Lic Floor Plan Application

All questions and or descriptions must be answered.

Lic floor plan application.

7 bharathiar street vanuvampet chennai 600091. Facility sketch floor plan applicants are required to provide a sketch of the floor plan of the home or facility and outside yard. Box no 19953 mumbai 400 021 irdai reg no 512 top. The floor plan s must show the specific areas of your premises e g.

Yogakshema building jeevan bima marg p o. Lic 999 3 99 facility sketch floor plan lic 999a 2 05 facility sketch floor plan family child care home lic 9011a 4 05 county licensing administrative action personnel flagging attachment. Applicants are required to provide a sketch of the floor plan of the home or facility and outside yard. Circle the names of the rooms that will be used by staff residents clients children.

Floor plan your floor plan must be submitted on this form. Use a separate floor plan form for each level or floor of the building. Circle the names of the rooms that will be used by staff residents clients children. The application must be signed and notarized.

Application questionnaire signatures must be notarized or witnessed by an abc employee. The floor sketch must label rooms such as the kitchen bath living room etc. Name control name control. Yogakshema building jeevan bima marg p o.

Licensed premises diagram planned operation drawing of your floor plan including overall dimensions and patios to be licensed and description of proposed operation. Life insurance corporation of india corporate office. If any questions description cannot be completed in the available space on the application please submit additional pages as needed. 4 floor plan abca lic fp3 give dimensions of licensed premises 5 zoning form abca lic z 2 instructions.

Business name business telephone business address city state zip existing dob tracking number list all. 4 include stakeholders that own ten percent or more and primary applicant corporate officers partners and any stakeholders. Policytray 1st floor no. Helpline number 10 am to 6 pm.

The floor sketch must label rooms such as the kitchen bath living room etc. Dining area bar lounge dance floor video lottery room kitchen restrooms outside patio and sidewalk cafe areas.