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    Sponsorship Form

    Uploaded by

    Shireen Meher
    This document is a sponsorship form for an individual applying for a life insurance license. It provides details about the sponsoring company, the applicant, their education and training qualifications, contact information, and space for a photograph and signature. The key information collected includes the applicant's name, father/husband's name, date of birth, address, education level, training details, and examination results for the life insurance license.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Sponsorship Form

    Uploaded by

    Shireen Meher
    650 views2 pages
    This document is a sponsorship form for an individual applying for a life insurance license. It provides details about the sponsoring company, the applicant, their education and training qualifications, contact information, and space for a photograph and signature. The key information collected includes the applicant's name, father/husband's name, date of birth, address, education level, training details, and examination results for the life insurance license.

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    © © All Rights Reserved

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    This document is a sponsorship form for an individual applying for a life insurance license. It provides details about the sponsoring company, the applicant, their education and training qualifications, contact information, and space for a photograph and signature. The key information collected includes the applicant's name, father/husband's name, date of birth, address, education level, training details, and examination results for the life insurance license.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    650 views2 pages

    Sponsorship Form

    Uploaded by

    Shireen Meher
    This document is a sponsorship form for an individual applying for a life insurance license. It provides details about the sponsoring company, the applicant, their education and training qualifications, contact information, and space for a photograph and signature. The key information collected includes the applicant's name, father/husband's name, date of birth, address, education level, training details, and examination results for the life insurance license.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    SPONSORSHIP FORM

    Sponsorer Company Name : LIC of India (Residency Road Branch- 614)


    In Charge / Authorized Person Name: ……………..………………………………………………..
    License type : INDIVIDUAL
    Insurance Category : LIFE
    Is Specified Person : Yes/No. If yes, License No………………….…

    APPLICANT DETAILS
    Application Date : ……………………………………………………….

    Applicant Name : ………………………………………………………. Applicant Photo


    Father / Husband Name : ………………………………………………………. IaAAAAPP;FFEFEFE
    Category : General / SC / ST / OBC I____________________I
    Area : Urban / Rural I I
    PAN / D.L / Passport No. : ………………………………………………………. I I
    Basic Qualification : Class X / Class XII I I
    Board Name : ……………………………………………………… I I
    Roll No. & Year of Passing : ……………………………………………………… I I
    Year of passing : …………………………………………………….. I I
    Education Qualification : ……………………………………………………..
    Date of Birth (dd/mm/yyyy) : ……………………………………………………… Applicant Signature
    Sex : Male / Female
    Primary Profession : ……………………………………………………..
    Nationality : INDIAN

    CONTACT INFORMATION
    Current Address: Permanent Address:
    …………………………………………………. ………………………………………………………
    …………………………………………………. ………………………………………………………
    …………………………………………………. ……………………………………………………...
    PIN Code ………………………………….. PIN Code ……………………………………….
    Phone / Mobile No…………………………….. Email i.d ………………………………………..

    OTHER INFORMATION
    Insurer Ref No. ………………………………….

    APPLICANT TRAINING DETAILS


    Training Mode : Online / Offline
    Training Institute Name : ……………………………………………………………………..
    Accreditation No. : ……………………………………………………………………..

    APPLICANT EXAMINATION DETAILS


    Examination Mode : Online
    Examination Body : …………………………………………………
    Examination Centre : BANGALORE
    Examination Language : ………………………………………………….
    Division Name : BANGALORE D.O 2

    Branch Name : RESIDENCY ROAD (614)

    Candidate Name : …………………………………………………………………

    Unique Reference No. : …………………………………………………………………

    Agency Code no. : ………………………………………………………………..

    Licence Number : …………………………………………………………………

    PHOTOGRAPH (Passport Size)

    SIGNATURE

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