Become a member The members of the Microinsurance Network are committed to actively contribute to the creation of public goods with the aim to promote the development of good value insurance services for low-income persons. Applicant information Title - None -Ms.Mr. First Name Last Name Job Title Email * Telephone * Fax Organisation information Full name * Short name * Address * Postal Code * City * Country * AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo, Republic of theCongo, The Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian Territory, OccupiedPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSerbia and MontenegroSeychellesSierra LeoneSingaporeSint Maarten (Dutch Part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaYemenZambiaZimbabwe Website * What type of organisation do you work for? * - Select -AcademicBilateral/Multilateral donorConsultancyGovernmentInsurance associationInsurance brokerInsurance companyInvestorMicrofinance institution (MFI)Microinsurance providerNetworkNGO (International)NGO (Local)Private foundationRegulator and policymakerReinsurance companyResearch instituteTechnical service providerTechnology service providerThink tankTraining instituteOther If other, please specify Mission statement (No more than 600 words) * Is your organisation already an institutional member of the Network? * Yes No If yes, please jump directly to the section WORKING GROUP PARTICIPATION. Information on microinsurance activities What areas of expertise is your organisation (are you) involved in? * Advisory services and technical assistance Audit Capacity building/Training Consumer protection Distribution Donor policy Impact study Information dissemination Insurance education Management Information System (MIS) Market study Policy advocacy Project evaluation Product development Regulation and supervision Research Other What type of insurance product(s) does your organisation (do you) focus on? * None Agriculture Credit Health Life Livestock Natural disaster Property Other In which region(s) do you carry out your microinsurance activities? * None Europe and Central Asia East Asia and Pacific South Asia Latin America and the Caribbean North America Sub-Saharan Africa Middle East and North Africa Does your organisation have a separate microinsurance department or full-time staff working on microinsurance? - None -No specific microinsurance department and no full-time staff working on microinsuranceNo specific microinsurance department but: < 2 full-time staff is working on microinsuranceNo specific microinsurance department but: 2 < 5 full-time staff is working on microinsuranceNo specific microinsurance department but: > 5 full-time staff is working on microinsuranceWe have a microinsurance department with: < 2 full-time staffWe have a microinsurance department with: 2 < 5 full-time staffWe have a microinsurance department with: 5 < 10 full-time staffWe have a microinsurance department with: > 10 full-time staff What is your organisation’s annual budget for microinsurance? - None -No specific budgetLess than € 50.000,-Between € 50.000,- and € 150.000,-Between € 150.000,- and € 250.000,-Between € 250.000,- and € 750.000,-More than € 750.000,- Is your organisation involved in any activities apart from microinsurance? Yes No If yes, please briefly describe them (no more than 300 words) Working Group participation Members who would like to join a Working or Discussion Group should actively contribute to the group by drawing on their expertise to enrich and advance the work being carried out. This contribution can either be in-kind or financial. If you do not have sufficient time available at the moment to be active in a group, you can easily join at a later stage.Visit the Working Group pages to learn more about their activities. Please select the Working/Discussion Group that you want to contribute to, if any. - None -Actuaries and microinsuranceAgriculture insuranceCapacity buildingConsumer protectionData analysisDistributionFundersHealthInsurance educationPerformanceSocial protectionTechnology Why and how will you contribute to the selected Working/Discussion Group? Membership fees Institutional membership 750,- EUR (Small institutional membership) 1 500,- EUR (Medium institutional membership) 2 500,- EUR (Large institutional membership) My organisation is already a member and therefore, I do not need to select a fee. The Network’s institutional membership fee structure is based on an honour system and organisations are asked to classify themselves. Individual membership 200,- EUR Note: Due to the high rate of outstanding individual applications, the Network requests that prospective individual members pay their 200,- EUR membership fee in advance. Once we receive your application and CV, we will contact you with payment details. If your application is not validated, we will provide you with a full refund. Joining the network Why do you want to join the Microinsurance Network? * In which way would you like to contribute to the Network's activities (for example, participation to the Working Groups, annual meetings, research, writing, training design, the General Assembly)? How did you hear about the Microinsurance Network? Please indicate whether you have an affiliation with another member of the Microinsurance Network, and if so who? Please note that this organisation should be able to vouch for you. What do you expect from being a member of the Network? Let us know if you have any further questions. I confirm that I have read and understood the Microinsurance Network’s Bylaws Read the Bylaws here. 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. What code is in the image? * Enter the characters shown in the image.