11. The following information and documentation should be attached to this application. Failure to provide all the required information will result in the return of the application by the Commissioner. Statements showing- (a) the individual classes of insurance business under Schedule 1 and 2 of the Act which the insurer wishes to transact; (b) the monetary "own account" and reinsurance treaty limits which the insurer can underwrite under each of the classes of insurance business listed in (a) above; (c) details of shareholdings of the insurer including corporate shareholder if any;(see Table 6 below) (d) a statement of any links with a Tanzania registered insurance broker as defined under section 18 of the Act; (e) the names, physical and postal addresses and all other business interests of each Director and of the Principal Officer; (f) the business and insurance experience, professional qualifications and age of each working controller, manager, director and partner; (g) the proposed policies of the Company in respect of– (i) underwriting; (ii) claims handling; (iii) complaint handling; (iv) consumer protection (v) risk selection and Management; (vi) premium rating; (vii) (viii) investment of insurance funds; transfer pricing; (ix) Anti Money Laundering and Counter Financing of Terrorism; (x) limitation of growth of gross and net premium income; (xi) treaty and facultative reinsurance placement; (xii) control of management expenses. (xiii) Information and Communication Technology; (xiv) Marketing Strategy; (xv) Human resource and (xvi) succession plan (xvii) corporate social responsibility (xviii) financial procedures (h) Copies of the following documents are attached to this application: 6 GN NO. 759 (Contd) Insurance (Amendment) Regulations (1) The Memorandum and Articles of Association of the company; (2) The Memorandum and Articles of Association of corporate shareholders, if any; (3) Share certificates issued to shareholders (4) Proof of citizenship of company directors (5) Attested declaration of solvency and non-conviction in criminal offences of company Directors, Principal Officers and Key management personnel; (see attached Table 3 and Table 4 below) (6) Details of Authorized Share Capital as per Table 7A (7) Details of Paid-Up Share Capital as per Table 7B (8) Evidence of maintenance of Paid-Up share capital; (9) Brokers and Agency and underwriting binder agreements; (10) Insurance Agent's identity card; (11) Management Agreements; (12) Policy forms and standard endorsement wordings of all insurance policies to be issued by the insurer (13) proposed rates of premium to be charged on each and every class of insurance business (14) Treaty reinsurances ceded outwards report; (15) Treaty reinsurances underwritten inwards report; (16) Summary of the reinsurance structure for year as per Table no. 1 below; (17) Reinsurance Forms no I to VIII (duly completed) (18) Last Audited Accounts, as amended by the provisions of the Act and of these regulations; (19) Business plan and Budget; (20) Organization structure; (21) Particulars of company bankers; (22) Full details of company auditors; including appointment letter if any. (see attached Table 5 below) (23) Full details of company legal advisor; including appointment letter if any (see attached Table 5 below) (24) Full details of company actuaries; including appointment letter if any. (see attached Table 5 below) (25) A certificate from the bank of Tanzania specifying the amount and details of deposits made by the applicant under Insurance Regulation 20. (26) Statement of Solvency (27) Statement of Admissible Assets of the Fifth Schedule to these regulations. (28) Actuarial Investigation report (including Product Pricing, Claim experience, Expense analysis and Reserving) (29) In respect of an application to register as an insurer transacting long term insurance business the following additional documentation, information and declarations are forwarded herewith: (a) Information required under section 85 of the Act regarding; (i) (ii) (iii) tables and statements of rates of premiums; benefits including paid-up and surrender values; a report from the actuary that the tables and statements are actuarial sound. (b) a list of the statutory life insurance funds proposed to be issued under section 90 of the Act; (c) a formal written request to the Commissioner, if required under section 85(3)(b) and (4) of the Act; and 7 GN NO. 759 (Contd) Insurance (Amendment) Regulations (d) Form 6 (Actuary's Abstract) of the First Schedule to these regulations. (30) Proof of Payment of Application form, Annual fee and Registration fee (where appropriate). I/We enclose a proof of payment made payable to the Commissioner of Insurance for Tanzanian Shillings ten million (10,000,000/=) being the registration fee. In the event of this application to register an insurer being unsuccessful, we understand that this fee shall not be refunded. Yours faithfully, (Authorised Signature) .......................................................................... General Notes: (a) Where an answer of documentation requested above is not known or available it is essential that this be brought to the attention of, and explained to, the Commissioner. Any application not fully completed will be returned to the applicant. (b) Prospective applicants need not establish a company in Tanzania before entering into discussions with the Commissioner on registration requirements. The policy of the Tanzania Government is to encourage the development of the domestic insurance industry and prospective applicants are invited to hold informal discussions with the Commissioner prior to formal application. (c) declaration of directors, officers and significant owners of the insurer indicating that they meet the requirements of Section 18 of the Act. Specific Notes