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MDA email template — NIS Old Age Pension
Email Templates / MDA Emails
MDA Submission Email — Claim for Old Age Contributory Pension
This email is sent to the NIS when a citizen submits a Claim for Old Age Contributory Pension. It shows the submission details and the full form data.
Preview:
You have received a Claim for Old Age Contributory Pension
Service:
Claim for Old Age Contributory Pension
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
Type of pension applied for
[Standard / Early retirement / Deferred]
Early retirement date
[dd/mm/yyyy — if early retirement]
Deferred pension start date
[dd/mm/yyyy — if deferred]
Personal details
National Insurance Number
[NIS number]
National Registration Number
[NRN]
Last name
[Last name]
First name
[First name]
Middle name(s)
[Middle name(s)]
Date of birth
[dd/mm/yyyy]
Street address
[Street address]
District
[District]
Parish
[Parish]
Postal code
[Postal code]
Telephone number
[Telephone number]
Cell number
[Cell number]
Email address
[Email address]
Employment details
Name of current or last employer
[Employer name]
Date of retirement
[dd/mm/yyyy]
Are or were you a company director?
[Yes / No]
Year first paid NIS contributions
[YYYY]
Have you ever worked overseas?
[Yes / No]
Alternate payee details
Alternate payee NRN
[NRN — if alternate payee]
Alternate payee NIS number
[NIS number — if alternate payee]
Last name
[Alternate payee last name]
First name
[Alternate payee first name]
Middle name(s)
[Alternate payee middle name(s)]
Date of birth
[dd/mm/yyyy]
Street address
[Alternate payee address]
Parish
[Alternate payee parish]
Telephone number
[Alternate payee telephone]
Cell number
[Alternate payee cell]
Email address
[Alternate payee email]
Banking details
Name(s) on account
[Account holder name]
Account number
[Account number]
Bank name and branch
[Bank name and branch]
Banking codes (overseas pensioners only)
[SWIFT/IBAN codes — 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 Claim for Old Age Contributory Pension
Service:
Claim for Old Age Contributory Pension
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.