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Are you a licensed broker?
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Date of Birth


 Manager personal Lines  
 Manager commercial lines  
 Producer  
 Customer Service Representative  
 Branch Manager  
 Accounting contact  
 PD contact  
 other  

Confirmation of membership will be verified upon committee approval

I have successfully completed the educational requirements and am applying for the right to use the following designation:
 CAIB  
 CPIB  
 CCIP  

I understand that associate membership, if approved, will only entitle me to the use of this Insurance Brokers Association of Canada designation and does not entitle me to any other privileges.

I am an employee, but not a principal or shareholder, of a brokerage that does not hold membership in the Insurance Brokers Association of New Brunswick, but is eligible to do so.

I have read and met the requirements listed above and have included the annual membership fee of $250 + HST = $282.50 (or portion thereof).

 Yes  - I agree with the terms of reference?

IBAC PROFESSIONAL DEVELOPMENT DESIGNATIONS

TERMS OF REFERENCE

AMENDED SEPTEMBER 20, 2001

(1) The right to obtain an IBAC designation will be restricted to successful candidates who are employed by a property and casualty insurance brokerage and are members in good standing, as at the time of the granting of such IBAC designation, of a member association which is and continues to be a member of IBAC.

(2) At the sole discretion of IBAC and member associations, non-members and/or non-brokers shall be allowed to complete any program offered by IBAC, and upon successful completion, such non-members and/or non-brokers will be entitled only to Certificates of Completion.

(3) The right to use and maintain any IBAC designation granted by IBAC shall only continue while such person is employed by a property and casualty insurance brokerage, acceptable to the IBAC Board of Directors, while that brokerage continues to be a member in good standing of a member association which itself is a member in good standing of IBAC.

(4) A licensed property and casualty insurance broker, having earned a Certificate of Completion or an IBAC designation, who is an employee (not a principal) of a property and casualty insurance brokerage that is not a member of a member association of IBAC, will be allowed to obtain membership or associate membership with the appropriate member association of IBAC, failing which that person's right to use such IBAC designation will be terminated.

(5) The granting of member and/or associate member status is at the discretion of the member association and shall be in accordance with, and subject to, the applicable member association's by-laws, rules, regulations and guidelines.

(6) The administration of membership and associate membership is the responsibility of the applicable member

(7) All candidates must be granted permission to use IBAC designations through specific election by the IBAC Board of Directors.

(8) Employees of IBAC or its Member Associations, who have successfully completed the prescribed examination requirements, may hold an IBAC designation as long as they remain so employed.

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