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["   志工團體傷害保險被保險人名冊"]
["  本名冊附於並構成整個要保書"]
["編號","被保險人姓名","身分證號碼","出生日期\n(民國年月日)","  志工服務內容*"]
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["範例","嘉義人","Q123456789","40.06.30","訪視調查、老人保護個案居家探訪、環保服務"]
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["註1:要保單位未能提供個別被保險人聯絡資料者，雙方約定以要保單位之電子郵件信箱或地址為被保險人之聯絡資料，保險公司將依要保單位之聯絡資料通知被保險人。\n※保險法第 64 條規定，要保人對保險公司書面 詢問事項，不為說明或不實說明，保險公司得解除契約，並依同法第 25 條規定，無須返還保險費。"]
["*表格不足請自行增列\n投保75歲以上志工「民國40年6月30日前出生者(含當日)」，請務必於本(114)年12月8日(星期一)前填妥志工名冊，並寄送電子郵件至本局彙辦(志工投保名冊需提供可修改電子檔，E-mail：doris11060919@gmail.com)，寄送後請務必電話確認是否傳送成功(電話：05-3620900轉2202，賴映蓉社工員)。"]

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