FORM - IRDA - 6 - AF
[See Regulation 7(1)]
APPLICATION FROM A FIRM OR COMPANY FOR RENEWAL OF A LICENCE TO ACT AS A SURVEYOR AND LOSS ASSESSOR

Checklist
Please ensure the following:
1) To enclose a copy of the membership certificate issued by the Institute to the directors/partners
2) To submit FORM 12 (annually) online before applying for Renewal to make online payment of fees (as mentioned in the regulations) through Net Banking during application submission.
3) Have scanned copies ready of Degree/ Diploma/Technical qualification attested by Notary/ Magistrate.
4) To attach scanned copy of affidavit duly notarized against S.No.3 of the application form.
5) To send Self addressed envelop of 4.5” X10” with Rs.40. postage stamp to IRDA to send a hard copy of the License Certificate.
Notes:
1. The application should be submitted online atleast 30 days before the expiry of the license with a renewal fee of Rs.200 may be paid online through Net Banking/Demand Draft/NEFT/RTGS.
2. In case license is submitted after expiry upto a maximum period of six months the license fee will be Rs.200/-with a penalty of Rs.750/-through Net Banking/Demand Draft/NEFT/RTGS.
3. The attention of the applicant is drawn to Section 102 of the Insurance Act 1938, which provides that whoever in any document required for the purpose of any of the provisions of the Act, rules or regulations made there under, fails to furnish the same, shall be liable to a penalty not exceeding Rs 5 lakhs for each such failure and punishable with fine.
4. A firm or company including group companies can apply for only one licence which will entitle it to act as a surveyor and loss assessor.
5. Any correction or alteration made in the application should be initialed by the applicant.
6. Name of the company should be suffixed by "Insurance Surveyor and Loss Assessor".
7. A licensed SLA cannot act/function as a Director/Partner of more than one company/firm.
8. All directors shall possess surveyor license which shall be duly licensed and categorized.
9. The main object of the company/firm shall be to undertake survey, loss assessments and related jobs.
10. Any changes in license details should be duly reported within 15 days to IRDA for grant of modified license by the Authority. Affidavit should be provided on behalf of the firm.
11. An affidavit of Rs. 10/- duly notarized on non-judicial stamp paper is required to be scanned and attached for renewal of licences in the form of a declaration as contained against S.No. of 6 of the application form.
12. An email notification will be sent to the applicant on successful submission of the application form.
13. Any change in the information submitted to the authority must be informed to the authority within 15 days from date of the change.
1. Current Corporate License Details
SLA no. …………………………………. Date of Expiry …………………………………. Name of the Firm/Company …………………………………. Address of Company/Firm …………………………………. Departments allocated
Dept
Fire
Marine cargo
Marine Hull
Engg
Motor
Misc
Crop Insurance
LOP
License details of directors/partners and level of membership
2. It is requested that the above license may be renewed for a further period of five years for the following classes of insurance and level of membership allotted to directors/partners:
Dept
Fire
Marine cargo
Marine Hull
Engg
Motor
Misc
Crop Insurance
LOP
License details of directors/partners and level of
membership
3. It is hereby declared that-
(i) No director/ partner of our Company/ Firm has been found to be of unsound mind by a Court of competent jurisdiction;
(ii) ) No director/ partner of our Company/ Firm has been found guilty of criminal misappropriation or criminal breach of trust, or cheating or forgery, or an abetment of or attempt to commit any such offence by a Court of competent jurisdiction;
(iii) No director/ partner of our Company/ Firm has been found guilty of or to have knowingly participated in or connived at any fraud, dishonesty or misrepresentation against an insurer or an insured in the course of any judicial proceedings relating to any policy of insurance or the winding up of an insurance company or in the course of an investigation of the affairs of an insurers; and
(iv) No director/ partner of our Company/ Firm is a minor.
(v) No director/ partner of our Company/ Firm shall violate the code of conduct specified by the regulations made by the Authority.
(vi) All director(s)/ partner(s) of our Company/ Firm possess the requisite qualifications and practical training as specified by the regulations made by the Authority.
(vii) All director(s)/ partner(s) of our Company/ Firm have passed such examination as specified by the regulations made by the Authority.
(The above declaration shall prepopulate in the online licensing process)
4. It is declared that each one of the Director(s) / partner(s) of the firm who was a partner/ Director when the above mentioned licence was issued and who is now a Director(s) / partner(s)continues to satisfy the requirements of clause (D) of subsection (1) of Section 64-UM of the Act.
It is also declared that all the director(s)/partner(s) whose address, date of birth have been submitted
a) have been in practice as surveyor and loss assessor on 26th October,1968 ,or
b) hold a degree of a recognized university in any branch of engineering, or
c) be a fellow or a associate member of the Institute of Chartered Accountants of India or Institute of Cost and Works Accountants of India, or
d) possess actuarial qualifications or holds a degree or diploma of any Indian University or Institute in relation to Insurance, or
e) hold a diploma in insurance granted or recognized by the Government, or
f) possess any of the technical qualifications mentioned in Rule 56-A.
(The above declaration shall pre-populate in the online licensing process)
[ N.B. 1. In the case of each of the director/partner who was not a partner/ Director on the date of last application for licence:—
(i) where he claims to come under item (a) above, and is not eligible to come under any of the items (b) to (f) above, a declaration as given in the Insurance Rules, 1939 and sworn before a Magistrate or a Notary Public should be forwarded with this form; and
where the claims to come under any one of the items (b) to (f) above, either the original diplomas/certificates with one of the attested copy each, or copies of the original diplomas/certificates duly attested by a Magistrate or Notary Public should be enclosed. Where original diplomas/certificates are sent, they will be returned after perusal, but no responsibility can be accepted for loss or damage of such originals.
5. Details of Directors/Partners
a) Name of the director/partner …………………………..
SLA no. …………………………………. Date of Expiry --------------------------
Membership details of Institute:
Membership ID card No ----------------
Date of Issue of ID card ----------------
Level of membership allotted ……………
Name …………………………………. Address ………………………………….
Departments allocated
Dept
Fire
Marine cargo
Marine Hull
Engg
Motor
Misc
Crop Insurance
LOP
License details and level of Membership
Note: Where a director/ partner does not already hold an individual license then an application (in FORM NO. 1-AF - Application for New License) from such a person should also be submitted.]
Last Employment details
Name of Employer
Nature of Organization
Nature of Work
Period of employment
From Date
To Date
(Govt./Semi-govt/Private Firm, insurance company, surveyor firm, PSU, others)
(Insurance survey related, Others)
6. Declaration
I solemnly declare and confirm that the particulars given above are true to the best of my knowledge and belief.
Signature of the applicant……………………………..
(Digital Signature)
Name of the Company/Firm:
Corporate License No :
Seal of the Company/ Firm