Declarations

Declarations

I, on behalf of each of myself and all insured drivers:, hereby declare as follows:

    • 1. Reside in Hong Kong.
    • 2. Are aged between 25 and 70 years.
    • 3. Has at least 2 years driving experience.
    • 4. Do not engage in the following occupations: courier service, driver, entertainment, gambling, jockey, logistics, media, night clubs, political, professional sportsman, security, student, transportation, editor, journalist and unemployed.

 

Each insured driver, including myself:

    • 1. Have not been involved in any motor accidents and/or had any motor insurance claims records in the past 3 years
    • 2. Have not been disqualified during the past 3 years as the result of any offence or offence in relation to motor vehicle driving.
    • 3. Have not accumulated more than 12 driving-offence points in the past 3 years as a result of any offence or offence in relation to motor vehicle driving.
    • 4. Have not had any motor policy being terminated or refused for quotation by another insurance company in the past.

 

The vehicle:

    • 1. Has not been modified from manufacturer's standard specifications.
    • 2. Is not used for tuition purpose, rental, leasing, hire and reward (including but not limited to UBER or GOGOVAN or LALAMOVE or DELIVEROO or FOODPANDA or any car-sharing or any ride-sharing activities), rallies, competitions, speed testing, trials, motor sport or as courtesy car.
    • 3. Is registered as private car under Vehicle Registration Document.

 

General

    • 1. I/We understand that the policy is only effective after my/our application has been accepted by Allianz Global Corporate & Specialty SE (incorporated in the Federal Republic of Germany with limited liabilities) Hong Kong Branch ("Allianz" or "the Company")
    • 2. I/We acknowledge and agree that the Company may collect, use and process my/our personal data in accordance with its Personal Information Collection Statement as applicable from time to time
    • 3. I acknowledge and understand that laws and regulations of some jurisdictions outside Hong Kong may impose certain restrictions and/or requirements when their residents or citizens purchase insurance policies issued by foreign insurance companies and to the best of my knowledge I shall inform Allianz if the law of my country has any restrictions and/or requirements and/or prohibitions. I shall also, to the best of my ability, abide by any such laws or regulations that might be imposed on me from time to time and be fully responsible for any failure to abide by such laws or regulations
    • 4. I have read, understood and accepted the terms, conditions and exclusions contained in the Policy Wordings and any information or material relating to this Policy
    • 5. In the event of any discrepancy between the English or Chinese versions of any content related to this policy, the English version shall prevail

 

Accuracy of Information

    • 1. All information given in the application form for this policy are true and complete to the best of my knowledge and I have not withheld any material facts which are relevant to or could affect the acceptance of this application by Allianz. I understand that any inaccuracy or non-disclosure may render the policy voidable
    • 2. In the event that there is any change in material facts that occurs after the submission of this application but before policy issuance, I shall disclose any such information to Allianz as soon as reasonably possible
    • 3. I agree that this application and declaration and other information provided shall form the basis of the policy

 

Automatic Renewal

    • Subject to the Terms and Conditions of the Policy and Allianz's acceptance of the renewal, the Policy shall automatically renew at the expiry date upon payment of renewal premium, unless a written notice of cancellation has been received by Allianz at least seven (7) days before the expiry date. Allianz reserves the right to revise the renewal premium and/or amend the terms and conditions of the Policy upon renewal at its sole discretion, and renewal is not guaranteed.

 

Policy Cancellation

    • This Policy may be cancelled at the request of the Policyholder in writing to Allianz. Upon cancellation, any refund of premium and levy shall be calculated at Allianz's short period rates as set out on the policy wording, subject to the minimum premium retained by the Company for the period of coverage already provided. Please refer to the policy wordings for full details.

 

Payment Authorization

    • I/We authorize Allianz to collect from my/our designated credit card account all premium and levy in respect of the policy and any renewal thereof. The premium and levy for the renewal of the coming year will be automatically collected from my/our designated credit card account on the renewal date, unless alternative payment instructions have been provided to and accepted by Allianz prior to the renewal date. If the renewal premium payment is unsuccessful for any reason, the Policy will not be renewed and all cover will automatically cease on the expiry date. Allianz is under no obligation to provide notice of an unsuccessful payment.

 

Other

    • 1. We understand that Allianz may use my email to contact me/us about my application. By submitting this online application, I/We are consenting to this form of communication between me/ us and Allianz