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Namibia Insurance Brokers Association

Here are our membership forms

For new applications and renewal of current members, please refer to below forms and documents:

  • Membership Fee Structure 2024 Click Here
  • Application Form for Individual Membership Click Here
  • Application Form for Juristic Membership Click Here
  • Renewal Application Form for Individual Membership Click Here
  • Renewal Application Form for Juristic Membership Click Here

NIBA Application Requirements (LT & ST)
  • Completed application forms (both juristic & individual)
  • Latest Curriculum Vitae
  • Copy of identification document
  • Qualifications (qualification +2 years relevant working experience or alternatively 3 years relevant working experience)
  • Company registration documents (cc document or founding statement)
  • Letters of intent from 2 insurers
  • Proof of PI cover will be required once approved.
To download the Membership Application Requirements Click Here

Individual Membership Application

Surname
Fullnames
Title & Initials
ID/Passport Number
Gender
Email
Nature of business
Employment History
Highest Qualification
I/we declare that the information provided is true, accurate and complete to the best of my/our knowledge and belief. I/we understand that any false statement may invalidate the application and or disqualify me/us from becoming or being a member.
I/we will support and subscribe to all the aims and activities of NIBA to the best of my/our ability; promote unity and professionalism among members; promptly pay all fees and other amounts due to NIBA and apply for renewal of membership on the 1st of March annually.
I/we accept that membership of NIBA places a responsibility on me/us to conduct myself/ourselves at all times in accordance with NIBA's Code of Conduct and professional conduct in general as deemed appropriate in the financial services industry. I/we accept that failure to do so may result in disciplinary action against me/us and/or suspension of my/our membership.
I/we will advise Council of any changes in the business or its conduct or in the information given in this application form which changes might reasonably be expected to influence the decision of the Council concerning my/our continued membership of NIBA..
I/we will immediately report to Council insolvency of any principal or the disability of any principal to meet obligations with his/her creditors once such information becomes known to me/us.
I/we am aware of the legal requirement upon me/us to have and maintain in full force at all times Professional Indemnity Cover to the value of 50% of commission received by me/us, subject to a minimum of N$500 000 as determined by the respective insurance Acts.
I/we will present to Council any documentation as may reasonably required relating to my/our membership.
I/we will maintain payments to insurers in strict compliance with the requirements of the Insurance Act.

Permision

I/we authorise NIBA Council to make any enquiries deemed necessary and justifiable (in the name of the business as well as all principals) for consideration of my/our application, and I/we authorise all institutions approached in this regard to furnish full and complete replies to these enquiries.

Agree Disagree


Juristic Membership Application

Registered name of the business
Email
Nature of business carried on
Legal entity
Company reg. number
Date established
Particulars of all principals
Subsidiary companies to be included in membership
Postal address
Contact numbers
Locations
Professional Indemnity cover
Lloyds licence
IIN Membership
Financials
Human Resources
NIBA contact persons
Social Security Comm
References

Declaration

I/we declare that the information provided is true, accurate and complete to the best of my/our knowledge and belief. I/we understand that any false statement may invalidate the application and or disqualify me/us from becoming or being a member.
I/we will support and subscribe to all the aims and activities of NIBA to the best of my/our ability; promote unity and professionalism among members; promptly pay all fees and other amounts due to NIBA and apply for renewal of membership on the 1st of March annually.
I/we accept that membership of NIBA places a responsibility on me/us to conduct myself/ourselves at all times in accordance with NIBA's Code of Conduct and professional conduct in general as deemed appropriate in the financial services industry. I/we accept that failure to do so may result in disciplinary action against me/us and/or suspension of my/our membership.
I/we will advise Council of any changes in the business or its conduct or in the information given in this application form which changes might reasonably be expected to influence the decision of the Council concerning my/our continued membership of NIBA.
I/we will immediately report to Council insolvency of any principal or the disability of any principal to meet obligations with his/her creditors once such information becomes known to me/us.
I/we am aware of the legal requirement upon me/us to have and maintain in full force at all times Professional Indemnity Cover to the value of 50% of commission received by me/us, subject to a minimum of N$500 000 as determined by the respective insurance Acts.
I/we will present to Council any documentation as may reasonably required relating to my/our membership.
I/we will maintain payments to insurers in strict compliance with the requirements of the Insurance Act.