United India Insurance Agent Joining Form I A
United India Insurance Agent Joining Form I A
United India Insurance Agent Joining Form I A
DEAR SIRS,
I hereby declare that particulars given below are true and that the
APPOINMENT for which I apply will be used only by myself for
soliciting or procuring insurance business for your Insurance
Organisation.
N.A.
Date:
Signature of Applicant
(S.R.SANKARANARAYANAN)
- Yes - - No -
a) Age Proof.
b) Educational Qualifications.
c) Proof of pass in the agency examination as
mentioned above.
) Copy of PAN CARD.
FORM -I-B
APPLICATION OF AN EXISTING INSURANCE AGENT FOR
APPOINTMENT TO ACT AS COMPOSITE INSURANCE AGENT
WITH ANOTHER INSURER (LIFE OR GENREAL OR
HEALTH INSURANCE or MONO-LINE INSURANCE)
Note: