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Intermediary Business Agreement Application …

Your Business detailsYour Business trading nameYour registered company name (if different from your Business name)FCA registered Business addressYour office phone number (including STD code)Your Business typeCompany registered numberDoes your firm use a service provider (for back office / compliance support)?If yes, please specifyYour contact name for your AIG Life Limited accountYour contact email address for your AIG Life Limited accountYour commission statement email address (if different from your contact email address above)Do you wish to apply for indemnity commission terms? If yes, AIG may contact you to request financial informationCommission terms may already have been negotiated with your service provider and will be set out in the letter of confirmation which we will send to you. The terms we offer are only available at the discretion of AIG Life Limited.

Intermediary Application Form By completing this Application Form in respect of the Intermediary Business Agreement, you consent to us conducting a …

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  Business, Form, Applications, Agreement, Application form, Intermediary, Intermediary business agreement application, Intermediary application form, Intermediary business agreement

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