FORM –IRDA-14
FORMAT OF CERTIFICATE FROM TRAINER SURVEYOR GIVING ACCEPTANCE TO IMPART TRAINING (REG 16(1))
Important Instructions:
This form needs to be filled by trainer after receiving automated notification regarding enrollment of the trainee surveyor
I,__________________(name of Surveyor/ Surveyor Firm) bearer of Surveyor’s Licence no.& Membership details _______________ certify that Mr. / Ms.________ is enrolled for training as a trainee surveyor in the following department/s:
(i)_______________(ii)_________________(iii) _______________ (iv) ____________ (v) _____________ (vi) _______________ (vii) ________________ (viii)____________
I have verified the information pertaining to educational qualifications and certify that they are true and correct. I am a Member of the Institute and hold a valid surveyor license issued by the Insurance Regulatory And Development Authority for the departments I am imparting practical training.
I undertake to impart practical training to the best of my knowledge and ability and agree to supervise his/ her performance on a weekly basis, based on records to be maintained by the trainee and keep the Insurance Regulatory And Development Authority informed about the progress by way of submission of quarterly reports in the form and manner prescribed.
Surveyor's License No ……………………………….
Date of Expiry ……………………………….
Date ……………………………….
Address ……………………………….
Communication
Signature Of Trainer ……………………………….
Date:
Place:
Phone Office
Phone Res.
Fax
Mobile
Email ID
Alternate Email ID