NOTICE OF CLIENT REGISTRATION
This is to certify that ____________________________________________________________________,
(Name of Principal Retiree-Applicant)
a/an ___________________________________________________, ____________ years old and with principal
(Nationality) (Age)
address at _____________________________________________________________________________________
has been notified/briefed about the programs and assisted to obtain the Special Resident Retiree’s Visa
(SRRV) by the undersigned.
I hereby confirm that the above _________________________________________________
information are true and correct. Name of Accredited Marketer
Registration No. _________________________________
Valid until _______________________________________
_________________________________________ _________________________________________________
Signature over printed name of Signature of Marketer/ Authorized Representative
Retiree – Applicant above printed name
Validity of Accreditation verified by
_________________________________________________
Checked and verified by:
PRA Info Desk Officer
Frontdesk Officer
PRA OR No. Date Issued
Finance Officer
DV No. Date Issued
Noted by:
____________________________
Department Manager III / OIC 06.2017
Marketing Department
PRA-CR-FORM-0021 ISSUE NO: 0003 ISSUE DATE: JUNE 2017