LIFE INSURANCE CORPORATION OF INDIA

CENTRAL OFFICE
“Yogakshema”
Jeevan Bima Marg,
MUMBAI – 400 021.
Ref: Mktg/ZD/07/2010 Date: 22.02.2010
TO ALL ZONAL MANAGERS, OFFICERS IN-CHARGE
OF DIVISIONS, ZTCs, MDC, STCs AND AUDIT CENTRES.

Re: Sr. Business Associate Scheme - Second round of enrollment.

The first round of enrollment of Development Officers under the Sr. Business Associate Scheme
has been a huge success with 512 Development Officers enrolled under the Scheme and we are
receiving continuous enquiries for reopening of the Scheme for fresh enrollment.
Looking to the popularity of the Scheme, it has been decided to reopen the Sr. Business Associate
Scheme for fresh enrollment of eligible Development Officers. The period for enrollment will be
from 1st March 2010 to 30th April 2010. For eligibility conditions, selection process and benefits
etc. please refer our Circular No: Mktg/ZD/6/2009 dated 27.04.2009.
Important Instruction for Enrollment:

Before admitting the Development Officer under the Scheme, the Divisional Offices should
ensure that the Development Officer is fulfilling all the eligibility conditions as prescribed
in our Circular No: Mktg/ZD/6/2009 dated 27.04.2009. The Divisional Offices must also
confirm that applicant Development Officer possesses own /rental office premises.

If the appraisal of the applicant Development Officer is due on or before 1st April 2010, care
should be taken to ensure that his cost ratio in the latest appraisal is not over 3%.

The data of selected Development Officer should be sent by e-mail in excel as per format
given in Annexure B to Marketing Dept of Zonal Office. The Zonal Offices shall
consolidate the data and forward the same by email to rk_pawar@licindia.com and
np.nambiar@licindia.com with copy to co_marketing@licindia.com without any delay.

The Divisional Offices must ensure that the email-id of the Development Officer (preferably
with gmail.com) is accurate, operative and in use. For confirming the same the Divisional
Office shall ask Development Officer to send a test-mail from his mail-id (as furnished in
application form) to the mail-id of Divisional Office. Only after receipt of test-mail from the
mail-id of Development Officer, the Divisional Office should forward his data to Zonal
Office. This exercise is mandatory as IT Department, Central Office will send merchant-id
and password directly to the mail-id of the Development Officer.

To avoid last minute rush, the Divisional Offices should complete the selection process as
early as possible.
All other instructions issued from time to time remain unchanged.

Executive Director (Marketing)

Annexure A & B
 ANNEXURE ‘A’
LIC of India; Divisional Office: __________________

FORMAT OF APPLICATION FOR SENIOR BUSINESS ASSOCIATE

Affix your recent

Passport size
Photograph here

1. Name in full (In English: Capital letters, Surname first)

2. Male/Female: ____________ 2A. Mother tongue: ______________

3. Mailing address (Please do not repeat name):

PIN No

Telephone Nos. with STD Code:

a) Office: __________________ c) Residential: ___________________

b) Mobile No: ______________

d) E-mail id: ________________________

(The Divisional Office should verify the accuracy of the mail-id by asking the applicant to send a test
mail from his mail-id to the mail-id of Divisional Office. The Divisional Office should forward the data
of selected Development Officer only after receipt of the test mail.)

5. Date of Birth ________ Age in completed years as on 1.4.2009 _______ yrs.

6. Divisional Office: _______ 7. Branch Name & Code: _________

8. S.R. No.:_______________ 9. Dev. Officer Code: ____________

10. Date of Appointment: _________ 11. Date of Confirmation: ___________

12. Educational Qualification: ________ 13. Technical Qualification: _________

14. Are you keeping Own Office SOLELY for LIC Business: _______
If yes, Full Address of your Office:

PIN No

Whether the premises is Rental/Leased/Own: _______________

15. Details of infrastructure available in your Office (e.g. Internet Connection/ Computers/
Counter/Seating Arrangement etc.):

16. Performance during last 3 years:

Appraisal No of Scheduled Cost Total No of Club Member No of No of No of

Year Policies First Year Ratio No of Agents- COT/ New EARLY
Premium % Agent BM DM ZM CM Corporate TOT Agents Death
(Rs in Lacs) s Agent Recruited Claim

I hereby declare that all statements made in this application are true and correct to the best
of my knowledge and belief. I understand that in the event of any information being found
false or incorrect or not satisfying the prescribed eligibility criteria for Senior Business
Associate, my candidature is liable to be cancelled/ rejected at any stage of selection.

Place:
Date: (Signature of the Applicant)

For Branch use:

1. Details given by the applicant verified.

2. Recommendations of Chief/Sr./Branch Manager:

Signature of Chief/Sr./Branch Manager (with seal)