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Checklist of Requirements Field Representative

NTA requirements checklist for field representative

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Republic of the Philippines
Department of Agriculture
NATIONAL TOBACCO ADMINISTRATION
Scout Reyes Street corner Panay Avenue
Quezon City

CHECKLIST OF REQUIREMENTS
FIELD REPRESENTATIVE
APPLICANT : _______________________________________
A d d r e s s : _______________________________________
For New Applicant
____1.

Application form (RD Form No. 13) properly accomplished;

___ 2.

Duly notarized Special Authority (RD Form No. 8) issued by the contracting
TC (if any);

____3.

List of contracted tobacco Farmer Cooperators (RD Form No. 6) under
Marketing Agreement (MA), and

___ 4.

Photocopy of Certificate of Attendance to Orientation Seminar on TRR
conducted by the NTA.

For Renewal:
____1.

Application form (RD Form No. 13) properly accomplished;

____2.

Duly notarized Special Authority (RD Form No. 8) issued by the contracting
TC (if any);

____3.

Copy/ies of issued COP of the preceding trading season;

____4.

Clearance (RD From No. 4) from the Branch Office as to payment of R & R
fees, If no TC affiliation;

____5.

List of contracted tobacco Farmer Cooperators (RD Form No. 6) under
Marketing Agreement (MA);

___ 6.

Photocopy of Certificate of Attendance to Orientation Seminar on Tobacco
Trading Rules and Regulations conducted by the NTA, and

___ 7. Photocopy of preceding year’s Certificate of Authority (COA) / ID to buy leaf
tobacco.
FOR BRANCH OFFICE USE ONLY /
AUTHORIZED REPRESENTATIVE

FOR RD USE ONLY

Received and Checked By:

Received and Checked By:

_________________________
Printed Name & Signature

__________________________
Printed Name & Signature

Date:_____________________

Date: _____________________
COA No. __________________
 
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