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SRRV Cancellation Service Request Form PRA SD FORM 0001 Issue No.0003 March 2022

This document is a service request form for canceling, downgrading, subrogating, or releasing a bond for the Philippine Retirement Authority's SRRV program. It requests information such as the name and addresses of the principal, their SRRV number, and the reason for terminating membership. The form also has sections for requesting a transfer of the visa deposit to a bank account, canceling the property title restriction in lieu of the deposit, and an exit survey regarding their experience in the Philippines under the retirement program.

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Sean Tiu
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344 views1 page

SRRV Cancellation Service Request Form PRA SD FORM 0001 Issue No.0003 March 2022

This document is a service request form for canceling, downgrading, subrogating, or releasing a bond for the Philippine Retirement Authority's SRRV program. It requests information such as the name and addresses of the principal, their SRRV number, and the reason for terminating membership. The form also has sections for requesting a transfer of the visa deposit to a bank account, canceling the property title restriction in lieu of the deposit, and an exit survey regarding their experience in the Philippines under the retirement program.

Uploaded by

Sean Tiu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PHILIPPINE RETIREMENT AUTHORITY

SERVICE REQUEST FORM


(SRRV CANCELLATION, DOWNGRADING, SUBROGATION, and RELEASE OF BOND)

Name (Principal): _____________________________________________________________ Service Request


PRA-SD-FORM-0001

Address (Abroad): __________________________________________________________ SRRV No. C DG Subro

________________________________________________________________________P ________________
Address (Local): ______________________________________________________________S ________________
Issue No. 0003 Issue Date March 2022

________________________________________________________________________
D ________________

Reason(s) for termination of membership: ________________________________________D ________________


________________________________________________________________________
D ________________

________________________________________________________________________
D ________________

Relative to the above-stated request, I/we subsequently pray for the :


Mark the box with a check mark [ ✅ ] and fill-out all necessary information. Mark the box with an X-mark [ X ] or "N/A", if not applicable or not requested.

Transfer of the visa deposit or Update/Change of Account Name to the Bank Account with the following details:

Account Name* __________________________________________________________________________________________


____________________________________________________________________________________
Account Number Dollar (US$) Peso (Php)

Bank Name* __________________________________________________________________________________________


Bank Branch* __________________________________________________________________________________________
Bank Address __________________________________________________________________________________________
____________________________________________________________________________________
Bank SWIFT Code (if Bank is abroad)
Justification (if Local / Joint Account)____________________________________________________________________________________
IBAN No. (if applicable) ____________________________________________________________________________________
Routing No. (if applicable) ____________________________________________________________________________________
Kindly supply the same information for Intermediary bank, if applicable.
For Subrogation, kindly provide only [New] Account Name*, and if with Bank Transfer request, Name of PRetA-accredited Bank* and Branch name*.

Cancellation of the PRetA restriction annotated in the property Title in lieu of the visa deposit which was converted into
active investment.

EXIT SURVEY
We would appreciate if you could take a few minutes to answer this questionaire to tell us how you feel about the program and how we can be of better service.

1. How was your experience living in the Philippines as a retirement destination or as a second home? Excellent Great Fair Unsatisfactory

Can you tell us about it?

2. Would you recommend the SRRV to those who plan to stay long-term in the Philippines? Definitely Yes Yes Undecided No

Why or why not?

3. Do you find the SRRV helpful, relevant or convenient during your stay in the Philippines? Definitely Yes Yes Undecided No

Why or why not?


Issue No. 0003 Issue Date March 2022

4. Any other comments or suggestions to improve the program / benefits / services?

________________________________
Contact Nos: Name & Signature of Retiree-member or Facilitated / Received by:
PRA-SD-FORM-0001

Authorized Representative
[ ] Interviewed in person
Email Address: [ ] Sent from abroad

[ ] Facilitated thru a Rep / Agent


Relationship to Principal (if not filled-out by Principal): Date:

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