Home > Become a member > Membership Application Form
Title
First name
Last name
Job title
E-mail
Telephone
Fax
Full name
Short name
Address
City
Post code
Country
Website
What type of organisation do you work for?
If other, please specify:
What type of membership are you applying for?
Institutional Individual
Is your organisation already an institutional member of the Network?
Yes No
Note: Due to the high rate of unfinalised individual applications, we request that prospective individual members pay their 100,- euro membership fee in advance and send us their CV so we can have a better understanding of their microinsurance background. Once we receive your application and CV, we will contact you with payment details. If your application is not approved, we will provide you with a full refund.
Click here to send your CV.
Is your organisation involved in microinsurance?
Please describe your activities in microinsurance:
Please tell us how you see yourself contributing to this Network of experts:
In which regions do you carry out your microinsurance activities?
Central and Eastern Europe
Asia
The Middle East
Africa
Latin America
Worldwide
Does your organisation have a separate microinsurance department or full-time staff working on microinsurance?
What is your organisation’s annual budget for microinsurance?
Is your organisation involved in any activities apart from microinsurance?
If yes, please briefly describe them:
Members should actively contribute to their Working Group and bring in their expertise to enrich and advance their work. This contribution can be in-kind or financial.
If you do not have sufficient time available at the moment to be active in a Working Group, you do not need to join one immediately. You can join one at a later stage by contacting us.
Visit the Working Group pages to learn more about their activities.
Please select the Working Group that you want to contribute to, if any.
Why do you wish to join the selected Working Group?
How will you contribute to the selected Working Group?
Why do you want to join the Microinsurance Network?
How did you hear about the Microinsurance Network?
Who is your reference or what is your affiliation with any of the other members of the Microinsurance Network? Please note that a referee should be able to vouch for you.
Let us know if you have any further questions.
I confirm that I have read and understood the Microinsurance Network’s Bylaws
Please note that only complete applications will be considered. The operational language of the Network is English and all exchange is carried out in this language.
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