:CHEN ::

: 1

$ 9,999.92101,522$

::

/

(5)1 101,522 9,999.920.001122 -

: 9,999.92

2016629100,00043.5%5 ()

:

:

::

BROKERAGE DEPARTMENThk.brokerenquiry@aia.com

1. 2. 12

/100,000

10P.1 of

: (5)

()

(1)

20

1

(, )139,637

(2)

299,25530

()

(3)

(ii) 105%(i) ()()

()

12/100,000

1.

10P.2 of

:

(5)

: 1: CHEN

: :

1. (5) (:)

: $101,522

:$9,999.92

2. (5) (:)

10,5001 0 10,500 00 0 10,00021,0002 0 21,000 05,076 5,076 20,00031,5003 0 31,500 6,18211,370 17,552 30,00042,0004 0 42,000 8,91318,985 27,898 40,00052,5005 0 52,500 11,95028,325 40,274 50,00052,5006 0 52,500 14,76529,644 44,410 50,00052,5007 0 52,500 18,26330,863 49,125 50,00052,5008 4,572 57,072 22,00832,182 54,191 50,00052,5009 10,320 62,820 26,39833,401 59,798 50,00052,50010 16,467 68,967 31,16034,721 65,881 50,00052,50015 47,607 100,106 55,59240,101 95,693 50,00052,50020 93,043 145,542 94,15545,482 139,637 50,00055,12625 156,673 211,799 149,35855,126 204,484 50,00059,39030 239,865 299,255 239,86559,390 299,255 50,00084,36555 1,555,885 1,640,249 1,555,88584,365 1,640,249 50,00088,62960 2,231,343 2,319,971 2,231,34388,629 2,319,971 50,00093,09665 3,218,993 3,312,089 3,218,99393,096 3,312,089 50,00097,86770 4,641,049 4,738,916 4,641,04997,867 4,738,916 50,000

108,12180 9,558,841 9,666,962 9,558,841108,121 9,666,962 50,000119,49190 19,805,209 19,924,701 19,805,209119,491 19,924,701 50,000131,979100 40,765,130 40,897,108 40,765,130131,979 40,897,108 50,000

3. (: )

/ (5) 9,999.92101,522

() $9,999.92

2016513 :5LPRGR5

10P.3 of

4.

(i)()() ( "")

(ii)

(iii),

(iv)()(v)(vi)

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(i)(ii)105%

(ix)

(x)(xi)

:,

:

() :

(//) : :

signature_applicant_130_20

signature_applicant_name_130_14 signature_date_120_14

signature_policy_number_130_14

2016513 :5LPRGR5

10P.4 of

: (5)

2%

2%

2%2%

1 0 0 10,50010,500 10,500 02 5,076 5,076 21,00021,000 21,000 5,0763 17,552 16,959 31,50031,500 31,500 18,1484 27,898 26,759 42,00042,000 42,000 29,1305 40,274 38,292 52,50052,500 52,500 42,3646 44,410 41,539 52,50052,500 52,500 47,5927 49,125 45,037 56,82252,500 52,500 53,4718 54,191 48,820 63,81657,072 52,500 60,1549 59,798 52,785 71,48862,820 55,004 67,576

10 65,881 57,144 79,84468,967 59,365 75,77815 95,693 75,612 127,195100,106 78,431 120,78920 139,637 100,681 202,304145,542 104,144 193,04925 204,484 134,577 321,993211,799 138,468 309,53330 299,255 179,813 495,781299,255 179,813 495,78155 1,640,249 647,188 4,166,4971,640,249 647,188 4,166,49760 2,319,971 835,942 6,455,0982,319,971 835,942 6,455,09865 3,312,089 1,087,882 10,107,0113,312,089 1,087,882 10,107,01170 4,738,916 1,417,192 15,867,7734,738,916 1,417,192 15,867,77380 9,666,962 2,386,083 39,074,4709,666,962 2,386,083 39,074,47090 19,924,701 4,013,397 97,948,33119,924,701 4,013,397 97,948,331

100 40,897,108 6,536,076 249,694,23840,897,108 6,536,076 249,694,238

10P.5 of

: (5)

10,5001 0 10,500 00 0 10,000221,0002 0 21,000 05,076 5,076 20,000331,5003 0 31,500 6,18211,370 17,552 30,000442,0004 0 42,000 8,91318,985 27,898 40,000552,5005 0 52,500 11,95028,325 40,274 50,000652,5006 0 52,500 14,76529,644 44,410 50,000752,5007 0 52,500 18,26330,863 49,125 50,000852,5008 4,572 57,072 22,00832,182 54,191 50,000952,5009 10,320 62,820 26,39833,401 59,798 50,0001052,50010 16,467 68,967 31,16034,721 65,881 50,0001152,50011 21,717 74,217 35,05435,837 70,891 50,0001252,50012 27,496 79,996 39,55136,852 76,403 50,0001352,50013 33,684 86,183 44,36037,969 82,329 50,0001452,50014 40,429 92,929 49,80738,984 88,791 50,0001552,50015 47,607 100,106 55,59240,101 95,693 50,0001652,50016 55,372 107,871 62,05141,116 103,167 50,0001752,50017 63,845 116,345 69,20642,132 111,337 50,0001852,50018 72,909 125,409 76,85643,248 120,104 50,0001952,50019 82,615 135,114 85,24144,264 129,504 50,0002052,50020 93,043 145,542 94,15545,482 139,637 50,0002152,50021 104,140 156,640 99,91050,761 150,671 50,0002252,50022 116,508 169,007 111,40251,269 162,670 50,0002352,50023 129,701 182,201 123,14852,385 175,534 50,0002453,70524 142,744 196,449 135,75253,705 189,457 50,0002555,12625 156,673 211,799 149,35855,126 204,484 50,0002655,93926 172,403 228,342 164,73355,939 220,672 50,0002756,95427 189,204 246,157 181,18756,954 238,141 50,0002857,96928 207,364 265,334 199,00057,969 256,969 50,0002958,68029 227,453 286,133 218,70558,680 277,385 50,0003059,39030 239,865 299,255 239,86559,390 299,255 50,0003161,21831 260,620 321,838 260,62061,218 321,838 50,0003263,04532 282,851 345,896 282,85163,045 345,896 50,0003365,17733 306,596 371,774 306,59665,177 371,774 50,0003467,41134 332,314 399,724 332,31467,411 399,724 50,0003569,74635 359,914 429,660 359,91469,746 429,660 50,0003670,45636 391,013 461,470 391,01370,456 461,470 50,0003771,16737 424,702 495,869 424,70271,167 495,869 50,0003871,87838 460,613 532,491 460,61371,878 532,491 50,0003972,58839 499,243 571,832 499,24372,588 571,832 50,0004073,40040 540,665 614,065 540,66573,400 614,065 50,0004174,11141 584,949 659,061 584,94974,111 659,061 50,0004274,82242 632,625 707,447 632,62574,822 707,447 50,0004375,53243 683,781 759,314 683,78175,532 759,314 50,0004476,34544 738,508 814,853 738,50876,345 814,853 50,0004577,05545 797,210 874,265 797,21077,055 874,265 50,00046

10P.6 of

: (5)

77,86746 859,991 937,858 859,99177,867 937,858 50,0004778,68047 927,432 1,006,111 927,43278,680 1,006,111 50,0004879,39048 999,816 1,079,206 999,81679,390 1,079,206 50,0004980,20249 1,077,272 1,157,475 1,077,27280,202 1,157,475 50,0005081,01550 1,160,423 1,241,438 1,160,42381,015 1,241,438 50,0005181,82751 1,249,252 1,331,079 1,249,25281,827 1,331,079 50,0005282,63952 1,344,573 1,427,212 1,344,57382,639 1,427,212 50,0005383,45153 1,446,725 1,530,176 1,446,72583,451 1,530,176 50,0005484,36554 1,555,885 1,640,249 1,555,88584,365 1,640,249 50,0005585,17755 1,673,094 1,758,271 1,673,09485,177 1,758,271 50,0005685,98956 1,798,736 1,884,725 1,798,73685,989 1,884,725 50,0005786,90357 1,933,207 2,020,109 1,933,20786,903 2,020,109 50,0005887,71558 2,077,089 2,164,804 2,077,08987,715 2,164,804 50,0005988,62959 2,231,343 2,319,971 2,231,34388,629 2,319,971 50,0006089,54260 2,396,238 2,485,781 2,396,23889,542 2,485,781 50,0006190,35561 2,580,450 2,670,805 2,580,45090,355 2,670,805 50,0006291,26862 2,778,241 2,869,509 2,778,24191,268 2,869,509 50,0006392,18263 2,990,710 3,082,892 2,990,71092,182 3,082,892 50,0006493,09664 3,218,993 3,312,089 3,218,99393,096 3,312,089 50,0006594,11165 3,464,074 3,558,185 3,464,07494,111 3,558,185 50,0006695,02566 3,727,543 3,822,568 3,727,54395,025 3,822,568 50,0006795,93867 4,010,657 4,106,595 4,010,65795,938 4,106,595 50,0006896,95468 4,314,517 4,411,471 4,314,51796,954 4,411,471 50,0006997,86769 4,641,049 4,738,916 4,641,04997,867 4,738,916 50,0007098,88270 4,991,644 5,090,526 4,991,64498,882 5,090,526 50,0007199,89871 5,367,939 5,467,837 5,367,93999,898 5,467,837 50,00072

100,81172 5,772,236 5,873,047 5,772,236100,811 5,873,047 50,00073101,82773 6,205,883 6,307,709 6,205,883101,827 6,307,709 50,00074102,84274 6,671,515 6,774,357 6,671,515102,842 6,774,357 50,00075103,95975 7,170,808 7,274,766 7,170,808103,959 7,274,766 50,00076104,97476 7,706,969 7,811,943 7,706,969104,974 7,811,943 50,00077105,98977 8,281,819 8,387,808 8,281,819105,989 8,387,808 50,00078107,10678 8,898,311 9,005,417 8,898,311107,106 9,005,417 50,00079108,12179 9,558,841 9,666,962 9,558,841108,121 9,666,962 50,00080109,23880 10,266,758 10,375,995 10,266,758109,238 10,375,995 50,00081110,35481 11,058,945 11,169,300 11,058,945110,354 11,169,300 50,00082111,37082 11,909,599 12,020,969 11,909,599111,370 12,020,969 50,00083112,48683 12,822,064 12,934,550 12,822,064112,486 12,934,550 50,00084113,60384 13,800,245 13,913,848 13,800,245113,603 13,913,848 50,00085114,82185 14,847,707 14,962,529 14,847,707114,821 14,962,529 50,00086115,93886 15,968,591 16,084,529 15,968,591115,938 16,084,529 50,00087117,05587 17,166,454 17,283,509 17,166,454117,055 17,283,509 50,00088118,27388 18,444,479 18,562,752 18,444,479118,273 18,562,752 50,00089119,49189 19,805,209 19,924,701 19,805,209119,491 19,924,701 50,00090120,60890 21,250,273 21,370,881 21,250,273120,608 21,370,881 50,00091

10P.7 of

: (5)

121,82691 22,780,088 22,901,914 22,780,088121,826 22,901,914 50,00092123,04592 24,393,551 24,516,595 24,393,551123,045 24,516,595 50,00093124,26393 26,086,457 26,210,720 26,086,457124,263 26,210,720 50,00094125,58394 28,197,998 28,323,581 28,197,998125,583 28,323,581 50,00095126,80195 30,415,744 30,542,545 30,415,744126,801 30,542,545 50,00096128,01996 32,722,612 32,850,631 32,722,612128,019 32,850,631 50,00097129,33997 35,092,161 35,221,500 35,092,161129,339 35,221,500 50,00098130,65998 37,924,074 38,054,733 37,924,074130,659 38,054,733 50,00099131,97999 40,765,130 40,897,108 40,765,130131,979 40,897,108 50,000100

10P.8 of

: (5)

2 1

1 0 02 4,568 03 10,979 8814 18,610 1,8365 27,828 2,8706 29,861 3,9727 31,835 5,1778 33,935 6,4789 35,975 7,905

10 38,137 9,45215 47,781 18,15820 57,798 31,10525 72,014 50,35030 82,808 83,01355 137,849 669,49660 149,505 1,009,83065 161,744 1,528,75370 174,676 2,307,66780 202,523 5,170,34990 233,324 11,530,659

100 267,281 25,299,979

1. 90%

2.

10P.9 of

3030

:()

10P.10 of