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[" ","中国人寿保险股份有限公司广东省分公司"]
[{"$nulls":6},"    投保交费清单"]
["投保人（汇交人）："]
["投保单号："]
["序号","家长姓名","被保险人","性别","出生日期","职业代码","险种689",null,"险种652",null,"险种691",null,"险种690",null,"备注"]
[{"$nulls":6},"保额","保费","保额","保费","保额","保费","保额","保费"]
[{"$nulls":5},120102,20000,19,20000,"18",3000,9,30000,14]
[{"$nulls":5},120102,20000,19,20000,"18",3000,9,30000,14]
[{"$nulls":5},120102,20000,19,20000,"18",3000,9,30000,14]
[{"$nulls":5},120102,20000,19,20000,"18",3000,9,30000,14]
[{"$nulls":5},120102,20000,19,20000,"18",3000,9,30000,14]
[{"$nulls":5},120102,20000,19,20000,"18",3000,9,30000,14]
[{"$nulls":5},120102,20000,19,20000,"18",3000,9,30000,14]
[{"$nulls":5},120102,20000,19,20000,"18",3000,9,30000,14]
[{"$nulls":5},120102,20000,19,20000,"18",3000,9,30000,14]
[{"$nulls":5},120102,20000,19,20000,"18",3000,9,30000,14]
[{"$nulls":5},120102,20000,19,20000,"18",3000,9,30000,14]
[{"$nulls":5},120102,20000,19,20000,"18",3000,9,30000,14]
[{"$nulls":5},120102,20000,19,20000,"18",3000,9,30000,14]
[{"$nulls":5},120102,20000,19,20000,"18",3000,9,30000,14]
[{"$nulls":5},120102,20000,19,20000,"18",3000,9,30000,14]
["本页人数小计：                       人数合计：                           本页保费小计：                                保费合计："]
[]
["公司提示："]
["1、本投保清单系投保要约的重要组成部分，请认真填写；被保险人的序号按1、2、3…… 连续整位数向下排列，不允许有重复。"]
["2、被保险人如有残疾或疾病的，请在“备注”栏内如实填写。"]
["3、本清单填写一式一联，并由投保人（汇交人）签章，投保人（汇交人）如有需要，请自行留存。"]
["4、被保险人为未成年人时，其身故保险金额累计不得超过中国保险监督委员会规定的人民币5万元（广州地区10万元）的限额。"]
[]
["投保人（汇交人）签章：                             投保日期：",{"$nulls":10},"（多主多附投保交费清单）"]