Application for grant of certificate of registration as an IWA

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....ress - Principal Place of business / Registered Office.       Pin/Zip Code Email Tel No Fax No 1.3 Address for Correspondence:       Pin/Zip Code Email Tel No Fax No 1.4 Name of the Principal Officer (to be updated as and when there is any change)     2. ORGANISATION - STRUCTURE 2.1 Status of the Applicant: (e.g. Limited Company-Private/Public, LLP, others. If listed, names of Stock Exchanges and latest share price to be given) Name of the company Status Date of Incorporation DD-MM-YYYY Place of Incorporation Name of stock exchanges where listed       ....

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..... BUSINESS INFORMATION :- 3.1 Three years business plan document with projected volume of activities and income for which Certificate of registration is sought has to be attached with this application. 3.2 Organization Chart separately showing functional responsibilities to be enclosed 3.3 Particulars of KMP Name Designation/ Position Qualification Insurance related experience Date of Appointment Functional Areas PAN/ Aadhaar No or other equivalent documents.                                           3.4 Particulars of ....

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....Unquoted Investments       6 Details of Liquid Assets       7 Others       Note: Please enclose three years audited annual accounts. If minimum capital requirement has been met after last audited annual accounts, audited statement of accounts for the period ending on a later date should also be submitted. 5. OTHER INFORMATION 5.1 Details of all settled and pending disputes: (Attach separate sheet and give full information in the format shown below) Nature of Dispute Name of party Pending/ settled       ** Attach sheet if required 5.2 Details of any economic offences by the Applicant or any of ....