BROKER ACCREDITATION FORM Place N/A if Not ApplicableRealty NameAccreditationUnit Manager1. Company ProfileName of RealtySole Proprietorship or Corporation?CorporationSole ProprietorshipREBL No.TIN no.Office AddressTelephone no.Fax no.ValidityRes. Cert No.Email AddressDesignationAuthorized Rep2. Broker Personal ProfileLast NameFirst NameMiddle NameNicknamePresent Home Address [No., Street, City, Municipality, Province]ZipDate of BirthPlace of BirthAgeCitizenshipGenderMaleFemaleStatusSingleMarriedDivorcedWidowedTax Identification NumberSSS NumberMobile NumberHome Phone NumberOffice NumberEmail Address3. Educational BackgroundHighest Educational AttainmentOthersCollegeHighschoolIf OthersDegreeLevel4. Track Record In Real EstateNo of Years in Real EstateNo. of Sales PeopleNo. of Years in OperationAverage Annual Income5. Other AccreditationCompanyProjectAmount SoldCompanyProjectAmount SoldCompanyProjectAmount Sold6. Membership In OrganizationCompanyProjectI hereby commit to abide by, and/or achieve the following as the basis of my accreditation:Abide by the PPPVI Rules and Regulations and Code of Ethics governing PPVI accredited AgentsAttain the required sales production set by the PPPVI managementActively participate in all PPPVI sales and marketing activities.Signature over Printed NameDate of Orientation I have read this form, understood its contents and consent to the processing of my personal data. I understand that my consent does not preclude the existence of other criteria for lawful processing of personal data, and does not waive any of my rights under the Data Privacy Act of 2012 and other applicable laws.Δ
