Marketing Agent Affiliation Form Place N/A if Not ApplicablePhotoAgent Code & ID Number1. Personal ProfileLast NameFirst NameMiddle NameNicknamePresent Home Address [No., Street, City, Municipality, Province] ZipDate of BirthPlace of BirthAgeCitizenshipGenderMaleFemaleStatusSingleMarriedDivorcedWidowedTax Identification NumberSSS NumberMobileHome Phone NumberOffice NumberEmail Address2. Educational BackgroundHighest Educational AttainmentOthersCollegeHighschoolIf OthersDegreeLevel3. Selling ExperiencePrevious Affiliations (Developers, Marketing or Realty Firm)Years in Real Estate4. Field of SpecializationCommercialOthersCondominiumLow-Cost HousingLeisureSubdivisionClub SharesIf OthersAverage Annual IncomeCharacter ReferencesNameCompanyAddressTel. No.NameCompanyAddressTel. No.NameCompanyAddressTel. No.I 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 PPPVI Accredited Marketing Agent I understand that failure to attain any of the aforementioned conditions and any false statements /information herein may be grounds for PPPVI to disapprove my application for accreditation.SignatureDate 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
