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MDA email template — NIS Direct Deposit
Email Templates / MDA Emails
MDA Submission Email — Direct Deposit Form
This email is sent to the NIS when a citizen submits a Direct Deposit Form. It shows the submission details and the full form data.
Preview:
You have received a Direct Deposit Form submission
Service:
Direct Deposit Form
Submission ID:
[Reference ID]
Submission date:
[dd/mm/yyyy]
Submission time:
[hh:mm]
Applicant phone number:
[246-xxx-xxxx]
Applicant email:
[email]
Here is the data from this request:
Declaration
I [Applicant's name] confirm that my information is true and correct. I understand that false details may lead to my application being rejected or legal action and that the Government of Barbados will keep my information confidential.
Name
[Applicant's full name]
Date
[dd/mm/yyyy]
Claimant details
First name
[First name]
Middle name(s)
[Middle name(s)]
Last name
[Last name]
NIS number
[NIS number]
National Registration Number (NRN)
[NRN]
TAMIS number
[TAMIS number — if applicable]
Address and contact
Street address
[Street address]
District
[District]
Parish
[Parish]
Postal code
[Postal code]
Email address
[Email address]
Telephone number
[Telephone number]
Mobile number
[Mobile number]
Benefit details
Type of NIS benefit
[Benefit type]
Do you have an alternate payee?
[Yes / No]
Alternate payee details
First name
[Alternate payee first name — if applicable]
Middle name(s)
[Alternate payee middle name(s)]
Last name
[Alternate payee last name]
NIS number
[Alternate payee NIS number]
National Registration Number (NRN)
[Alternate payee NRN]
TAMIS number
[Alternate payee TAMIS number]
Street address
[Alternate payee street address]
District
[Alternate payee district]
Parish
[Alternate payee parish]
Postal code
[Alternate payee postal code]
Telephone number
[Alternate payee telephone]
Mobile number
[Alternate payee mobile]
Legally empowered to act on behalf?
[Yes / No]
Banking details
Name(s) on the account
[Account holder name(s)]
Financial institution
[Financial institution]
Account number
[Account number]
Branch name
[Branch name]
Branch or transit number
[Branch or transit number]
Due date: [To be filled by officer]
Officer assigned: [To be filled by officer]
Reference: [To be filled by officer]
You have received a Direct Deposit Form submission
Service:
Direct Deposit Form
Submission ID:
[Reference ID]
Submission date:
[dd/mm/yyyy]
Submission time:
[hh:mm]
Applicant phone number:
[246-xxx-xxxx]
Applicant email:
[email]
Here is the data from this request:
Declaration
I [Applicant's name] confirm that my information is true and correct. I understand that false details may lead to my application being rejected or legal action and that the Government of Barbados will keep my information confidential.
