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["明細表\n編號","被保險人","身分證字號","出生日期","性別","工作性質","職業類別","國籍\n(如為外國籍，請填寫國別)\n","承保項目","每人保費","身故受益人","與被保險人關係","被保險人簽章"," 注\n 意\n 事\n 項\n ："]
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["要保單位：                                    "]
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