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Marketer's Information Sheet

PRA information sheet for marketer

Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Registration Number: _________________

Validity: _________________

Marketer Information Sheet
CLASSIFICATION:

SOLE PROPRIETORSHIP
PARTNERSHIP

CORPORATION
FOREIGN-BASED

Registered Name of Marketer: ____________________________________________
Complete Address: ______________________________________________________
Authorized Signatory on Certificate of Attendance - Position:
_____________________________________________________________________
Telephone Numbers:
_________________________
_________________________

Fax Numbers:
__________________________
__________________________

Email Address: ________________________________________________________
Website: _____________________________________________________________
Brief Company Description: ______________________________________________
____________________________________________________________________
Authorized Representative/s or Sub-Marketers: - Position; Local/Foreign Branches - Address
(1)__________________________________________________________________
(2)__________________________________________________________________
(3)__________________________________________________________________
(4)__________________________________________________________________
(5)__________________________________________________________________
TARGET MARKET: ______________________________________________________
MARKETING PLAN/STRATEGY: ____________________________________________
COMPANY LOGO

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 advertisement related to PRA. We require each marketer to submit a soft copy of aboverequired contents to accreditation@pra.gov.ph
PRA does not guarantee, warrant or represent the information provided by the company. This is for informational purposes only and by
signing this Information Sheet, the company agrees to release PRA from any liability or damages incurred by any party resulting from acts
or omissions arising from any information obtained hereto.

AUTHORIZED SIGNATORY: _________________________ POSITION: _______________
Date Accomplished:
BRIEFING CONDUCTED BY: _______________________ Date: ____________________
INTERVIEWED BY
: ______________________ Date: ____________________
Form W2
PRA-CR-FORM-0020

ISSUE NO: 0001

ISSUE DATE: JANUARY 2017
 
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