Get Irda Agent Vb Form

FORM IRDA-AGENTS-VB Refer regulation 3 Insurance Regulatory and Development Authority Licensing of Insurance Agents Regulations 2000 INSURANCE REGULATORY AND DEVELOPMENT AUTHORITY NEW DELHI Licence No. Licence holder to act as an insurance agent under Part II of the Insurance Act 1938 4 of 1938 Name of Insurance Agent/. Composite Insurance Agent. ADRESSS Having paid the prescribed fee and having made the necessary declaration is hereby authorised to act as an insurance agent for three years from. for procuring or soliciting insurance business of one life insurer/one general insurer/both. strike out portion not required Place Date For Insurance Regulatory and Development Authority Designated Person Signature of Licence holder This licence is not valid unless it bears a fascimile of the signature of the chairperson of the Insurance Regulatory and Development Authority and the initials of a person authorised by him in this behalf the signature of the licence holder and the identity card s. The licence holder should put his signature as soon as licence is received* See Notes on the reverse Notes If it is desired to renew this licence for a further period the procedure laid down in Regulation 3 of INSURANCE REGULATORY AND DEVELOPMENT AUTHORITY LICENSING OF INSURANCE AGENTS REGULATIONS 2000 shall be followed and application for renewal should reach the Designated Person before the licence expires. In this connection attention is also invited to the provisions of sub-sections 3 and 3A of section 42 of the Insurance Act 1938. This licence authorises the licence holder to act as an agent for the insurance business specified thereunder and therefore no identifying mark or note of any description by which the identity of an insurer might be established should be placed on the licence. No correction in this licence will be valid unless initialled by the Insurance Regulatory and Development Authority or a person authorised by him in this behalf* The attention of the licence holder is drawn to the code of conduct specified under Regulation 8 of Insurance Regulatory and Development Authority Licensing of Insurance Agents Regulations 2000 and any violation of code of conduct may result in cancellation of licence. Composite Insurance Agent. ADRESSS Having paid the prescribed fee and having made the necessary declaration is hereby authorised to act as an insurance agent for three years from. for procuring or soliciting insurance business of one life insurer/one general insurer/both. strike out portion not required Place Date For Insurance Regulatory and Development Authority Designated Person Signature of Licence holder This licence is not valid unless it bears a fascimile of the signature of the chairperson of the Insurance Regulatory and Development Authority and the initials of a person authorised by him in this behalf the signature of the licence holder and the identity card s. for procuring or soliciting insurance business of one life insurer/one general insurer/both. strike out portion not required Place Date For Insurance Regulatory and Development Authority Designated Person Signature of Licence holder This licence is not valid unless it bears a fascimile of the signature of the chairperson of the Insurance Regulatory and Development Authority and the initials of a person authorised by him in this behalf the signature of the licence holder and the identity card s. The licence holder should put his signature as soon as licence is received* See Notes on the reverse Notes If it is desired to renew this licence for a further period the procedure laid down in Regulation 3 of INSURANCE REGULATORY AND DEVELOPMENT AUTHORITY LICENSING OF INSURANCE AGENTS REGULATIONS 2000 shall be followed and application for renewal should reach the Designated Person before the licence expires.