Authorization Form

Company

This field is for validation purposes and should be left unchanged.

Full Name

Regimental No.

ID Card No.

NIS No.

Authorized Representative Name

Address

Regimental No.

ID Card No.

(POSITION/RELATION)

Permission to act on my behalf when transacting business with the TTPRA in the following instances:

Receiving and remitting to me sums of money payable to and by the Association.

Submitting to the Association documents required for the processing of benefits and other services.

Communicating to and receiving feedback on the various benefits of my membership.

Assisting me generally in my interaction with the Association.

Contact No:

ID Card No: