Draft Decision on the Non-Resident Reinsurance Broker Business Disclosure Form

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In the Name of Allah, the Most Gracious, the Most Merciful

[Logo of the Central Bank of Jordan]

Reference No.: 8613 / 1 / 2
Date: 19 / 10 / 1444 AH
Corresponding to: 9 / 5 / 2023 AD

To the Esteemed Non-Resident Reinsurance Brokers,

Subject: Draft Decision on the Non-Resident Reinsurance Broker Business Disclosure Form

Greetings,

We enclose herewith the draft decision on the Non-Resident Reinsurance Broker Business Disclosure Form, for your kind review and to provide us with your comments, if any, within two weeks from the date of this letter.

Please accept our highest regards.

Governor
Dr. Adel Al-Sharkas

Enclosed/
Copy to: Esteemed Insurance Companies

Form (1/1-11)
P.O. Box 37 • Amman 11118 Jordan • Tel: 01-4630201 Fax: 01-4638889 • Website: www.cbj.gov.jo • Email: info@cbj.gov.jo

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Report of the Reinsurance Brokerage Business Conducted During Year ....

Non-Resident Reinsurance Broker Name: ....................................................................

Insurance Company Name	Insurance Type	Sum Insured	Gross Insurance Premium	Broker Share of Insurance Premium %	Broker Share of Insurance Premium (IOD)	Reinsurer Name	Reinsurer Share	Broker Commission	Paid Claims	Outstanding Claims	Notes
Total

Reinsurance Broker: ....................................................................
Signature: ....................................................................
Date: ....................................................................

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