Share

Application Form for Marketer

PRA application form for marketer accreditation

Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: APPLICATION FOR ACCREDITATION AS MARKETER

Application No.

(Form PRA-MKT-2011-01)

PHILIPPINE RETIREMENT AUTHORITY

PRA Receipt Date:

29/F Citibank Tower, Paseo de Roxas, Makati City, 1227 Philippines
Tel. No. (632) 8481412, (632) 8481418; Fax No. (632) 8481411
Email: inquiry@pra.gov.ph; Website: pra.gov.ph

APPLICATION FORM FOR MARKETER ACCREDITATION (Entries must be TYPEWRITTEN)
Type ( please check √ )
New Application

Renewal

Classification ( please check √ )
Sole Proprietorship

SRRVisa Holder

Foreign-based Company

Partnership

Corporation

Others: ____________________

Name to be Registered as Marketer

Year Established

Primary Address (No Post Office Box please)

Country

Telephone No.

APPLICATION FORM - MARKETER

Email Address

Fax No.

Website

Secondary Address (No Post Office Box please)

Telephone No.

Mobile No.

Fax No.

Authorized Representatives
Name

Nationality

Contact No.

(Use a separate sheet if necessary)

Brief Company Description (Not more than 35 words)

Target Market

PRA-CR-FORM-0019

ISSUE NO: 0001

ISSUE DATE: JANUARY 2017

Page 2 - Application for Accreditation as MARKETER (Form PRA-MKT-2011-01)
Authorized Sub Marketer/s
Name

Authorized Representative

Contact No.

(Use a separate sheet if necessary)
How did you learn about the PRA? ( please check √ )
PRA Website

Brochure

Newspaper

PRA Newsletter

TV

Friends, families, associates

Magazines

Marketer

Other websites

Others. Please specify: _________________

This is to certify that the company agrees to post above information on a government website owned by the Philippine
Retirement Authority (PRA) and maybe used in other forms of advertisements related to PRA. Each marketer must submit
a soft copy as attachement to pra.management.agency@gmail.com .

PRA does not gurantee, warrant or represent the information provided by the company. This is for informational purposes
only and by signing Accreditation Form, the applicant agrees to release PRA from any liabilities and damages incurred by
any party resulting from acts or omissions arising from any information obtained hereto.

For PRA Use only:
By affixing my signature, I hereby certify that the
information above are true and correct and that any
misrepresentation on my part will be ground for denial
of this application:
Attach 2x2 photo taken not more than 6
months ago

Processed by: _________________
Date signed: ___________________

_______________________________
Signature of Applicant

_______________________________
Recommended for Approval by: / Date

_______________________________
Date Signed

_______________________________
Approved by: / Date

PRA-CR-FORM-0019

ISSUE NO: 0001

ISSUE DATE: JANUARY 2017
 
Page of
Share