UGANDA INSURANCE AGENTS ASSOCIATION

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Personal Info

Training

Specialization

Payment

Terms

Agent Registration

Accounts require approval before they can be used. You will be notified when your account is approved.

Personal Information

First Name

Surname

Email Address

Phone Number

TIN Number

Company Name *

Date of Birth *

Gender *

National ID Number *

Profile Photo *

Max size: 2MB. Formats: JPEG, PNG, JPG

Address *

Password

Confirm Password

Identity Documents

National ID (Front) *

Max size: 5MB. Formats: PDF, JPEG, PNG, JPG

National ID (Back) *

Max size: 5MB. Formats: PDF, JPEG, PNG, JPG

Training College Certifications

ITC Number (Training College) *

ITC Certificate *

Max size: 5MB. Formats: PDF, JPEG, PNG, JPG

CV (Optional)

Max size: 5MB. Formats: PDF, JPEG, PNG, JPG

Insurance Specialization

Select your areas of specialization (Select at least one) *

Health Insurance

Life Insurance

General Insurance

Payment Information

Membership Fee

The membership fee is UGX 50,000. Please complete payment and upload proof of payment to proceed with your registration.

Payment Method *

Membership Fee

Fixed membership fee (UGX)

Proof of Payment *

Upload receipt, bank slip, or payment confirmation. Max size: 5MB. Formats: PDF, JPEG, PNG, JPG

Payment Instructions

Bank Transfer:

Account Name: UGANDA INSURANCE AGENTS ASSOCIATION

Account Number: 201357200018

Bank: NCBA

Branch: Bugolobi

Swift Code: CBAFUGKA

Mobile Money:

Send UGX 50,000 to the association's mobile money account

Cash Deposit:

Visit NCBA Bugolobi branch and deposit to Account Number: 201357200018

Important:

• Please include your full name in the payment reference

• Upload clear, readable proof of payment

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