Personal Information Collection Statement ("PICS")

In relation to the personal data collected by [QBE Hongkong & Shanghai Insurance Limited][QBE General Insurance (Hong Kong) Limited] (“QBE HK”), I/we agree and acknowledge that:

• the personal data requested is necessary for QBE HK to process your application for insurance or claim and any such data not provided may mean this application or claim cannot be processed.

• the personal data collected in this form may be used by QBE HK for the purposes stated in its Privacy Policy found at https://www.qbe.com/hk/en/privacy-policy.  These include underwriting and administering the insurance policy being applied for (including obtaining reinsurance, underwriting renewals, claim processing, investigation, payment and subrogation and any related purposes)

• QBE HK may transfer the personal data to the following classes of persons (whether based in Hong Kong or overseas) for the purposes identified in (b) above:
  • third parties providing services related to the administration of my/our policy (including reinsurance);
  • financial institutions for the purpose of processing this application and obtaining policy payments
  • in the event of a claim, loss adjustors, assessors, third party administrators, emergency providers, legal services providers, retailers, medical providers and travel carriers;
  • another member of the QBE group (for all of the purposes stated in (b)) in any country; or 
  • other parties referred to in QBE’ Privacy Policy for the purposes stated therein

• I/we may gain access to, or request correction of my/our personal data (in both cases, subject to a reasonable fee), via email or post at:
  

  [QBE Hongkong & Shanghai Insurance Limited
  Address: 33/F, Oxford House, Taikoo Place, 979 King’s Road, Quarry Bay, Hong Kong
  Email: info.hk@qbe.com.hk]

  [QBE General Insurance (Hong Kong) Limited -
  Address: 33/F, Oxford House, Taikoo Place, 979 King's Road, Quarry Bay, Hong Kong
  Email: info.gihk@qbe.com]

• That where I/we are providing personal data on behalf of another person to QBE HK, I/we have obtained consent from the other person who have agreed that their personal data will be released to QBE HK in accordance with paragraphs (a, (b) and (c) above. 

• That in the event of differences between the English and Chinese, the English version shall prevail.