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MDA email template — NIS Employee Registration
Email Templates / MDA Emails
MDA Submission Email — NIS Online Social Security Service Registration Form
This email is sent to the NIS when a citizen submits the NIS Online Social Security Service Registration Form. It shows the submission details and the full form data.
Preview:
You have received a NIS Online Social Security Service Registration
Service:
NIS Online Social Security Service Registration 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]
Eligibility
Where do you currently live?
[In Barbados / Overseas]
Type of ID
[Barbados National ID Card / Passport]
Applicant details
Last name
[Last name]
First name
[First name]
Middle name(s)
[Middle name(s)]
NIS number
[NIS number]
National Registration Number (NRN)
[NRN — if Barbados ID]
Passport number
[Passport number — if overseas]
Passport date issued
[dd/mm/yyyy — if overseas]
Passport date expires
[dd/mm/yyyy — if overseas]
Passport country of issue
[Country — if overseas]
Home address
Street address
[Street address]
City or district
[City or district]
Parish
[Parish]
Postal code
[Postal code]
Country
[Country]
Mailing address
Same as home address?
[Yes / No]
Street address
[Mailing street address — if different]
City or district
[Mailing city or district — if different]
Parish
[Mailing parish — if different]
Postal code
[Mailing postal code — if different]
Country
[Mailing country — if different]
Contact details
Home phone number
[Home phone number]
Mobile number
[Mobile number]
Work phone number
[Work phone number]
Email address
[Email address]
Overseas notarisation
Notary Public name
[Notary Public name — if overseas]
Jurisdiction
[Jurisdiction — if overseas]
Date of notarisation
[dd/mm/yyyy — if overseas]
Due date: [To be filled by officer]
Officer assigned: [To be filled by officer]
Reference: [To be filled by officer]
You have received a NIS Online Social Security Service Registration
Service:
NIS Online Social Security Service Registration 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.
