的受益所有人并拥有此保单的最终所有权或有效控制权。

en-sg	I acknowledge and agree that the Company shall be entitled to rely on my declaration above on the beneficial ownership and purpose of this insurance policy.
zh-cn	本人知悉并同意，公司有权依赖本人在受益所有权及此保单之目的方面所作出的上述声明。

en-sg	(To be completed only if you are not the Beneficial Owner)
zh-cn	（非受益所有人填写）

en-sg	*The following individual(s) is/are the Beneficial Owner(s) and ultimately own(s) or has/have effective control of this insurance policy.
zh-cn	﹡下列个人为此保单的受益所有人或拥有此保单的有效控制权。

en-sg	Please enclose a copy of the identity card or passport of the Beneficial Owner(s).
zh-cn	请附上一份该（该等）受益所有人之身份证或护照的副本。

en-sg	'Beneficial Owner' as defined in MAS Notice 314 on Prevention of Money Laundering and Countering the Financing of Terrorism means the natural person who ultimately owns or controls a customer or the person on whose behalf a transaction is being conducted and includes the person who exercises ultimate effective control over a body corporate or unincorporate.
zh-cn	根据新加坡金融管理局（MAS）第314号公告《反洗钱与打击恐怖主义融资》中的定义，"受益所有人"是指最终拥有或控制客户的自然人，或以其名义进行交易的人，包括对法团或非属法团的团体行使最终有效控制权的人。

en-sg	For the avoidance of doubt, 'Beneficial Owner' does not mean the nominated beneficiary(ies) under the policy.
zh-cn	为免生疑问，"受益所有人"不是指保单的指定受益人。

en-sg	Page 8 of 8
zh-cn	第8页，共8页

en-sg	Report by Distributor
zh-cn	经销商报告

en-sg	Distributor's Name
zh-cn	经销商姓名

en-sg	Office ID
zh-cn	办公室ID

en-sg	Producer ID (Distributor)
zh-cn	生产商ID（经销商）

en-sg	Solicitor's Name
zh-cn	律师姓名

en-sg	Producer ID (Solicitor)
zh-cn	生产商ID（律师）

en-sg	Producer MAS Representative Notification Framework ID
zh-cn	生产商的MAS代表通知框架ID

en-sg	Administrative Staff Name
zh-cn	行政人员姓名

en-sg	Solicitor's Statement
zh-cn	律师陈述

en-sg	What is the purpose for insurance?
zh-cn	保险的目的是什么？

en-sg	How long have you known the Proposed Insured?
zh-cn	您认识准投保人多长时间了？

en-sg	Proposed Insured is
zh-cn	准投保人为

en-sg	Single
zh-cn	□单身

en-sg	Married
zh-cn	□已婚

en-sg	Divorced
zh-cn	□离异

en-sg	Widowed
zh-cn	□寡居

en-sg	To the best of your knowledge, does the Proposed Insured have any existing life insurance or annuity policies?
zh-cn	就您所知，准投保人是否拥有任何现有的人寿保险或年金保单？

en-sg	Yes
zh-cn	□是

en-sg	No
zh-cn	□否

en-sg	To the best of your knowledge, could replacement be involved?
zh-cn	就您所知，是否可能涉及转保？

en-sg	Yes
zh-cn	□是

en-sg	No
zh-cn	□否

en-sg	Name of referring bank.
zh-cn	参考银行的名称：

en-sg	Is this Application submitted in respect of an Accredited Investor as defined in the Financial Advisers Act (Chapter 110)?
zh-cn	此申请书是否就《财务顾问法案》（第110章）中所定义的合格投资者而提交？

en-sg	Yes
zh-cn	□是

en-sg	No
zh-cn	□否

en-sg	If 'No', please attach a copy of the option page of the Fact Find Form with this Statement.
zh-cn	如"否"，请随此陈述附上一份客户资料调查表选项页的副本。

en-sg	Solicitor's Declaration
zh-cn	律师声明

en-sg	I have personally seen the Proposed Insured/Owner and explained the terms of the insurance to him/her and have verified the NRIC/Passport No. of the Proposed Insured/Owner.
zh-cn	本人已亲自见过准投保人/所有人，已向其解释保险条款，并已核实准投保人/所有人的NRIC/护照号码。

en-sg	I declare that all the answers provided to me by the Proposed Insured/Owner are accurately declared in the Application.
zh-cn	本人声明，由准投保人/所有人提供给本人的所有答案均在此申请书中予以准确声明。

en-sg	I have not withheld any other information which may influence the acceptance of this Application by the Company.
zh-cn	本人未隐瞒可能影响公司接受此申请书的任何其他资料。

en-sg	Date (mm/dd/yyyy)
zh-cn	日期（月/日/年）

en-sg	Signature of Solicitor
zh-cn	律师签名

en-sg	Name
zh-cn	姓名

en-sg	NRIC Type
zh-cn	NRIC类别

en-sg	NRIC/Passport Number
zh-cn	NRIC/护照号码

en-sg	Nationality
zh-cn	国籍

en-sg	Date of Birth
zh-cn	出生日期

en-sg	Relationship to the policyholder
zh-cn	与投保人的关系

en-sg	1)
zh-cn	1)

en-sg	2)
zh-cn	2)

en-sg	3)
zh-cn	3)

en-sg	WARNING: It is usually disadvantageous to replace an existing life insurance policy with a new one. Some of the disadvantages are: (i) you may not be insurable on standard terms; (ii) you may have to pay a higher premium in view of higher age; (iii) this may result in losing the financial benefits accumulated over the years.
zh-cn	警告：以新的人寿保险单取代现有的人寿保险单通常是不利的。其中一些不利因素有：(i) 您可能无法按照标准条款来投保；(ii) 您可能由于更高的年龄而必须支付更高的保费；(iii) 这可能会导致损失多年积累的财务收益。

en-sg	In your own interest, we would advise that you consult your present insurer before making a final decision. Hear from both sides and make a careful comparison. You should be sure that you are making a decision that is in your best interest.
zh-cn	为了您的自身利益，我们建议您在作出最后决定之前，先咨询您目前的保险公司。听取双方的观点，并进行仔细的比较。您应当确保作出符合自己最佳利益的决定。

en-sg	I, the Proposed Insured, and I, the Proposed Owner (if different), understand that omissions or misstatements in this Application could cause an otherwise valid claim to be denied under any policy issued from this Application. If a material fact is not disclosed in this Application, any policy issued may not be valid.
zh-cn	本人（准投保人）及本人（准所有人）（如非准投保人）知道，此申请书中的遗漏或错误陈述可能导致根据此申请书签发的任何保单项下本应有效的索赔被拒绝。如果未在此申请书中披露重要事实，签发的任何保单可能无效。