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MDA email template — NIS Pensioner Declaration
Email Templates / MDA Emails
MDA Submission Email — Declaration by Pensioners 60 Years and Over
This email is sent to the NIS when a pensioner submits the Declaration by Pensioners 60 Years and Over form. It shows the submission details and the full form data.
Preview:
You have received a Pensioner Declaration (60 Years and Over)
Service:
Declaration by Pensioners 60 Years and Over
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]
Witness name
[Witness full name]
Date
[dd/mm/yyyy]
Eligibility
Are you 60 years old or older?
[Yes / No]
Do you currently live in Barbados?
[Yes / No]
Applicant details
First name
[First name]
Middle name(s)
[Middle name(s)]
Last name
[Last name]
Date of birth
[dd/mm/yyyy]
National Registration Number (NRN)
[NRN]
National Insurance Number (NIS)
[NIS number]
Street address
[Street address]
District
[District]
Parish
[Parish]
Postal code
[Postal code]
Landline phone number
[Landline number]
Mobile phone number
[Mobile number]
Pension details
Source of pension
[Source of pension]
Pension reference number
[Pension reference number]
Central Bank of Barbados account reference
[CB account reference 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 Pensioner Declaration (60 Years and Over)
Service:
Declaration by Pensioners 60 Years and Over
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.
