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    INTERMEDIARY HOUSE DETAILS

    Company Type

    PartnershipCCLTD CompanySole proprietorOther

    Same as above

    Category/ies of insurance associated with your FAIS Licence

    Category ACategory B1Category B1 -ACategory B2Category B2 -ACategory CNone of the above

    Holder of Professional Indemnity insurance?

    YESNO

    Did you earn 30% or more of total commission for the previous year from a specific Insurer Product Provider?

    YESNO

    Do you own 10% or more of issued shares directly/indirectly in any Insurer/Product Provider?

    YESNO

    Are you an associated company of any Insurer/Product Provider?

    YESNO

    Does your organisation meet the FAIS operational requirements?

    YESNO

    Does your organisation comply with FAIS financial soundness requirements?

    YESNO

    Contact us : advisors@elevate.co.za

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    elevate centriq-footer-logo

    All Elevate Life policies are underwritten by Centriq Life Insurance Company Ltd. (“Centriq”), a licensed life insurer and authorised financial services provider (FSP 7370).

    Elevate your life

    This is Life Insurance, but as you’ve never seen
    it before. It is truly bespoke. Each policy uniquely
    designed for the individual it represents.
    Refreshing. Isn’t it?

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