2024-01-31
The Central Bank of the Republic Azerbaijan standardizes the form and completion procedures for insurance, reinsurance, agent, broker licenses, and actuarial certificates. It mandates precise data entry including registration numbers, permitted activity types, entity identifiers, and a fixed five-year validity period for certificates, while strictly prohibiting any corrections to the completed forms. Authorized Central Bank officials must sign and seal all documents, with clearly marked duplicate copies issued to replace those lost or invalidated.
“Approved” Central Bank of the Republic of Azerbaijan Resolution No. 01/3-3 10 January 2024 Regulation on the form and completion of licenses issued for insurance, reinsurance, insurance agent and insurance broker activities, as well as actuarial certificate
2.2. When renewing the license and certificate in case of theft, loss, invalidation or destruction, the word "DUPLICATE" will appear in capital letters on the upper right side. 2.3. No corrections shall be permitted in the completion of the license and certificate. Such license and certificate shall be void.
Appendix 1 to the Regulation on the form and completion of licenses issued for insurance, reinsurance, insurance agent and insurance broker activities, as well as actuarial certificate The State Emblem of the Republic of Azerbaijan LICENSE Registration number ___________ “_____”_________20 year
(type of activity permitted by the license) This license is issued to :
(for legal entities – name, legal address and TIN of the legal entity to which the license is issued to; for individuals – name, surname, patronymic, registered address and TIN)
Position of the signatory Signature Name and surname of the signatory L.S.
Appendix 2 to the Regulation on the form and completion of licenses issued for insurance, reinsurance, insurance agent and insurance broker activities, as well as actuarial certificate
The State Emblem of the Republic of Azerbaijan ACTUARIAL CERTIFICATE Registration number ________ “_____”__________20____year This is to certify that
(name, surname, patronymic and registered address) is hereby authorized to conduct actuarial activity. Validity period:
Position of the signatory: Signature Name and surname of the signatory L.S. r YÜKLƏ