Free agency agreement 32Free agency agreement 32Free agency agreement 32
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CignaTTK Health Insurance Company Limited,
OR Nearest Cigna TTK Branch.
Corporate Office: 401/402, Raheja Titanium, Western Express Highway, Goregaon (East), Mumbai – 400063. IRDA Registration No. 151.
Call (Toll Free): 1-800-10-24462 Visit: www.cignattkinsurance.in E-mail: [email protected]

AGENCY AGREEMENT
This Agreement along with the Terms and Conditions which form an integral part of this document entered into on this

day
, between CignaTTK Health Insurance Company Limited, a company registered under the
Companies Act, 1956 having its registered office at 401/402, Raheja Titanium, Western Express Highway, Goregaon
(East), Mumbai – 400063. (hereinafter referred to as "the Company"), and
son / daughter / wife / husband of
residing at
(hereinafter referred to as "the Agent").
WHEREAS the Company is engaged in the business of Health Insurance.
WHEREAS the Agent has confirmed that he/she has complied with all the formalities under the IRDA (Licensing of
Insurance Agents) Regul