Documents to be attached with the Application Form

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.... Certificates. 6. Duly notarised Declarations executed by two directors or designated partners of LLP affirming that: (a) The directors of the company or designated partners of LLP, the Principal Officer and KMP are major and not found to be of unsound mind by a court of competent jurisdiction and not found guilty of criminal misappropriation or criminal breach of trust or cheating or forgery or an abetment of attempt to commit any such offence by a court of competent jurisdiction in the past five years. The Applicant/directors/ designated partners, the Principal Officer and KMP are not involved in any economic offences in the last three years. (b) None of the directors/KMP/Principal Officer or designated partners/emplo....

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....ticulars Applicant's Response Remarks Section A : Company Profile 1 Name of the applicant     2 Registered office address     3 Date of incorporation: [DD/MM/YYYY]   Certificate of incorporation/Deed of Covenant/Other valid proof 4 Registration No. (issued by the regulatory Authority in the country of the applicant's domicile, if any) and date of first registration [DD/MM/YYYY]   Copy of the registration certificate 5 Current lines of insurance intermediary a. Insurance Web Aggregator b. BrokerDirect/Composite/Reinsurance     6 Amount of Authorised capital, Subscribed capital and Issued Capital & Face value of ....

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....posed to be opened: (a) Name of the Office: (b) Office Address(representative address or company address if the IWA office address is not available): (c) Address for Communications (state the name of the Principal Officer, telephone numbers, fax numbers, mobile number, e-mail address and such other details: (d) Principle Officer & Key Management Personnel and allocation of (e) Organizational structure. responsibilities.(Proposed): Reporting relationships of the IWA to the holding company (f) Planned infrastructure at the proposed office   15 Details of payment of fee     16 Details of any additional capital to be infused, if applicable     17 Particulars of Previous....

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.... 20 Certificate of Authorization Provide a certificate of authorization granted by the Regulatory or Supervisory Authority of the country of incorporation to set up an IWA, if applicable.   Annexure - 21 Professional Indemnity policy requirements in home country, if applicable     22 Minimum capital requirements prescribed by home country regulator     23 Capital maintained by the applicant for five years preceding the date of application     Section C: IWA Business Strategy 24 Market Research and Analysis The applicant may have undertaken some form of market analysis to ascertain the market potential. The applicant may furnish full description ....