Common use of PERSONAL DATA COLLECTION AND USE Clause in Contracts

PERSONAL DATA COLLECTION AND USE. I / We confirm that I / we have read and understood the AIA Personal Information Collection Statement ("AIA PIC"). I / We declare and agree that any personal data and other information relating to me / us or my / our policy(ies) or investments contained in this application or collected, obtained, compiled or held by the Company by any means from time to time may be collected and utilized in accordance with the AIA PIC. I / We acknowledge and consent to the transfer of my / our personal data outside of Hong Kong (for policies issued in Hong Kong) or Macau (for policies issued in Macau), as the case may be, for the purposes and to the types of transferee as set out in the AIA PIC. The updated version of AIA PIC is available for download from its website: xxx.xxx.xxx.xx, and is made available upon request. 個人資料收集及使用 本人/我們確認本人/我們已閱讀及明白AIA個人資料收集聲明(「AIA個人資料收集聲明」)。本人/我們聲明及同意在本申請所載或貴公司不時以任何方法收集所得、編製或持有的任何個人資料及關於本人/我們或本人/我們的保單或投資的其他資料,可根據AIA個人資料收集聲明收集及使用。本人/我們知悉及同意就AIA個人資料收集聲明所述目的視乎情况轉讓本人/我們的個人資料至香港(如保單在香港繕發)或澳門(如保單在澳門繕發)境外予AIA個人資料收集聲明所載的資料承讓人。 AIA個人資料收集聲明的最新版本可於以下網址下載:xxx.xxx.xxx.xx及可向貴公司索取。 on on Signature of Owner/Trustee 於 MM月/DD日/YYYY年 持有人/信託人簽名 Signature of Assignee 受讓人簽名 (if applicable 如適用) 於 MM月/DD日/YYYY年 PLEASE SIGN & RETURN IMMEDIATELY BUT NO LATER THAN 14 DAYS 請簽署後即時但不遲於14天內遞交

Appears in 2 contracts

Samples: www.aia.com.hk, www.aia.com.hk

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PERSONAL DATA COLLECTION AND USE. I / We confirm that I / we have read and understood the AIA Personal Information Collection Statement ("AIA PIC"). I / We declare and agree that any personal data and other information relating to me / us or my / our policy(ies) or investments contained in this application or collected, obtained, compiled or held by the Company by any means from time to time may be collected and utilized in accordance with the AIA PIC. I / We acknowledge and consent to the transfer of my / our personal data outside of Hong Kong (for policies issued in Hong Kong) or Macau (for policies issued in Macau), as the case may be, for the purposes and to the types of transferee as set out in the AIA PIC. The updated version of AIA PIC is available for download from its website: xxx.xxx.xxx.xxxxxxx://xxx.xxx.xxx.xx/en/help-and-support/individuals/aia-everest.html#PrivacyStatement, and is made available upon request. 個人資料收集及使用 本人本人/ 我們確認本人/ 我們已閱讀及明白AIA個人資料收集聲明(「AIA個人資料收集聲明」)。本人/ 我們聲明及同意在本申請所載或貴公司不時以任何方法收集所得、編製或持有的任何個人資料及關於本人/ 我們或本人/ 我們的保單或投資的其他資料,可根據AIA個人資料收集聲明收集及使用。本人/ 我們知悉及同意就AIA個人資料收集聲明所述目的轉讓本人/ 我們的個人資料至香港(如保單在香港繕發)境外予AIA個人資料收集聲明所載的資料承讓人。AIA個人資料收集聲明的最新版本可於以下網址下載: xxxxx://xxx.xxx.xxx.xx/zh-hk/help-and-support/individuals/aia-everest.html#PrivacyStatement,及可向貴公司索取。 • By signing below, I / we represent that I am / we are not a U.S. person for purposes of U.S. federal income tax and that I am / we are not acting for, or on behalf of, a U.S. person. If the Owner is a body corporate, I / We represent that the Owner does not have any beneficial owner(s) with a 10% or more direct or indirect interest in the corporate who is a U.S. citizen, resident or U.S. Entity. I / We understand that the Company, believing this statement to be true, will rely on it and act on it. In the event this statement is incorrect / false, the Company reserves the right and shall be entitled to cancel the policy. Any policy issued may accordingly be considered void in which case the Company shall notify me / us and repay any premiums and levy (for Hong Kong policies)less reasonable charges and policy withdrawals / loans. Note: A false statement or misrepresentation of tax status by a U.S. person could lead to penalties under U.S. law. If your tax status changes and you become a U.S. citizen or resident, you must notify us within 30 days. (This Clause is not applicable to U.S. citizens or residents, who must complete IRS Form W- 9.) 於下方簽署作實,本人/ 我們聲明,就美國聯邦薪俸稅之有關事項而言,本人/ 我們並非美國人,及並不代表美國人行事。如持有人為法人,本人/ 我們聲明股東中沒有美國公民/ 美國居民/ 美國機構直接或間接持有大於10%的股權。本人/ 我們明白貴公司相信此陳述是真實的,並以此為依據及代為行事。倘若此陳述是不正確/ 虛假的,貴公司保留權利,並有權取消保單。任何依據此陳述而繕發的保單可視作無效。在這情況下,貴公司將通知我/ 我們償還扣除合理的費用及保單提款/我們確認本人貸款後的保費與保費徵費(香港保單適用)。 備註:根據美國法律,任何美國人就其稅務狀況有虛假或失實陳述,將會受到刑罰。若閣下的稅務狀況有更改,並且成為美國公民或居民,請於三十日內通知本公司。(美國公民或居民必須填寫IRS 之 W-9 表格,而以上之有關條款並不適用。) • I / We acknowledge and irrevocably agree that the information contained in this form and information regarding the Applicant(s) and any Reportable Account(s)* may be provided to the tax authorities of the country / jurisdiction in which this account(s) is / are maintained and exchanged with tax authorities of another country / jurisdiction or countries / jurisdictions in which the Applicant(s) may be tax resident pursuant to intergovernmental agreements to exchange financial account information. *“Reportable Account” has the meanings ascribed to it under the “Common Standard on Reporting and Due Diligence for Financial Account Information” promulgated by the Organisation for Economic Cooperation and Development. For individual applicant(s) - I / We certify that I am / we are the Applicant(s) (or am authorized to sign for the Applicant(s)) of all the account(s) to which this form relates. For corporate applicant(s) - I certify that I am authorized to sign for the Applicant in respect of all the account(s) to which this form relates. - I / We declare that all statements made in this declaration are, to the best of my / our knowledge and belief, correct and complete. - I / We undertake to advise the Company within 30 days of any change in circumstances which affects the tax residency status of the party / parties identified as Applicant of this form or causes the information contained herein to become incorrect or incomplete, and to provide the Company with a suitably updated self-certification and Declaration within 30 days of such change in circumstances. I / We agree to indemnify the Company against any loss, claim and action in connection with any false, misleading or incomplete information of my / our nationality, residence and / or tax status. 本人 / 我們知悉並完全同意這表格內,所有資料及有關申請人之個人資料,和任何須申報帳戶*,將有可能提供予管理該帳戶的國家 /司法管轄區之稅務機關,及轉交予其他國家/ 司法管轄區之稅務機關或申請人所屬之國家/ 司法管轄區為根據跨政府協議所訂之財務帳戶資料交換要求的國家/ 司法管轄區。 *“須申報帳戶”之定義請參考經濟合作與發展組織頒佈的“共同申報準則及財務帳戶資料之盡職調查”由個人作申請人 - 本人/ 我們在此聲明,本人/ 我們是本申請書相關之全部帳戶的申請人(或獲申請人授權簽署)。 由公司作申請人- 本人在此聲明,本人是獲申請人授權簽署本申請書相關的全部帳戶。 - 本人/ 我們聲明一切在這份聲明之條款是基於本人/ 我們的據知及所信,並且是正確及完整的。 - 本人/ 我們承諾,如有任何改動會影響認定為申請人之一方/ 多方之稅務居民狀況內容,或導致其所載資料失實或不完整,本人/ 我們將於有關改動發生後30日內通知貴公司,並在該變動發生後30日內,向貴公司提交最新的自我證明書。 - 本人 / 我們同意賠償貴公司就本人 / 我們的國籍、居住及 / 或稅務狀況有關資料之虛報、誤導或不完整所導致的任何損失,索償及訴訟。 Personal Information Protection Law of The People’s Republic of China (“China PIPL”) A Privacy Addendum in compliance with the China PIPL is available at: xxxxx://xxx.xxx.xxx.xx/en/help-and-support/individuals/aia-everest.html#PrivacyStatement and is made available upon request. It is applicable to you if you are located in Mainland China. 中華人民共和國個人信息保護法(「個人信息保護法」) 遵照個人信息保護法的私隱附錄可於以下網站下載:xxxxx://xxx.xxx.xxx.xx/我們已閱讀及明白AIA個人資料收集聲明(「AIA個人資料收集聲明」)。本人zh-hk/我們聲明及同意在本申請所載或貴公司不時以任何方法收集所得、編製或持有的任何個人資料及關於本人help-and-support/我們或本人individuals/我們的保單或投資的其他資料,可根據AIA個人資料收集聲明收集及使用。本人/我們知悉及同意就AIA個人資料收集聲明所述目的視乎情况轉讓本人/我們的個人資料至香港(如保單在香港繕發)或澳門(如保單在澳門繕發)境外予AIA個人資料收集聲明所載的資料承讓人aia-everest.html 及可向我們索取。如您位於中國內地,此私隱附錄則適用於您AIA個人資料收集聲明的最新版本可於以下網址下載:xxx.xxx.xxx.xx及可向貴公司索取I have read and understood the Privacy Addendum and agree that the AIA group of companies can process my personal information as set out in the Privacy Addendum. 我已閱讀及明白私隱附錄,並同意友邦保險集團可按照私隱附錄處理我的個人信息。 on on Signature of Owner/Owner / Trustee 持有人/ 信託人簽名 MM月/DD日/MM月 DD日 YYYY年 持有人/信託人簽名 Signature of Assignee 受讓人簽名 (if applicable 如適用) 於 MM月/DD日/MM月 DD日 YYYY年 PLEASE SIGN & RETURN IMMEDIATELY BUT NO LATER THAN 14 DAYS 請簽署後即時但不遲於14天內遞交請簽署後即時但不遲於14天內遞交 PLEASE DO NOT SIGN ON BLANK FORM 請勿在空白表格上簽署 Download our mobile app AIA Connect to manage your policy anytime, anywhere!

Appears in 1 contract

Samples: www.aia.com.hk

PERSONAL DATA COLLECTION AND USE. I / We confirm that I / we have read and understood the AIA Personal Information Collection Statement ("AIA PIC"). I / We declare and agree that any personal data and other information relating to me / us or my / our policy(ies) or investments contained in this application or collected, obtained, compiled or held by the Company by any means from time to time may be collected and utilized in accordance with the AIA PIC. I / We acknowledge and consent to the transfer of my / our personal data outside of Hong Kong (for policies issued in Hong Kong) or Macau (for policies issued in Macau), as the case may be, for the purposes and to the types of transferee as set out in the AIA PIC. The updated version of AIA PIC is available for download from its website: xxx.xxx.xxx.xx, and is made available upon request. 個人資料收集及使用 本人/我們確認本人/我們已閱讀及明白AIA個人資料收集聲明(「AIA個人資料收集聲明」)。本人/我們聲明及同意在本申請所載或貴公司不時以任何方法收集所得、編製或持有的任何個人資料及關於本人/我們或本人/我們的保單或投資的其他資料,可根據AIA個人資料收集聲明收集及使用。本人/我們知悉及同意就AIA個人資料收集聲明所述目的視乎情况轉讓本人/我們的個人資料至香港(如保單在香港繕發)或澳門(如保單在澳門繕發)境外予AIA個人資料收集聲明所載的資料承讓人本人 / 我們確認本人 / 我們已閱讀及明白AIA個人資料收集聲明(「AIA個人資料收集聲明」)。本人 / 我們聲明及同意在本申請所載或貴公司不時以任何方法收集所得、編製或持有的任何個人資料及關於本人 / 我們或本人/ 我們的保單或投資的其他資料,可根據AIA個人資料收集聲明收集及使用。本人 / 我們知悉及同意就AIA個人資料 收集聲明所述目的視乎情況轉讓本人 / 我們的個人資料至香港(如保單在香港繕發)或澳門(如保單在澳門繕發)境外予AIA個人資料收集聲明所載的資料承讓人AIA個人資料收集聲明的最新版本可於以下網址下載:xxx.xxx.xxx.xx及可向貴公司索取AIA個人資料收集聲明的最新版本可於以下網址下載:xxx.xxx.xxx.xx,及可向貴公司索取。 on on Signature of Owner/Owner / Trustee 持有人/ 信託人簽名 MM月/DD日/YYYY年 持有人/信託人簽名 MM 月 DD 日 YYYY 年 Signature of Assignee 受讓人簽名 (if applicable 如適用) 於 MM月/DD日/YYYY年 MM 月 DD 日 YYYY 年 PLEASE SIGN & RETURN IMMEDIATELY BUT NO LATER THAN 14 DAYS 請簽署後即時但不遲於14天內遞交請簽署後即時但不遲於14天內遞交 PLEASE DO NOT SIGN ON BLANK FORM 請勿在空白表格上簽署 Download our mobile app AIA Connect to manage your policy anytime, anywhere!

Appears in 1 contract

Samples: www.aia.com.hk

PERSONAL DATA COLLECTION AND USE. I / We confirm that I / we have read and understood the AIA Personal Information Collection Statement ("AIA PIC"). I / We declare and agree that any personal data and other information relating to me / us or my / our policy(ies) or investments contained in this application or collected, obtained, compiled or held by the Company by any means from time to time may be collected and utilized in accordance with the AIA PIC. I / We acknowledge and consent to the transfer of my / our personal data outside of Hong Kong (for policies issued in Hong Kong) or Macau (for policies issued in Macau), as the case may be, for the purposes and to the types of transferee as set out in the AIA PIC. The updated version of AIA PIC is available for download from its website: xxx.xxx.xxx.xx, and is made available upon request. 個人資料收集及使用 本人/我們確認本人/我們已閱讀及明白AIA個人資料收集聲明(「AIA個人資料收集聲明」)。本人/我們聲明及同意在本申請所載或貴公司不時以任何方法收集所得、編製或持有的任何個人資料及關於本人/我們或本人/我們的保單或投資的其他資料,可根據AIA個人資料收集聲明收集及使用。本人/我們知悉及同意就AIA個人資料收集聲明所述目的視乎情况轉讓本人/我們的個人資料至香港(如保單在香港繕發)或澳門(如保單在澳門繕發)境外予AIA個人資料收集聲明所載的資料承讓人個★資料收集及使用 本★/我們確認本★/我們已閱讀及明白AIA個★資料收集聲明(「AIA個★資料收集聲明」)。本★/我們聲明及同意在本申請所載或貴公司不時以任何方法收集所得、編製或持有的任何個★資料及關於本★/我們或本★/我們的保單或投資的其他資料,可根據AIA個★資料收集聲明收集及使用。本★/我們知悉及同意就AIA個★資料收集聲明所述目的視乎情况轉讓本★/我們的個★資料至香港(如保單在香港繕發)或澳門(如保單在澳門繕發)境外予AIA個★資料收集聲明所載的資料承讓★AIA個人資料收集聲明的最新版本可於以下網址下載:xxx.xxx.xxx.xx及可向貴公司索取AIA個★資料收集聲明的最新版本可於以下網址下載:xxx.xxx.xxx.xx,及可向貴公司索取。 on on Signature of Owner/Trustee 於 MM月/DD日/YYYY年 持有人/信託人簽名 持有★/信託★簽名 Signature of Assignee 受讓人簽名 受讓★簽名 (if applicable 如適用) 於 MM月/DD日/YYYY年 PLEASE SIGN & RETURN IMMEDIATELY BUT NO LATER THAN 14 DAYS 請簽署後即時但不遲於14天內遞交

Appears in 1 contract

Samples: www.aia.com.hk

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PERSONAL DATA COLLECTION AND USE. I / We confirm that I / we have read and understood the AIA Personal Information Collection Statement ("AIA PIC"). I / We declare and agree that any personal data and other information relating to me / us or my / our policy(ies) or investments contained in this application or collected, obtained, compiled or held by the Company by any means from time to time may be collected and utilized in accordance with the AIA PIC. I / We acknowledge and consent to the transfer of my / our personal data outside of Hong Kong (for policies issued in Hong Kong) or Macau (for policies issued in Macau), as the case may be, for the purposes and to the types of transferee as set out in the AIA PIC. The updated version of AIA PIC is available for download from its website: xxx.xxx.xxx.xx, and is made available upon request. 個人資料收集及使用 本人/我們確認本人/我們已閱讀及明白AIA個人資料收集聲明(「AIA個人資料收集聲明」)。本人/我們聲明及同意在本申請所載或貴公司不時以任何方法收集所得、編製或持有的任何個人資料及關於本人/我們或本人/我們的保單或投資的其他資料,可根據AIA個人資料收集聲明收集及使用。本人/我們知悉及同意就AIA個人資料收集聲明所述目的視乎情况轉讓本人/我們的個人資料至香港(如保單在香港繕發)或澳門(如保單在澳門繕發)境外予AIA個人資料收集聲明所載的資料承讓人。 AIA個人資料收集聲明的最新版本可於以下網址下載:xxx.xxx.xxx.xx及可向貴公司索取AIA個人資料收集聲明的最新版本可於以下網址下載:xxx.xxx.xxx.xx,及可向貴公司索取。 on on Signature of Owner/Trustee 於 MM月/DD日/YYYY年 持有人/信託人簽名 Signature of Assignee 受讓人簽名 (if applicable 如適用) 於 MM月/DD日/YYYY年 PLEASE SIGN & RETURN IMMEDIATELY BUT NO LATER THAN 14 DAYS 請簽署後即時但不遲於14天內遞交

Appears in 1 contract

Samples: www.aia.com.hk

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