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MDA email template — NIS Self-Employment Registration

Email Templates / MDA Emails

MDA Submission Email — Self-Employment Registration

This email is sent to the NIS when a citizen submits a Self-Employment Registration form. It shows the submission details and the full form data.

Preview:

You have received a Self-Employment Registration

Service:
Self-Employment Registration
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]

Personal details

Title
[Title]
First name
[First name]
Middle name(s)
[Middle name(s)]
Last name
[Last name]
Marital status
[Marital status]
Maiden name
[Maiden name — if married]
Gender
[Gender]
Date of birth
[dd/mm/yyyy]
National Insurance Number
[NIS number]
Identification type
[National Registration Number or Passport]
National Registration Number / Passport number
[ID number]
Passport date issued
[dd/mm/yyyy — if passport]
Passport date expired
[dd/mm/yyyy — if passport]
Passport country issued
[Country — if passport]

Address and contact

Street address
[Street address]
District
[District]
Parish
[Parish]
Email address
[Email address]
Mobile number
[Mobile number]

Business details

Business name
[Business name]
What does the business do?
[Business description]
Date business started
[dd/mm/yyyy]
Estimated monthly income (BDS$)
[Monthly income]

Field officer

Did a Field Officer help?
[Yes / No]
Field Officer code number
[Officer code — if applicable]

Due date: [To be filled by officer]

Officer assigned: [To be filled by officer]

Reference: [To be filled by officer]

You have received a Self-Employment Registration

Service:
Self-Employment Registration
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]

Personal details

Title
[Title]
First name
[First name]
Middle name(s)
[Middle name(s)]
Last name
[Last name]
Marital status
[Marital status]
Maiden name
[Maiden name — if married]
Gender
[Gender]
Date of birth
[dd/mm/yyyy]
National Insurance Number
[NIS number]
Identification type
[National Registration Number or Passport]
National Registration Number / Passport number
[ID number]
Passport date issued
[dd/mm/yyyy — if passport]
Passport date expired
[dd/mm/yyyy — if passport]
Passport country issued
[Country — if passport]

Address and contact

Street address
[Street address]
District
[District]
Parish
[Parish]
Email address
[Email address]
Mobile number
[Mobile number]

Business details

Business name
[Business name]
What does the business do?
[Business description]
Date business started
[dd/mm/yyyy]
Estimated monthly income (BDS$)
[Monthly income]

Field officer

Did a Field Officer help?
[Yes / No]
Field Officer code number
[Officer code — if applicable]

Due date: [To be filled by officer]

Officer assigned: [To be filled by officer]

Reference: [To be filled by officer]