Registration for tied insurance intermediaries in accordance with Art. 42 para. 4 IOA

This form is intended to enable tied insurance intermediaries wishing to take up an activity abroad in a country requiring a register entry in Switzerland to create an entry in the public FINMA register. Other tied intermediaries are not listed in the register. If you are an untied intermediary, please register on the survey and application platform (EHP).

Institution details

Licence*

Personal details

Title*

Last name*

First name*

Date of birth*

Place of origin

Nationality*

Correspondence language*

Email address*

Telephone no.*

Private address

Country*

Postcode*

City*

Street*

Addition to address

I am a tied insurance intermediary