| Document Date: 2014-05-13 03:25:31
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Company Applicant Company (i) Stated Capital / Stated Capital / Oaths Seal / / Country Sri Lanka / / Event Bankruptcy / / Facility Echelon Square / World Trade Centre / East Tower / / IndustryTerm insurance broker / bank / insurance / overseas insurance connections / insurance brokering / financial management / / Organization Principal Office / Insurance Board of Sri Lanka / Registered Office / / / Position Executive Officer / Principal Officer / Principal Officer / Specified Officer / Director /Secretary / proposed Specified Officer / PROPOSED PRINCIPAL OFFICER/ PROPOSED SPECIFIED OFFICER / Director / Principal Officer / company secretary / director / shareholder / director / partner / proprietor / Compliance Officer / proposed Principal Officer / Director / broker / Peace/ Commissioner / Chief Executive Officer / insurance agent / Director/ / Specified Officer / Director / Specified Officer / Chief Executive Officer / Principal Officer / General / Director / Specified Officer or / Director / Shareholder / Proposed Principal Officer / proposed Actuary / Officer / Director General / insurance broker / Director / Chief Executive Officer / Officer / Proposed Actuary / /
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APPLICATION FOR REGISTRATION AS AN INSURER