Schedule-1
(Relating to Sub-rule (2) of Rule 4)
Application form for Membership of the Fund
The Chairperson
Fund Board of Directors
Subject:- Requested for Membership
I/we would like to submit this application by mentioning the following details
requesting for membership of the Fund in accordance with Rule 4 of the
Sundry Insurance Fund Operation Rules, 2060 (2003).
1. Date of registration at the Insurance Committee to operate the non-life
insurance business under the Insurance Act, 2049 (1992).
2. Details of insurance business held by the applicant:
3. Memorandum and Articles of the corporate organization of the
applicant:
4. Certificate of eligibility to hold the business of non-life insurance:
5. Other necessary details:
Applicant insurer:
Certificate No.:
Signature:
Date: