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Financial economics / National Association of Insurance Commissioners / Affidavit / Notary public / Insurance / Social Security number / Fair Credit Reporting Act / Credit rating agency / Public key certificate / Law / Civil law / Notary


Applicant Name (Company) __________________ NAIC No. FEIN: _________________
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Document Date: 2013-04-15 10:18:13


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Country

United States / /

Facility

University City/ State Dates Attended / University City/ State City/ State Dates Attended / /

IndustryTerm

banking / duplication services / insurance regulatory authority / Business telephone / non-management services / state law / insurance reviewing / non-insurance regulatory issuer / /

Organization

Governmentallicensing / Federal Government / state insurance regulatory authority / National Association of Insurance Commissioners / /

Position

administrator / manager / operator / / Supervisor / officer / member of the board of directors / officer / management representative / Comptroller / director / trustee / /

ProvinceOrState

Oklahoma / Minnesota / California / /

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