Fw: INFORMATION : TO RATIFY MEMBERSHIP FROM LICENCIATE TO ASSOCIATE

[P K Bansal]

 

Dear Licentiate Members of IIISLA,

Please go through the trailing mail

and

submit your documents to IIISLA Hyderabad.

 

Regards-
P K Bansal

Surveyor and Loss Assessor

Coordinator: Panchkula Unit IIISLA Haryana.

Contact: 0-98141 23345, 0-99150 23345

The procedure is as below and required documents are attached here with as attachment

 

       EACH AND EVERY LICENCIATE MEMBER SHOULD SUBMIT:

1. ONE APPLICATION CUM REQUEST LETTER ON OWN LETTER HEAD
2. ORIGIONAL LICENCIATE CERTIFICATE
3. ORIGIONAL ID CARD
4. DEMAND DRAFT OF RS.5500.00 ONLY TOWARDS “INDIAN INSTITUTE OF INSURANCE SURVEYOR AND LOSS ASSESSORS” PAYABLE AT HYDERABAD. ALONG WITH OTHER DUES IF PENDING.
5. AFFIDAVIT DECLARING STATUS OF MEMBER

 

The said request with all necessary required documents should send

directly to the IIISLA office Hyderabad on following address: -

 

INDIAN INSTITUTE OF

INSURANCE SURVEYOR AND LOSS ASSOSSER

Door no 3-5-890,

Flat no 315 , paras chambers

Himayath nagar

Hyderabad – 500029

 

NOTE:-

PLZ NOTE THAT THERE IS NO RECOMMENDATION

REQUIRED FROM UNIT/CHAPTER/ZONES.

 

PLEASE SHARE THIS AMONG OTHER LICENCIATE MEMBERS

 

NAISHADH J DESAI

COUNCIL MEMBER

IIISLA

INDIA

09824112733

 

ENCL : ATTACHMENTS

01.   APPLICATION LETTER

02.   AFFIDIVIT TO SUBMIT

 

(The affidavit should be signed on a legal paper of Rs. 10.00 and should be duly certified by a Notary or 1st class Magistrate)

 

 

 

AFFIDAVIT

 

 

I………………………………………………………………….……… …S/O………..….………………………..……..………. .……....R/O -----

--------------- hereby declare and affirm as below -

 

1.  That my address in Surveyor License is -------------and my correspondence address is --------------.

 

2.           That I am an IRDAI Approved licensed Surveyor and loss Assessor and my license no is SLA------- valid upto----- . That my first license issued by Authority (controller or IRDAI) was dated

 

3.           That I am a member of Indian Institute of Insurance Surveyors and Loss Assessors (IIISLA) and my membership no. is --------

 

4.           That I am practicing as surveyor and loss Assessor as –

 

a.    Independent Surveyor  and work only on appointment of insurers or insured for issuance of my report of loss assessment.

b.   Director of a surveyor company/Partner of Surveyor Firm  namely ----------------having IRDAI license no  SLA ----- and survey the claims as per surveyor’s code of conduct laid by the IRDAI and IIISLA.

c.    I am an employee of corporate surveyor company namely  -------having IRDAI  license no

SLA ----- and the same is endorsed/not endorsed in my license.

d.   I am an employee of Insurance Company namely --------and carry out survey only for the employer company strictly as per Act and/or IRDA regulations from time to time. That the same is endorsed in my license.

 

(Strike out whichever is not applicable)

 

4.           That in case there is any change in my status as declared above, the same shall be informed to IIISLA within 15 days of such change, failing which Institute shall be at liberty to take action as per rules with out any notice.

 

5.           That if any information above is found to be incorrect, Institute shall have the right to take action as per law and rules there in.

 

I hereby declare and affirm under affidavit that above declaration is true and correct and nothing is concealed there in.

 

 

 

 

Deponent

 

Verification

 

I hereby declare and affirm that the contents above are correct and true to my knowledge and nothing is concealed thereof.

 

Signed on       day of             month       year

 

 

 

 

Deponent

 

 

 

(TO PRINT ON OWN LETTER HEAD)

 

Date:

 

To,

President,

IIISLA,

Admin Office,

Hyderabad.

 

Subject: Ratification of my Licentiate membership of IIISLA to Associate Membership.

 

Respected Sir,

 

I, name of surveyor, am a licentiate member of IIISLA having membership n. L/0/00000. As per IISLA notice of 29-12-2016 for rectification of all licentiate to associate members, please find attached my particulars for the same.

 

Name:                                                                    

Father’s Name:                                 

Date of Birth:                                                     

IIISLA membership n.:                   

Surveyor Licence n.:                                        

Date of expiry:                                  

Communication address:                              

Contact Numbers

Email id

.

 

In accordance with notice, please find attached herewith my

01.original licentiate membership certificate,

02. Id card,

03. Affidavit

04. demand draft No. 000000000 drawn on name of bank for Rs. 5500/- only

 

Please consider my request and ratify my level of membership from licentiate to associate.

 

 

Thanks & Regards,

 

Your’s sincerely,

 

Name of surveyor

Membership number

 

 

 

[Di majo]

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Thanks.


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