IRDA Registration

For any query, email to support@ibai.org or call +91 8826162254

Registration details

IRDAI Certifcation of Registration No.

Date of License granted first time By IRDAI

Type of Organization

IBAI Certificate Number

Validity From Date (YYYY-MM-DD)

To Date (YYYY-MM-DD)

Type of Certificate of Registration

Name of the Broking House

CIN

Date of Incorporation (YYYY-MM-DD)

GSTIN

PAN

Registration Letter (pdf,png,jpg,jpeg only)

Address

Address 1

Address 2

State

City

District

Zone

Landline no.

FAX

Email ID

Website

Corporate Address (Check if Same as Registered Office Address)

Address 1

Address 2

State

City

District

Landline no.

FAX

Email ID

Website

Principal Officer Details

Name of the Principal Officer

Whether Principal Officer is also Director

Qualification

Email id (Login Id)

Mobile No.

Directors Detail

Name	Email	Qualification	DIN	Whether Broker qualified person	Action

Broker qualified person

Name	Email	Qualification	Date of Renewal training	Action

Branches

Address	State	City	Action

Payment Mode

Bank details are given below to deposit annual fees through net banking:

Pay in favour of "INSURANCE BROKERS ASSOCIATION OF INDIA"

Name of Bank: Kotak Mahindra Bank, Account Type: Current Account, Account No.: 7512018882
IFSC Code: KKBK0000638, MICR Code: 400485011
Branch Address: Kotak Mahindra Bank Unit No. A-01, A-05, Matulya Centre - A Lower Parel, Mumbai - 400 013

Annual Fees (Membership + GST 18%)

₹

First Year Fees Payable (Membership + GST 18%)

₹

Name of the Person who will interact with Association

Payment mode

Cheque Number(In favour of IBAI)

Scan copy of Cheque/NEFT(Screenshot) payment (pdf,png,jpg,jpeg only)

Authorisation letter (pdf,png,jpg,jpeg only) Sample

(Not below the rank of Principal Officer or Director/Partner of the Broking Entity)

Declaration

I, Name of the Authorized person, of the (name of the Broking House) authorized to submit the application to become the members of Insurance Brokers Association of India .

We agree to abide by the rules an regulations/ code of ethics of the Association