Create an Account

Basic

Registration Type

New Existing

Are you registering as a new or exising member?

Brokerage Name

Year of Registration

Country

Office Location

Which of the following areas of insurance brokerage do you have expertise in?

Property & Casualty (including Motor, Home, Commercial)

Life & Health (including Life, Health, Disability)

Financial Lines (including Professional Indemnity, D&O, Credit)

Specialty Risks (including Marine, Aviation, Engineering, Agriculture, Political Risk, Cyber)

Reinsurance

Marine Cargo

Other

Expertise (Other)

If you selected `Other` from the previous question, fill this

Do you have a MIP Licence?

Yes No

If yes, you can upload your MIP Licence

MIP Licence

Only PDFs allowed, maximum 5MB in size

CEO/Principal Officer

CEO/Principal Officer Name

Qualifications

Email Address

This email will be used for member registration & login

Phone Number

Use local format e.g. 0722000111

Office Contact
This is the primary office contact

Contact Person

Email Address

Phone Number

Use local format e.g. 0722000111

Marketing Contact
All promotional email & SMS communication will be sent here

Contact Person

Email Address

Phone Number

Use local format e.g. 0722000111

Documents

IRA Licence

Only PDFs allowed, maximum 5MB in size

Professional Indemnity Policy

Only PDFs allowed, maximum 5MB in size

Certificate of Incorporation

Only PDFs allowed, maximum 5MB in size

CEO/Principal Officer CV

Only PDFs allowed, maximum 5MB in size

Membership Proposer/Seconder
Enter the details of your proposer/seconder organization. They will receive an email to approve your membership

Proposer Name

Proposer Email

Seconder Name

Seconder Email

Declarations

Declaration of Legal Compliance

Yes No

Does the applicant comply with all legislation requirements under the insurance act?

Declaration of Solvency

Yes No

Has any director or partner or principal officer at any time been insolvent or entered into any composition with creditors?

Declaration of Accurate Information

I Agree

I hereby confirm that the above information given is true and I agree to abide with the constitution, rules and regulations and the AIBK Code of Conduct as it governs the Association of Insurance Brokers of Kenya

Account

Password

Minimum 6 characters

By submitting this application, I affirm that the information provided is accurate and I consent to the collection, processing, and use of my personal data in accordance with the Privacy Policy and abide by the Terms & Conditions