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INSURANCE REGULATORY AND DEVELOPMENT AUTHORITY OF INDIA

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Registration of Corporate Agents - Regulations, 2015

Certificate to act as a Specified Person for a Corporate Agent

Certificate No : SP0001346528
Name of Corporate Agent INDUSIND BANK LIMITED
Address 2401, General Thimmayah Road Cantonment Pune Pune Maharashtra
413201
Registration No CA0001
Date of Expiry 23-Jul-2022
Category of Registration Corporate Agent (Composite)
Name of the Certificate Holder Nisha Goyal
Address 6 B, VISHNU COLONY HATWARA ROAD Jaipur Jaipur Rajasthan
302006
Details of branch where posted SANGAM COMPLEX,GRFLRCHURCH ROAD, JAIPUR 302 001

Having undergone the prescribed training and passing of the examination is hereby authorized to act as the
specified person of the above named corporate agent for three years from 24-Jul-2019 to 23-Jul-2022 for procuring
or soliciting insurance business in the category of Composite

èȡ“Ȭ
Signature Not Verified
Place : Hyderabad
Digitally signed by
TEJAVATH SRINIVAS NAIK
Ǒ‘“ȡȲ€Ȭ
Date: 2021.11.18 13:22:23
+05:30
Date :24-Jul-2019

—ȡšȢ™–Ȣ˜ȡͪǓ“™ȡ˜€kšͪ€ȡ Ĥȡͬ’€šŽ
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For and on behalf of

Insurance Regulatory and Development Authority of India

Signature of the Certificate holder:

Notes:
1. This certificate authorizes the certificate holder to act as the specified person of the corporate agent for the
insurance business specified there under.
2. No correction in this certificate is valid and for any correction in the certificate, the specified person through the
principal officer of the corporate agent shall make a request to the Authority for the same.
3. The attention of the certificate holder is drawn to the code of conduct specified under regulation 26 of Insurance
Regulatory and Development Authority of India (Registration of Corporate Agents) Regulations, 2015, and any
violation of code of conduct may result in cancellation of certificate.