Register International Insurance

Please complete all sections as fully as possible, giving reasons for non-completion of any section and attaching apprendices where appropriate.

1. Full name of applicant _________________________________ _________________________________
2. Date on which applicant commenced, or intends to commence, carrying on International Insurance Business in or from within Belize. ____________________________________________________
3. (a) Category of business being or proposed to be, transacted (as defined in section 2 of the Act)