INSURANCE REGULATORY AND DEVELOPMENT AUTHORITY
Gate No. 3, First Floor, Jeevan Tara Bldg., 5, Parliament Street, New Delhi – 110 001. Ph. No. 3364711
SURVEYOR/ LOSS ASSESSOR IDENTITY CARD
I.D. No.: _______
Address: House No. ________Street__________________
District ___________Town/ City _____________
State _____________ Pincode _______________
Surveyor Licence No.: _______ Valid Till: ___________
Departments Allocated & Category:
Signature of the
Authorised Signatory: ______________Licence Holder
Please surrender this card on expiry/ suspension/ cancellation.
The Licence holder must inform Insurance Regulatory and Development Authority immediately if this card is lost or stolen.
This card is the property of the Insurance Regulatory and Development Authority and is not transferable.
If this card is found please return to found please return to the Insurance Regulatory and Development Authority’s Office.
Warning: Misuse of this card is an offence.