Registration for untied reinsurance intermediaries in accordance with Article 20 ff. of the minimum standards

This form is intended for untied reinsurance intermediaries. If you are an untied intermediary who does not exclusively intermediate reinsurance, please register on the survey and application platform (EHP).

Institution details

Licence*

Personal details

Title*

Last name*

First name*

Date of birth*

Place of origin

Nationality*

Correspondence language*

Email address*

Telephone no.*

Private address

Country*

Postcode*

City*

Street*

Addition to address

I am an untied reinsurance intermediary