编辑: 苹果的酸 | 2018-01-07 |
,,
, "法人单位盖章",,
,,
"年月日", "法人机构",,
,"许可证号",,
"联系人",,
,"联系电话",,
"当地业务负责人",,
,,
, "姓名","职务","住址","手机","邮箱","资格证书编号" ,,
,,
, ,,
,,
, ,,
,,
, "当地业务",,
,,
, "主要客户名称","合作保险公司",,
,,
"业务收入" ,,
,,
, ,,
,,
, ,,
,,
, ,,
,,
, ,,
,,
, ,,
,,
, ,,
,,
, ,,
,,
, ,,
,,
, ,,
,,
, ,,
,,
, ,,
,,
, ,,
,,
, "所有业务合计",,
,,
, "备注:保险经纪机构开展异地业务是指保险经纪机构在注册地以外的省、自治区、直辖市不设分支机构从事保险经纪活动.
",,
,,
,