Insurance Agent

Insurance Agent Details

CR Number *

Insurance Company *

Company's Name - En *

Company's Name - Ar *

Establishment Date

Legal Type *

Region *

Oman Wilayat *

Postal Address *

Website Link

Phone (+968) *

Fax (+968)

Email *

Main Location Address - En

Main Location Address - Ar

Location on Map

Insurance Agent User Details

ID Card Number *

First Name - En *

Last Name - En*

Email*

First Name - Ar *

Last Name - Ar *

Phone * (+968)

Attachment:

#	Type	Upload File
1	A copy of commercial registration papers.	*
2	A copy of the ID card of the authorized signatory	*
3	Copy of Oman Chamber of Commerce and Industry membership certificate	*
4	A copy of the agreement between the agent and the insurance company, approved by the company, The terms set in Article (6) of the Regulations shall be met	*
5	Office management-based certificates and experience	*
6	Certificate of no criminal record for the person in charge of the insurance agent's office	*
7	A written commitment to train and develop all insurance workers	*

* I hereby acknowledge the following:

1.        I have Reviewed the regulations for licensing requirements for an agents of insurance companies issued by FSA pursuant to administrative decision No. E/28/2016 and I undertake to commit by what is stated therein.

2.        To commit to provide all the data and information required by FSA.

3.        All data and information contained in this application are correct and I undertake to bear all legal liabilities if proven otherwise.