 }})
 }})
| NAME OF PASSENGER | {{ $ta->ffull_name }} | ||||||||
| PAYABLE TO (FOR MINOR/ QUALIFIED PAYEE) |
{{ $ta->is_minor == 1 ? $ta->guardian_ffull_name : $ta->ffull_name }} | ||||||||
| DATE SUBMITTED | {{ date('m/d/Y', strtotime($ta->date_application)) }} | AR NUMBER | {{ $ta->ar_no }} | ||||||
| REASON FOR REFUND | |||||||||
| reason_refund == '1' ? 'checked' : '' }}> EXEMPTION | reason_refund == '2' ? 'checked' : '' }}> REDUCED RATE | reason_refund == '3' ? 'checked' : '' }}> NON-COVERAGE | |||||||
| reason_refund == '4' ? 'checked' : '' }}> UNUSED TICKET | reason_refund == '5' ? 'checked' : '' }}> DOUBLE PAYMENT | reason_refund == '6' ? 'checked' : '' }}> OTHERS {{ $ta->reason_refund == '6' ? ": ".$ta->reason_refund_others : '' }} | |||||||
| CHECKLIST OF DOCUMENTARY REQUIREMENT ATTACHED | |||||||||
| 0 ? 'checked' : '' }}> Clear copy of passport/s | |||||||||
| 0 ? 'checked' : '' }}> Airline Ticket/ Confirmation Number | |||||||||
| 0 ? 'checked' : '' }}> Clear copy of TIEZA Official Receipt - ( ) Passenger / white copy ( ) Airline / pink copy | |||||||||
| 0 ? 'checked' : '' }}> Clear copy of Marriage Contract | |||||||||
| 0 ? 'checked' : '' }}> Clear copy of Birth Certificate | |||||||||
| 0 ? 'checked' : '' }}> Clear copy of Overseas Employment Certificate (OEC) of OFW | |||||||||
| 0 ? 'checked' : '' }}> Clear copy of proof of Permanent Residency (eg green card, carta soggiorno) | |||||||||
| 0 ? 'checked' : '' }}> Clear copy of Travel Order / Travel Authority / appropriate certification: _______ | |||||||||
| 0 ? 'checked' : '' }}> Page/s of passport showing the applicable date of arrival and the Philippine Immigration status | |||||||||
| 0 ? 'checked' : '' }}> Letter Request: ______ | |||||||||
| 0 ? 'checked' : '' }}> Affidavit of Name Discrepancy | |||||||||
| Others: ______ | |||||||||
|
IMPORTANT NOTES:
1. Applications for refund made after two (2) years from date of payment shall not be allowed. 2. Travel Tax collected on ticket must be remitted to TIEZA before proceeding with the refund. |
RECEIVED AND EVALUATED BY: {{ $ta->supervisor_ffull_name }} (Name and signature of Travel Tax Personnel) Date {{ date('m/d/Y') }} |
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