Notice of Client Registration

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NOTICE OF CLIENT REGISTRATION

This is to certify that ____________________________________________________________________,


(Name of Principal Retiree-Applicant)

a/an ___________________________________________________, ____________ years old and with principal


(Nationality) (Age)

address at _____________________________________________________________________________________

has been notified/briefed about the programs and assisted to obtain the Special Resident Retiree’s Visa

(SRRV) by the undersigned.

I hereby confirm that the above _________________________________________________


information are true and correct. Name of Accredited Marketer
Registration No. _________________________________
Valid until _______________________________________

_________________________________________ _________________________________________________
Signature over printed name of Signature of Marketer/ Authorized Representative
Retiree – Applicant above printed name

Validity of Accreditation verified by

_________________________________________________

Checked and verified by:


PRA Info Desk Officer

Frontdesk Officer

PRA OR No. Date Issued

Finance Officer

DV No. Date Issued

Noted by:

____________________________
Department Manager III / OIC 06.2017
Marketing Department

PRA-CR-FORM-0021 ISSUE NO: 0003 ISSUE DATE: JUNE 2017

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