en-sg	This Questionnaire is required with all applications on individuals who are residents of a city/country other than Singapore.
zh-cn	针对居住在新加坡以外的城市/国家的个人，此调查问卷及所有申请书均必须备妥。

en-sg	Transamerica Life (Bermuda) Ltd., ("Transamerica") does not permit company and/or Transamerica product-specific discussions or presentations or any activities associated with solicitation in jurisdictions outside of Singapore.
zh-cn	全美人寿（百慕大）有限公司（"全美人寿"）不允许开展针对公司和/或全美人寿特定产品的讨论或介绍，或在新加坡以外的司法管辖区进行任何推销相关活动。

en-sg	The Producer and the Applicant must complete and submit this Questionnaire on individuals that are residents of a city/country other than Singapore.
zh-cn	针对居住在新加坡以外的城市/国家的个人，业务员和申请人必需填写和提交此调查问卷。

en-sg	Please answer each question in as much detail as possible.
zh-cn	请尽可能详细地回答每个问题。

en-sg	For purposes of this Questionnaire, the term "Applicant" refers to: (a) the proposed owner of the policy if the owner is a natural person; or (b) the proposed insured if the proposed owner is not a natural person.
zh-cn	就此调查问卷而言，"申请人"一词是指：(a) 保单的准所有人（如所有人是自然人）；或 (b) 准投保人（如准所有人不是自然人）。

en-sg	Please submit documentation demonstrating the place where the Applicant was at the time the Transamerica insurance documents were completed and signed (such as a valid entry permit, visa, passport stamp, or other government-provided evidence).
zh-cn	请提交证明申请人在全美人寿保险文件填写和签署之时所在地的文件（例如有效的入境许可证、签证、护照印章或其他的政府提供的证据）。

en-sg	SPECIAL INFORMATION: For Application involving a Proposed Insured residing in the People's Republic of China (PRC), please read and confirm the following statements are accurate.
zh-cn	特别资料：对于涉及居住在中华人民共和国（PRC）的准投保人的申请，请阅读和确认下列陈述准确无误。

en-sg	Do not sign this Form unless all of the representations contained below are true.
zh-cn	请勿签署此表，除非下方所包含的所有表述均属真实。

en-sg	IMPORTANT NOTICE: The laws related to life insurance products, including tax and estate laws, vary by country.
zh-cn	重要通知事项：与人寿保险产品有关的法律，包括税收和地产法律，会因国家而异。

en-sg	Transamerica does not provide tax or legal advice and Applicants are encouraged to consult with their own tax and/or legal counsel regarding the purchase of life insurance products.
zh-cn	全美人寿不提供税收或法律意见，建议申请人就购买人寿保险产品事宜与其税收和/或法律顾问进行协商。

en-sg	Policy Number Proposed Insured
zh-cn	保单号码                       准投保人

en-sg	(please print)
zh-cn	（请工整书写）

en-sg	What is the purpose of this Questionnaire?
zh-cn	此调查问卷的目的是什么？

en-sg	Who needs to complete the Questionnaire?
zh-cn	谁需要填写此调查问卷？

en-sg	1. Please provide the date and city/country where the Producer first engaged in Transamerica product-specific discussions or provided Transamerica identified marketing, sales materials or illustrations to the Applicant.
zh-cn	1. 请提供业务员首次参与针对全美人寿特定产品的讨论或向申请人提供具有全美人寿标志的营销、销售材料或说明的日期和城市/国家。

en-sg	Date: __ City/County:
zh-cn	日期：                     城市/国家：

en-sg	2. Have all of the solicitation activities regarding the Transamerica product taken place in Singapore?
zh-cn	2. 有关全美人寿产品的推销活动是否都发生在新加坡？

en-sg	' Yes |! No
zh-cn	□是      □否

en-sg	If no, please give the details:
zh-cn	如"否"，请提供详细资料：

en-sg	3. Please indicate the city/country where the Transamerica insurance documents were completed and signed.
zh-cn	3. 请注明全美人寿保险文件填写和签署的城市/国家。

en-sg	_ Singapore ! Other:
zh-cn	□新加坡         □其他

en-sg	4. Did anyone other than the Producer assist in completing the Transamerica insurance documents or provide any Transamerica-specific product information:
zh-cn	4. 除业务员以外，是否还有其他任何人坚持填写全美人寿保险文件或提供任何针对全美人寿的产品资料：

en-sg	™ Yes i! No
zh-cn	□是      □否

en-sg	If yes, please give the details:
zh-cn	如"否"，请提供详细资料：

en-sg	5. Additional Information:
zh-cn	5. 附加资料：

en-sg	1. While in the PRC, I have had no discussions with the Producer regarding either life insurance or Transamerica.
zh-cn	1. 在PRC期间，本人未曾与业务员进行过有关人寿保险或全美人寿的讨论。

en-sg	2. I received no documentation, including marketing materials, illustrations or applications regarding life insurance or Transamerica while in the PRC.
zh-cn	2. 在PRC期间，本人未收到过任何有关人寿保险或全美人寿的文件，包括营销材料、说明或申请书。

en-sg	3. My travel to Singapore in connection with my application for a Transamerica policy was not arranged or organized by any Producer.
zh-cn	3. 本人因申请全美人寿保单而前往新加坡的旅行并非由任何业务员安排或组织。

en-sg	4. Application and all insurance-related documents associated with the application for life insurance on my life were signed in Singapore.
zh-cn	4. 申请书及所有与本人之人寿保险申请有关的所有保险相关文件均在新加坡签署。

en-sg	I certify that the above information is accurate:
zh-cn	本人证明上述资料准确无误：

en-sg	Applicant Name (please print) Applicant Signature Date
zh-cn	申请人姓名（请工整书写）        申请人签名                    日期

en-sg	Producer Name With Producer Code Producer Signature Date
zh-cn	带业务员代码的业务员姓名           申请人签名                    日期

en-sg	(please print)
zh-cn	（请工整书写）

en-sg	TOA 445SG-0612
zh-cn	TOA 445SG-0612

en-sg	This Questionnaire is required with all applications on individuals who are residents of a city/country other than Singapore. Transamerica Life (Bermuda) Ltd., ("Transamerica") does not permit company and/or Transamerica product-specific discussions or presentations or any activities associated with solicitation in jurisdictions outside of Singapore.
zh-cn	针对居住在新加坡以外的城市/国家的个人，此调查问卷及所有申请书均必须备妥。全美人寿（百慕大）有限公司（"全美人寿"）不允许开展针对公司和/或全美人寿特定产品的讨论或介绍，或在新加坡以外的司法管辖区进行任何推销相关活动。

en-sg	The Producer and the Applicant must complete and submit this Questionnaire on individuals that are residents of a city/country other than Singapore. Please answer each question in as much detail as possible. For purposes of this Questionnaire, the term "Applicant" refers to: (a) the proposed owner of the policy if the owner is a natural person; or (b) the proposed insured if the proposed owner is not a natural person.
zh-cn	针对居住在新加坡以外的城市/国家的个人，业务员和申请人必需填写和提交此调查问卷。请尽可能详细地回答每个问题。就此调查问卷而言，"申请人"一词是指：(a) 保单的准所有人（如所有人是自然人）；或 (b) 准投保人（如准所有人不是自然人）。

en-sg	SPECIAL INFORMATION: For Application involving a Proposed Insured residing in the People's Republic of China (PRC), please read and confirm the following statements are accurate. Do not sign this Form unless all of the representations contained below are true.
zh-cn	特别资料：对于涉及居住在中华人民共和国（PRC）的准投保人的申请，请阅读和确认下列陈述准确无误。请勿签署此表，除非下方所包含的所有表述均属真实。

en-sg	IMPORTANT NOTICE: The laws related to life insurance products, including tax and estate laws, vary by country. Transamerica does not provide tax or legal advice and Applicants are encouraged to consult with their own tax and/or legal counsel regarding the purchase of life insurance products.
zh-cn	重要通知事项：与人寿保险产品有关的法律，包括税收和地产法律，会因国家而异。全美人寿不提供税收或法律意见，建议申请人就购买人寿保险产品事宜与其税收和/或法律顾问进行协商。