THE DOCUMENT ON REGISTRATION OF AGENT ACTIVITIES(Attached to and is a part not apart from of the contract on insurance agentDLBH signed on 5th September 2013)I am: Truong Thanh NamCode of agent: D103121930Date of birth: 20th December 1991ID card No.: 312133058 by Police: TG date of issued: 21st May 2009.Permanent residence: Ho Hamlet – Tan Dien Commune – Go Cong Dong – TG.Telephone: 0972741776Registration to change form of agent activities is:Form activities: Signature of confirmation Professional agent Summarize professional agent Semiprofessional agentI commit to carry out full the rights and obligations according to regulation at the contract on insurance agent and other regulations of Bao Viet Life with the form of agent had registered as above.
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