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Agent Registration Form

Agent Registration Form

Fields marked with an * are required

Agent Requirements

As a reminder, these are the requirements you need to prepare.

  1. Scan/Photo of KTP
  2. Scan/Photo passbook
  3. Scan/Photo in color 3×4
  4. Scan/Photo of NPWP
  5. Proof of transfer of the license exam fee of 225 thousand (conventional). Exams and training are carried out via a smartphone after the agency data is completely filled in.
  6. For applicants who have been insurance agents at other companies, attach a photocopy of the license or AAJI card and a letter of termination from the previous company. License renewal fee will be different, need to check first.

If you have read the explanation in the article “How to Become an Allianz Agent” and agree to become an Allianz agent in our team, please You fill in the form below:
Have you ever been an insurance agent in another company? If yes, state where and when.
What do you expect by becoming an insurance agent at Allianz?