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RESOLUTION OF BOARD OF CENTRAL BANK OF THE AZERBAIJAN REPUBLIC

of January 10, 2024 No. 01/3-3

About approval "Form and procedure for filling of the licenses granted on insurance, reinsurance activity, activities of insurance agent and insurance broker, and also the actuarial certificate

Based on Articles 53. 4, 81-3.6 and 87.1 Laws of the Azerbaijan Republic "About insurance activity" and article 22.1.17 of the Law of the Azerbaijan Republic "About the Central bank of the Azerbaijan Republic" DECIDES: Board of the Central bank of the Azerbaijan Republic

1. Approve "Form and procedure for filling of the licenses granted on insurance, reinsurance activity, activities of insurance agent and insurance broker, and also the actuarial certificate" it (is applied).

2. Charge to Legal department (Rena Melikova) in 3-day time to provide submission of this Resolution to the Ministry of Justice of the Azerbaijan Republic for entering into the State register of legal acts of the Azerbaijan Republic.

Approved by the Resolution of Board of the Central bank of the Azerbaijan Republic of January 10, 2024 No. 01/3-3

Form and procedure for filling of the licenses granted on insurance, reinsurance activity, activities of insurance agent and insurance broker, and also the actuarial certificate

1. General provisions

1.1. This Procedure is developed according to Articles 53. 4, 81-3.6 and 87.1 Laws of the Azerbaijan Republic "About insurance activity" also determine form and procedure for filling of the licenses granted on insurance, reinsurance activity, activities of insurance agent and insurance broker (further - the license), and also the actuarial certificate (further - the certificate).

1.2. The license and the certificate are constituted in the form established respectively in appendices No. No. 1 and 2 to this Procedure.

2. Filling of form of the license and certificate

2.1. The form of the license and certificate is filled with the Central bank of the Azerbaijan Republic (further - the Central bank) in the following procedure:

2.1.1. date of issue and registration license number and certificates register;

2.1.2. in the license the name of the type of activity permitted to implementation is noted;

2.1.3. in the license register the name of the legal entity to which it is granted permission for implementation of the corresponding type of activity, identification number and legal address of the taxpayer, name, surname, middle name of physical person, identification number and registration address of the taxpayer, and in the certificate - surname, name, middle name and registration address of physical person which powers on implementation of actuarial activities prove to be true;

2.1.4. certificate effective period registers (with indication of start and end date). The day of passing of certification is celebrated as start date, and day of execution 5 (five) years from the date of certification passing - as expiry date of the certificate;

2.1.5. the license and the certificate are signed by authorized person of the Central bank with indication of name, surname and position and certified by seal.

2.2. When updating the license and certificate in case of theft, loss, receipt to worthlessness or destructions capital letters in the right upper corner write the word "DUPLICATE".

2.3. When filling the license and certificate of correction are not allowed. Such license and the certificate are invalid.

Appendix 1

to "Form and procedure for filling of the licenses granted on insurance, reinsurance activity, activities of insurance agent and insurance broker, and also the actuarial certificate"

State Emblem of the Azerbaijan Republic

License

Registration number ___________ "_____" _____________ 20 ___ years

_________________________________________________________________________________________________________
                                                    (type of the licensed activities)

This license is granted ________________________________________________________________________________

_________________________________________________________________________________________________________
    (for legal entities - the name, legal address and INN of the legal entity to which the license is granted; for physical persons - surname, name, middle name, registration address and INN)

______________________________________  ____________ __________________________________________
      Position of person which signed the license:    the signature     the Name and surname of person which signed the license:

M.P.

Appendix 2

to "Form and procedure for filling of the licenses granted on insurance, reinsurance activity, activities of insurance agent and insurance broker, and also the actuarial certificate"

State Emblem of the Azerbaijan Republic

Actuarial certificate

Registration number ___________ "_____" _____________ 20 ____ years

This certificate ___________________________________________________________________________________

__________________________________________________________________________________________________________
                                                    (name, surname, middle name and registration address)

confirms powers on implementation of actuarial activities.

Certificate effective period:

_________________________________________  ____________ _____________________________________________
    Position of person which signed the certificate:   the signature    the Name and surname of person which signed the certificate:

M.P.

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