BNG MINH HA QUYN LI BO HIM

Ph-An Gia Thnh Ti

Lun lun lng nghe. Lun lun thu hiu

THNG TIN DOANH NGHIP

Cng ty TNHH BHNT Prudential Vit Nam; Giy php: 15/GPKDBH do B Ti chnh cp ngy 15/11/2004; Vn iu l: 75 triu -la M;
Tr s chnh: Tng 25, TTTM Si Gn, 37 Tn c Thng, Qun 1, TP. H Ch Minh;
in thoi: (08) 39100999; Fax: (08) 39100899; Website: http://www.prudential.com.vn

Trang 1/4

THNG TIN I L BO HIM

H v tn: TEST
in thoi: ..
M s i l: 88888888

THNG TIN KHCH HNG

Gii tnh

Tui

Nhm
ngh nghip

Nam
N
N

28
29
1

2
2
2

Ngi c
bo him

Thi hn
hp ng

Thi hn
ng ph

S tin
bo him

NBH chnh

21

17

H v tn
Bn mua bo him:
Ngi c bo him chnh (NBH chnh):
Ngi c bo him b sung 1 (NBHBS 1):
Ngi c bo him b sung 2 (NBHBS 2)/Ngi th hng Quyn li hc vn:
a ch lin h:

Nguyn Quc Hon

Nguyn Quc Hon
Nng Th Ho
Nguyn Thu Trinh

CMND/H chiu/
Khai sinh

n v tnh: ng

THNG TIN SN PHM BO HIM

Sn phm
Sn phm chnh
Ph-An Gia Thnh Ti
(La chn 2)
Ph gim cho hp ng c s tin bo him ln:
Ph bo him sau khi gim:
Sn phm b tr
1
HSR4
Bo him chm sc sc khe (*)
2
OPW3
Bo him t b thu ph ngi hn phi
3
TLR1
Bo him nhn th c k hn
4
ADD2
Bo him cht v tn tt do tai nn m rng (*)
5
HSR4
Bo him chm sc sc khe (*)
6
TLR3
Bo him nhn th c k hn (dnh cho tr em)
Tng ph bo him ca sn phm chnh v (cc) sn phm b tr

Tng ph bo him theo nh k:

Ph bo him
hng nm

100.000.000

6.730.000
(300.000)
6.430.000

NBH chnh

17
17
17
17
17
17

NBHBS 1

NBHBS 2

Nm
8.022.800

Na nm
4.252.100

17
17
17
17
17
17

200.000
50.000.000
50.000.000
200.000
50.000.000

Qu
2.246.400

420.000
166.300
216.500
175.000
420.000
195.000
8.022.800

Thng
802.300

Ghi ch:
(*) Ph bo him ca (cc) sn phm ny c th thay i theo s chp thun ca B Ti chnh. Ph bo him ca (cc) sn phm cn li c m bo trong sut thi hn hp ng.
Ph bo him c trnh by trn y l ph tnh cho ngi c sc khe trung bnh theo tiu chun ca Prudential. Ph bo him thc t s da trn kt qu thm nh ca Prudential.

Bn mua bo him:
Ngi c bo him chnh:

Nguyn Quc Hon

Nguyn Quc Hon

Minh ha s:
i l bo him:

84001000001
TEST

Phin bn:
Ngy:

PruQuote v2.1B -PTE

11/02/2012 13:44:42

BNG MINH HA QUYN LI BO HIM

Ph-An Gia Thnh Ti

Lun lun lng nghe. Lun lun thu hiu

THNG TIN V QUYN LI CA HP NG BO HIM

A. QUYN LI BO HIM CA HP NG (C M BO)
SN PHM

Trang 2/4

n v tnh: ng
S KIN BO HIM

QUYN LI BO HIM

GHI CH

Dnh cho Ngi c bo him chnh: NGUYN QUC HON

Ph-An Gia Thnh Ti
(La chn 2)

Bo him chm sc sc khe

T vong
Thng tt ton b v vnh vin

100.000.000
100.000.000

Nm vin

200.000

Nm vin ti khoa chm sc c bit

400.000

Phu thut

1.000.000

c chi tr thnh 10 ln trong 10 nm

Cho mi Ngy nm vin; c chi tr ti a 100 Ngy
nm vin cng dn trong mt Nm hp ng
Cho mi Ngy nm vin ti khoa chm sc c bit;
c chi tr ti a 30 Ngy nm vin cng dn trong mt
Nm hp ng
Cho mt ca phu thut

Dnh cho Ngi c bo him b sung 1: NNG TH HO

2

Bo him t b thu ph ngi hn phi

Bo him nhn th c k hn

Bo him cht v tn tt do tai nn m rng

Bo him chm sc sc khe

Bn mua bo him:
Ngi c bo him chnh:

T vong
Thng tt ton b v vnh vin
B tn tt (theo mc tn tt) hoc b phng nng hoc t vong do tai nn
T vong do tai nn khi ang l hnh khch c mua v trn xe but hoc xe la
T vong do tai nn khi ang l hnh khch c mua v trn cc chuyn bay thng mi

Min ng ph trong tng lai

cho ton b hp ng
50.000.000
50.000.000
50.000.000 (ti a)
100.000.000 (ti a)
150.000.000 (ti a)

Nm vin

200.000

Nm vin ti khoa chm sc c bit

400.000

Phu thut

1.000.000

T vong hoc Thng tt ton b v vnh vin

Nguyn Quc Hon

Nguyn Quc Hon

Minh ha s:
i l bo him:

84001000001
TEST

c chi tr thnh 10 ln trong 10 nm

Cho mi Ngy nm vin; c chi tr ti a 100 Ngy

nm vin cng dn trong mt Nm hp ng
Cho mi Ngy nm vin ti khoa chm sc c bit;
c chi tr ti a 30 Ngy nm vin cng dn trong mt
Nm hp ng
Cho mt ca phu thut

Phin bn:
Ngy:

PruQuote v2.1B -PTE

11/02/2012 13:44:42

BNG MINH HA QUYN LI BO HIM

Ph-An Gia Thnh Ti
SN PHM

Lun lun lng nghe. Lun lun thu hiu

S KIN BO HIM

QUYN LI BO HIM

Trang 3/4

GHI CH

Dnh cho Ngi c bo him b sung 2/Ngi th hng Quyn li hc vn: NGUYN THU TRINH
6

Bo him nhn th c k hn
(dnh cho tr em)

T vong
Thng tt ton b v vnh vin

50.000.000
50.000.000

c chi tr thnh 10 ln trong 10 nm

Ghi ch:
Chi tit v quyn li ca (cc) sn phm bo him nu trn c quy nh c th trong Quy tc, iu khon ca sn phm.
(Cc) Sn phm b tr trn y l (cc) sn phm bo him khng c bo tc.

Bn mua bo him:
Ngi c bo him chnh:

Nguyn Quc Hon

Nguyn Quc Hon

Minh ha s:
i l bo him:

84001000001
TEST

Phin bn:
Ngy:

PruQuote v2.1B -PTE

11/02/2012 13:44:42

BNG MINH HA QUYN LI BO HIM

Ph-An Gia Thnh Ti

Lun lun lng nghe. Lun lun thu hiu

n v tnh: ng

B. MINH HA QUYN LI CA SN PHM CHNH

Nm
hp
ng
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21

Tui
NBH
chnh
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49

Ph bo him
hng nm

6.430.000
6.430.000
6.430.000
6.430.000
6.430.000
6.430.000
6.430.000
6.430.000
6.430.000
6.430.000
6.430.000
6.430.000
6.430.000
6.430.000
6.430.000
6.430.000
6.430.000

Trang 4/4

Tng ph
bo him
ng

Quyn li
bo him
m bo
(a)

6.430.000
12.860.000
19.290.000
25.720.000
32.150.000
38.580.000
45.010.000
51.440.000
57.870.000
64.300.000
70.730.000
77.160.000
83.590.000
90.020.000
96.450.000
102.880.000
109.310.000

100.000.000
100.000.000
100.000.000
100.000.000
100.000.000
100.000.000
100.000.000
100.000.000
100.000.000
100.000.000
100.000.000
100.000.000
100.000.000
100.000.000
100.000.000
100.000.000
100.000.000
100.000.000
100.000.000
100.000.000
100.000.000

QUYN LI BO HIM MINH HA

Li chia cui
Bo tc
hp ng
tch ly
(c)
(b)
3.250.000
6.605.600
10.070.300
13.647.600
17.341.100
21.154.700
25.092.200
29.157.700
33.355.300
37.689.300
42.164.200
46.784.500
51.555.000
56.480.500
61.566.100
66.817.000
^ 72.238.600
^ 36.000.000

QUYN LI
HC VN
M BO
(d)

QUYN LI HC VN MINH HA
Tng Quyn li Tng Quyn li
Bo tc tch ly v
Li chia cui hp ng
hc vn
hc vn tch ly
(e) = (^b) + (^c)
(f) = (d) + (e)
(g)

30.000.000
20.000.000
20.000.000
20.000.000
30.000.000

Quyn li hc vn (lun c chi tr tr trng hp Hp ng b hy)

Quyn li m bo:
Bo tc tch ly v Li chia cui hp ng minh ha:
Li tch ly minh ha (nu tch ly Quyn li hc vn):
Tng:

21.647.700
21.647.700
21.647.700
21.647.700
21.647.700

51.647.700
41.647.700
41.647.700
41.647.700
51.647.700

Nu nhn Quyn li hc vn
120.000.000
108.238.500
228.238.500

GI TR HON LI MINH HA
Nu nhn
Nu tch ly
Quyn li hc vn Quyn li hc vn
(h)
(i) = (h) + (g) - (f)
1.117.300
5.276.500
12.823.800
17.655.000
25.856.100
32.467.400
39.760.300
47.805.400
59.831.400
70.173.200
81.589.800
94.195.900
108.120.400
130.007.100
147.909.100
198.751.200
158.387.000
125.551.500
90.044.400
51.647.800

51.647.700
97.427.200
146.869.100
200.266.300
267.935.300

1.117.300
5.276.500
12.823.800
17.655.000
25.856.100
32.467.400
39.760.300
47.805.400
59.831.400
70.173.200
81.589.800
94.195.900
108.120.400
130.007.100
147.909.100
198.751.200
214.166.500
230.772.900
248.663.000
267.935.400

Nu tch ly Quyn li hc vn
120.000.000
108.238.500
39.696.800
267.935.300

Ghi ch:
Tng Quyn li hc vn nu tch ly nh minh ha ct (g) bao gm li tch ly khi khch hng li Quyn li hc vn Cng ty. Li tch ly c minh ha mc li sut 8% v khng c m bo.
Gi tr hon li ( bao gm Quyn li hc vn ca nm tng ng) nu trn KHNG C M BO. Gi tr hon li c tnh da trn mc Bo tc minh ha.
Bo tc tch ly c cng b hng nm. Bo tc tch ly nh minh ha ct (b) KHNG C M BO; tuy nhin, mt khi Bo tc tch ly c cng b th s c m bo v lm tng gi tr ca hp ng.
Li chia cui hp ng (KHNG C M BO) c chi tr khi c s kin bo him hoc khi o hn. Li chia cui hp ng khi c cng b ch c gi tr cho nm cng b, khng c tch ly v c th tng hoc gim hng nm.
Bo tc tch ly v Li chia cui hp ng thc t c cng b da trn kt qu hot ng ca Qu Ch hp ng - hnh thnh t ngun ph bo him - trong sut thi hn ca hp ng. Bo tc tch ly v Li chia cui hp ng thc t c th cao (hoc thp) hn Bo tc
tch ly v Li chia cui hp ng minh ha trong trng hp li sut u t thc t t hot ng u t ti sn ca qu cao (hoc thp) hn mc mong i. Tuy nhin, mc tiu ca Prudential l khng bo tc hng nm bin ng qu ln.
Cc s liu minh ha trn y ch mang tnh tham kho vi gi nh ton b ph bo him c ng y v khng c giao dch no lm thay i gi tr hp ng. Ton b ni dung minh ha ny l mt phn ca hp ng bo him.
XC NHN CA I L BO HIM
Ti gii thch y cho Bn mua bo him v Quyn li v
cc Quy tc, iu khon ca (cc) sn phm bo him nu trn.

i l bo him k tn:

XC NHN CA BN MUA BO HIM

Ti, Bn mua bo him, c bng minh ha ny v c i Bn mua bo him k tn:
l bo him t vn r rng cc chi tit ca bng minh ha cng
nh cc Quy tc, iu khon ca (cc) sn phm bo him ghi
trn.
Ti ng tham gia (cc) sn phm bo him nu trn.

H v tn: TEST
M s i l: 88888888
Ngy: 11/02/2012

H v tn: Nguyn Quc Hon

Ngy: _________________

BNG MINH HA NY L MT PHN CA HP NG BO HIM V CH C GI TR PHP L KHI C Y S TRANG

Bn mua bo him:
Ngi c bo him chnh:

Nguyn Quc Hon

Nguyn Quc Hon

Minh ha s:
i l bo him:

84001000001
TEST

Phin bn:
Ngy:

PruQuote v2.1B -PTE

11/02/2012 13:44:42

BNG MINH HA QUYN LI BO HIM

Ph-An Khang Hu Tr

Lun lun lng nghe. Lun lun thu hiu

Trang 1/3

THNG TIN I L BO HIM

H v tn: TEST
in thoi: ..
M s i l: 88888888

THNG TIN DOANH NGHIP

Cng ty TNHH BHNT Prudential Vit Nam; Giy php: 15/GPKDBH do B Ti chnh cp ngy 15/11/2004; Vn iu l: 75 triu -la M;
Tr s chnh: Tng 25, TTTM Si Gn, 37 Tn c Thng, Qun 1, TP. H Ch Minh;
in thoi: (08) 39100999; Fax: (08) 39100899; Website: http://www.prudential.com.vn

THNG TIN KHCH HNG

Gii tnh

Tui

Nhm
ngh nghip

Nam
N

28
29

2
2

Ngi c
bo him

Thi hn
hp ng

Thi hn
ng ph

S tin
bo him

NBH chnh

31

22

200.000.000

5.760.000

22
22
22
22
22
22

22
22
22
22
22
22

50.000.000
200.000
20.000.000

175.000
420.000
496.000
153.200
175.000
420.000
7.599.200

H v tn
Bn mua bo him:
Ngi c bo him chnh (NBH chnh):
Ngi c bo him b sung (NBHBS):
a ch lin h:

Nguyn Quc Hon

Nguyn Quc Hon
Nng Th Ho

CMND/H chiu

n v tnh: ng

THNG TIN SN PHM BO HIM

Sn phm
Sn phm chnh
Ph-An Khang Hu Tr
Sn phm b tr
1
ADD2
Bo him cht v tn tt do tai nn m rng (*)
2
HSR4
Bo him chm sc sc khe (*)
3
DSR2
Bo him h tr ti chnh ngi hn phi
4
OPW3
Bo him t b thu ph ngi hn phi
5
ADD2
Bo him cht v tn tt do tai nn m rng (*)
6
HSR4
Bo him chm sc sc khe (*)
Tng ph bo him ca sn phm chnh v (cc) sn phm b tr

Tng ph bo him theo nh k:

NBH chnh

NBHBS

Nm
7.599.200

Na nm
4.027.700

Ph bo him
hng nm

50.000.000
200.000

Qu
2.127.800

Thng
759.900

Ghi ch:
(*) Ph bo him ca (cc) sn phm ny c th thay i theo s chp thun ca B Ti chnh. Ph bo him ca (cc) sn phm cn li c m bo trong sut thi hn hp ng.
Ph bo him c trnh by trn y l ph tnh cho ngi c sc khe trung bnh theo tiu chun ca Prudential. Ph bo him thc t s da trn kt qu thm nh ca Prudential.

Bn mua bo him:
Ngi c bo him chnh:

Nguyn Quc Hon

Nguyn Quc Hon

Minh ha s:
i l bo him:

84001000001
TEST

Phin bn:
Ngy:

PruQuote v2.1B -ENP2

11/02/2012 13:48:59

BNG MINH HA QUYN LI BO HIM

Ph-An Khang Hu Tr

Lun lun lng nghe. Lun lun thu hiu

THNG TIN V QUYN LI CA HP NG BO HIM

A. QUYN LI BO HIM CA HP NG (C M BO)
SN PHM

Trang 2/3

n v tnh: ng
S KIN BO HIM

QUYN LI BO HIM

GHI CH

Dnh cho Ngi c bo him chnh: NGUYN QUC HON

Ph-An Khang Hu Tr

Bo him cht v tn tt do tai nn m rng

Bo him chm sc sc khe

T vong
Thng tt ton b v vnh vin
B tn tt (theo mc tn tt) hoc b phng nng hoc t vong do tai nn
T vong do tai nn khi ang l hnh khch c mua v trn xe but hoc xe la
T vong do tai nn khi ang l hnh khch c mua v trn cc chuyn bay thng mi

200.000.000
200.000.000
50.000.000 (ti a)
100.000.000 (ti a)
150.000.000 (ti a)

Nm vin

200.000

Nm vin ti khoa chm sc c bit

400.000

Phu thut

1.000.000

c chi tr thnh 10 ln trong 10 nm

Cho mi Ngy nm vin; c chi tr ti a 100 Ngy

nm vin cng dn trong mt Nm hp ng
Cho mi Ngy nm vin ti khoa chm sc c bit;
c chi tr ti a 30 Ngy nm vin cng dn trong mt
Nm hp ng
Cho mt ca phu thut

Dnh cho Ngi c bo him b sung: NNG TH HO

3

Bo him h tr ti chnh ngi hn phi

T vong hoc Thng tt ton b v vnh vin

Bo him t b thu ph ngi hn phi

T vong hoc Thng tt ton b v vnh vin

Bo him cht v tn tt do tai nn m rng

B tn tt (theo mc tn tt) hoc b phng nng hoc t vong do tai nn

T vong do tai nn khi ang l hnh khch c mua v trn xe but hoc xe la
T vong do tai nn khi ang l hnh khch c mua v trn cc chuyn bay thng mi

Min ng ph trong tng lai

cho ton b hp ng
50.000.000 (ti a)
100.000.000 (ti a)
150.000.000 (ti a)

Nm vin

200.000

Nm vin ti khoa chm sc c bit

400.000

Phu thut

1.000.000

Bo him chm sc sc khe

20.000.000

c chi tr vo mi Ngy k nim nm hp ng cho

n ngy o hn

Cho mi Ngy nm vin; c chi tr ti a 100 Ngy

nm vin cng dn trong mt Nm hp ng
Cho mi Ngy nm vin ti khoa chm sc c bit;
c chi tr ti a 30 Ngy nm vin cng dn trong mt
Nm hp ng
Cho mt ca phu thut

Ghi ch:
Chi tit v quyn li ca (cc) sn phm bo him nu trn c quy nh c th trong Quy tc, iu khon ca sn phm.
(Cc) Sn phm b tr trn y l (cc) sn phm bo him khng c bo tc.

Bn mua bo him:
Ngi c bo him chnh:

Nguyn Quc Hon

Nguyn Quc Hon

Minh ha s:
i l bo him:

84001000001
TEST

Phin bn:
Ngy:

PruQuote v2.1B -ENP2

11/02/2012 13:48:59

BNG MINH HA QUYN LI BO HIM

Ph-An Khang Hu Tr

Lun lun lng nghe. Lun lun thu hiu

n v tnh: ng

B. MINH HA QUYN LI CA SN PHM CHNH

Nm
hp
ng
1
2
3
4
7
10
13
16
19
22
23
24
25
26
27
28
29
30
31

Tui
NBH
chnh
29
30
31
32
35
38
41
44
47
50
51
52
53
54
55
56
57
58
59

Ph
bo him
hng nm

Tng ph
bo him ng

5.760.000
5.760.000
5.760.000
5.760.000
5.760.000
5.760.000
5.760.000
5.760.000
5.760.000
5.760.000

5.760.000
11.520.000
17.280.000
23.040.000
40.320.000
57.600.000
74.880.000
92.160.000
109.440.000
126.720.000
126.720.000
126.720.000
126.720.000
126.720.000
126.720.000
126.720.000
126.720.000
126.720.000
126.720.000

Trang 3/3

QUYN LI BO HIM MINH HA

Tng Quyn li
Bo tc tch
Quyn li bo him
bo him
ly minh ha
m bo
(c) = (a) + (b)
(b)
(a)
200.000.000
4.000.000
204.000.000
200.000.000
8.080.000
208.080.000
200.000.000
12.241.600
212.241.600
200.000.000
16.486.400
216.486.400
200.000.000
29.737.100
229.737.100
200.000.000
43.798.900
243.798.900
200.000.000
58.721.300
258.721.300
200.000.000
74.557.100
274.557.100
200.000.000
91.362.200
291.362.200
200.000.000
109.195.900
309.195.900
200.000.000
109.195.900
309.195.900
200.000.000
109.195.900
309.195.900
200.000.000
109.195.900
309.195.900
200.000.000
109.195.900
309.195.900
200.000.000
109.195.900
309.195.900
200.000.000
109.195.900
309.195.900
200.000.000
109.195.900
309.195.900
200.000.000
109.195.900
309.195.900
200.000.000
109.195.900
309.195.900

QUYN LI HU TR
Bo tc tch
Tng
ly minh ha
(f) = (d) + (e)
(e)

Quyn li
m bo
(d)

20.000.000
20.000.000
20.000.000
20.000.000
20.000.000
20.000.000
20.000.000
20.000.000
20.000.000
20.000.000

10.919.600
10.919.600
10.919.600
10.919.600
10.919.600
10.919.600
10.919.600
10.919.600
10.919.600
10.919.600

30.919.600
30.919.600
30.919.600
30.919.600
30.919.600
30.919.600
30.919.600
30.919.600
30.919.600
30.919.600

Tng Quyn li
hu tr tch ly
(g)

30.919.600
64.312.800
100.377.400
139.327.200
181.393.000
226.824.000
275.889.500
328.880.300
386.110.300
447.918.700

GI TR HON LI MINH HA
Nu tch ly
Nu nhn
Quyn li hu tr
Quyn li hu tr
(i) = (h) + (g) - (d) - (e)
(h)
1.462.200
5.765.600
10.478.900
27.471.500
49.746.100
78.948.400
117.334.700
168.054.100
235.523.300
220.264.600
203.594.300
185.356.000
165.367.400
143.422.900
119.289.200
92.702.600
63.361.800
30.919.600

1.462.200
5.765.600
10.478.900
27.471.500
49.746.100
78.948.400
117.334.700
168.054.100
235.523.300
253.657.800
273.052.100
293.763.600
315.840.800
339.327.300
364.259.100
390.663.300
418.552.500
447.918.700

Ghi ch:
Gi tr hon li ( bao gm Quyn li hu tr ca nm tng ng) nu trn KHNG C M BO. Gi tr hon li c tnh da trn mc Bo tc minh ha.
Bo tc tch ly c cng b hng nm. Bo tc tch ly nh minh ha ct (b) KHNG C M BO; tuy nhin, mt khi Bo tc tch ly c cng b th s c m bo v lm tng gi tr ca hp ng.
Bo tc tch ly thc t c cng b da trn kt qu hot ng ca Qu Ch hp ng - hnh thnh t ngun ph bo him - trong sut thi hn ca hp ng. Bo tc tch ly thc t c th cao (hoc thp) hn Bo tc tch ly minh ha trong trng
hp li sut u t thc t t hot ng u t ti sn ca qu cao (hoc thp) hn mc mong i. Tuy nhin, mc tiu ca Prudential l khng bo tc hng nm bin ng qu ln.
Cc s liu minh ha trn y ch mang tnh tham kho vi gi nh ton b ph bo him c ng y v khng c giao dch no lm thay i gi tr hp ng. Ton b ni dung minh ha ny l mt phn ca hp ng bo him.
XC NHN CA I L BO HIM
Ti gii thch y cho Bn mua bo him v Quyn li
i l bo him k tn:
v cc Quy tc, iu khon ca (cc) sn phm bo him nu
trn.

XC NHN CA BN MUA BO HIM

Ti, Bn mua bo him, c bng minh ha ny v
c i l bo him t vn r rng cc chi tit ca bng
minh ha cng nh cc Quy tc, iu khon ca (cc) sn
phm bo him ghi trn.
Ti ng tham gia (cc) sn phm bo him nu trn.

H v tn: TEST
M s i l: 88888888
Ngy: 11/02/2012

Bn mua bo him k tn:

H v tn: Nguyn Quc Hon

Ngy: _________________

BNG MINH HA NY L MT PHN CA HP NG BO HIM V CH C GI TR PHP L KHI C Y S TRANG

Bn mua bo him:
Ngi c bo him chnh:

Nguyn Quc Hon

Nguyn Quc Hon

Minh ha s:
i l bo him:

84001000001
TEST

Phin bn:
Ngy:

PruQuote v2.1B -ENP2

11/02/2012 13:48:59