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MDA email template — NIS Self-employed Contributions

Email Templates / MDA Emails

MDA Submission Email — Contributions Payment Certificate (Self-employed)

This email is sent to the NIS when a self-employed person submits their annual contributions payment certificate. It shows the submission details and the full form data.

Preview:

You have received a Self-employed Contributions Payment Certificate

Service:
Contributions Payment Certificate — Self-employed Persons
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 name as registered with NIS]
Date
[dd/mm/yyyy]
Late interest consent
[Agreed / Not applicable]

NIS identity details

Self-employed NIS number
[NIS number]
Name as registered with NIS
[Full name]

Contributions

Contribution year(s) and amounts
[Year: YYYY — Amount: BDS$ xxx.xx (repeat per year)]
Total amount payable (BDS$)
[Total including any late interest]

Due date: [To be filled by officer]

Officer assigned: [To be filled by officer]

Reference: [To be filled by officer]

This is an automated confirmation email from the Government of Barbados.

Please do not reply to this email.

Coat of arms

© 2025 Government of Barbados

You have received a Self-employed Contributions Payment Certificate

Service:
Contributions Payment Certificate — Self-employed Persons
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 name as registered with NIS]
Date
[dd/mm/yyyy]
Late interest consent
[Agreed / Not applicable]

NIS identity details

Self-employed NIS number
[NIS number]
Name as registered with NIS
[Full name]

Contributions

Contribution year(s) and amounts
[Year: YYYY — Amount: BDS$ xxx.xx (repeat per year)]
Total amount payable (BDS$)
[Total including any late interest]

Due date: [To be filled by officer]

Officer assigned: [To be filled by officer]

Reference: [To be filled by officer]

This is an automated confirmation email from the Government of Barbados.

Please do not reply to this email.

Coat of arms

© 2025 Government of Barbados