Step 1. Your information Step 2. Terms of Reference Step 3. Online Registration Name: Email: Firm Name: ICS address: Town/City: Province: Postal Code: Business Phone: Business Fax: I work in: Management Personal Lines Comercial Lines Other(explain): I am a licensed general insurance broker Yes No If yes -> License # Expiry date: mm/dd/yy I hold the following designations: My firm is a member in good standing of the Insurance Brokers Association of Nova Scotia Yes No If successful in the National Examinations, and if I apply for the *designation of "Canadian Accredited Insurance Broker", "Canadian Professional Insurance Broker" or "Canadian Certified Insurance Broker"; I hereby certify that I meet the prescribed qualifications, and I agree to abide by such other requirements as may be established by the Insurance Brokers Association of Canada (IBAC) and Insurance Brokers' Association of Nova Scotia (IBANS) from time to time as they see fit. Our Professional Development Privacy Commitment to You IBANS may be required to transfer; process and otherwise deal with the personal information of individuals who make application for professional development accreditations or course credit transfers. IBANS agrees to collect, use and disclose such personal information in a manner that a reasonable person would consider appropriate in the circumstances. IBANS agrees to safeguard the security of such personal information in a manner appropriate to the sensitivity of that information. The named registrant on this signed form consents to IBANS collection, use or disclosure of his / her personal information to be used for professional development purposes within IBANS/IBAC and the office of the Superintendent of Insurance. The named registrant on this signed form agrees to publication of her/his National Designation achievements as IBANS/IBAC may see fit; which may include a photograph. Please indicate your consent by checking this
If successful in the National Examinations, and if I apply for the *designation of "Canadian Accredited Insurance Broker", "Canadian Professional Insurance Broker" or "Canadian Certified Insurance Broker"; I hereby certify that I meet the prescribed qualifications, and I agree to abide by such other requirements as may be established by the Insurance Brokers Association of Canada (IBAC) and Insurance Brokers' Association of Nova Scotia (IBANS) from time to time as they see fit. Our Professional Development Privacy Commitment to You IBANS may be required to transfer; process and otherwise deal with the personal information of individuals who make application for professional development accreditations or course credit transfers. IBANS agrees to collect, use and disclose such personal information in a manner that a reasonable person would consider appropriate in the circumstances. IBANS agrees to safeguard the security of such personal information in a manner appropriate to the sensitivity of that information. The named registrant on this signed form consents to IBANS collection, use or disclosure of his / her personal information to be used for professional development purposes within IBANS/IBAC and the office of the Superintendent of Insurance. The named registrant on this signed form agrees to publication of her/his National Designation achievements as IBANS/IBAC may see fit; which may include a photograph. Please indicate your consent by checking this
Our Professional Development Privacy Commitment to You
IBANS may be required to transfer; process and otherwise deal with the personal information of individuals who make application for professional development accreditations or course credit transfers. IBANS agrees to collect, use and disclose such personal information in a manner that a reasonable person would consider appropriate in the circumstances. IBANS agrees to safeguard the security of such personal information in a manner appropriate to the sensitivity of that information. The named registrant on this signed form consents to IBANS collection, use or disclosure of his / her personal information to be used for professional development purposes within IBANS/IBAC and the office of the Superintendent of Insurance. The named registrant on this signed form agrees to publication of her/his National Designation achievements as IBANS/IBAC may see fit; which may include a photograph.
Please indicate your consent by checking this
