LUGI - Life underwriters guild of India

LUGI - Member Registration

Existing members Login here

Personal Information
Name of the Individual
Address
Place
State
Telephone No (Office)
(Residence)
Mobile No
Fax No
Email Address
Website (if any)
Work Information
Name of the Insurance Co.
Designation
If agent of an Insurance Company, Agent Code
Branch of territory to which individual is attached
(Name of the division)
(Name of the Zone)
Date of Birth
Date of joining present insurance company
If you are an agent
I'm an agent





Working



Details of Club membership or any other recognition given by the company
Whether a member of MDRT for the year ending 31.12.2005



If so under condition A or B
Have you paid the MDRT subscription for the current year
Whether member of any Insurance Professional Organization, If so, details
If you are a Development Officer or Agency Manager
Whether you are authorized to do agency work by your Company
Code No allotted by your company, if any
How many agents working under your agency
 
Referred by
Payment Details
Payment Mode



Date of cheque/DD
Amount
  Yes, I'm interested in Muhavar Samachar - Bullettin
Antispam question Verify this before form submission
 

 
 
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