LUGI - Life underwriters guild of India

5th Annual Convention

LUGI 5th Annual Convention
Register Online
Speakers
Contact us
Accommodation
5th Annual Convention
28th - 30th September 2007, Gokulam Convention Center, Gokulam Park Inn, Cochin

Registration

 
Name
Place
State
Telephone No (Office)
(Residence)
Mobile No
Fax No
Email Address
Member of LUGI
For Agents

Name of the Agent
Agency Code No
Branch / Division
Tel No
Email
Working under Development Officer Yes No
Business Completion 2006-07
Sum Assured

First Premium Income

No. of lives
Club Membership Details

BM DM ZM CM Corporate
Qualified for MDRT 2007 - Condition 'A'
Qualified for MDRT 2007 - Condition 'B'
For Development Officers
Name
Branch/ Division
Business Completion 2006-07
Sum Assured

First Premium Income

No. of lives
No. of Agents under Development Officer
No. of Agents qualified for MDRT
 Under Condition A
Under Condition B
Payment Details
Payment Mode



Date of cheque/DD
Amount
Name of the bank
 

LUGI 5th Annual Convention
Register Online | Speakers | Contact us | Accomodation information