Fill in the Membership Application Form

Please fill in the required information in the 'EAIC Membership Application Form' located at the bottom of this page.

Check the Email from the Secretariat

The secretariat will review your application form and send you an email. Please check the email carefully. Do not make any payment at this stage. Wait for further instructions from the secretariat regarding the payment.

Transfer the Membership Fee

After submitting your application form, please transfer the membership fee via telegraphic transfer to the following account:

Account Number035-9109594
Bank NameMizuho Bank, Ltd., Ginza Branch
Bank Address4-2-11 Ginza, Chuo-ku, Tokyo

If your system automatically inputs a different bank name and address when you enter the SWIFT CODE, please delete them and re-enter the correct bank name, branch name, and address as stated above.

Life Membership fees:

Regular Members (Corporate)US$300
Regular Members (Individual)US$100
Associate Members (Corporate)US$500
Associate Members (Individual)US$150

For more details, please refer to Article IV: Membership and Article IX/1 Finances of the Statutes of the East Asian Insurance Congress.

Receive the Official Receipt

Once your payment is confirmed, the secretariat will issue and send you an official receipt.

EAIC Membership Application Form

EAST ASIAN INSURANCE CONGRESS (EAIC) Membership Application Agreement
By submitting this application, you acknowledge and agree to the following terms and conditions regarding the
use of your personal information by the EAIC General Secretariat:

1.Purpose of Information Use:

  • The EAIC General Secretariat will use the personal information obtained solely for the purpose of managing
    and confirming your status as a participant in the EAIC Conference.
  • Your personal information will be shared with the Secretariat/Local Organizer of the Conference to verify your
    participation status.
  • Your personal information will not be used for any other purpose unless required by law.

2.Use of Photographs:

  • Photographs taken by EAIC staff or the Secretariat/Local Organizer during the Conference may be used for public relations activities.
Types of members
Date of Birth
Name of Company/Organization

In accordance with the current statutes of the EAST ASIAN INSURANCE CONGRESS (EAIC), and with full understanding of the above conditions, I hereby submit my application for membership.

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