To submit this form, please send the completed application to the Registrar at the Academy of Life Underwriting, 1554 Paoli Pike, #313, West Chester, PA 19380 USA. You may also fax it to 610-429-2973 or email it to registrar@alu-web.com. Ensure you include all required documentation and appropriate fees for processing.

For submissions related to the Life Underwriting Certificate, please note that the application period runs from September 1, 2016, to August 31, 2017. After these dates, consult the ALU website for any updates regarding future application periods.

The primary purpose of this form is to facilitate the application process for individuals seeking a certificate or diploma in Life Underwriting. It streamlines the submission of necessary documentation to the Academy of Life Underwriting. This enables candidates to enhance their qualifications and professional standing in the insurance industry.

• 1. Name: Full name as it should appear on the diploma.
• 2. Company Name: Your employer’s name.
• 3. Business Address: Physical address where your company is located.
• 4. Email Address: Your primary email for correspondence.
• 5. Phone Number: A contact number for verification.
• 6. Signature: Your signature confirming the accuracy of the information.

Failing to submit this form will delay your eligibility for the certificate or diploma. You may miss essential deadlines that could affect your professional advancement. It is crucial to ensure that all required fields and documentation are completed adequately.

• Missing Documentation: If the accompanying evidence of course completion is not included, your application will be incomplete.
• Incorrect Information: Inaccurate details may lead to application rejection or delays.
• Deadlines: Not submitting by the specified dates can hinder your qualification progress.

• 1. Applying for Certificates: Use this form when you have completed the necessary coursework for certificate programs.
• 2. Reissues: Submit the form if you need a replacement for lost certificates.
• 3. Upgrading Qualifications: Utilize this form when advancing from one level of qualification to the next.