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    Annex C Application Form and Checklist of Requirements

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    jomar
    This document is an application form for organizations seeking accreditation. It requests information such as the organization's name, address, contact details, date organized, sector represented, purposes, services provided, registering agency, accrediting agency, organizational level, and projects implemented. It also asks applicants to self-assess that they meet requirements like having a letter of application, completed application form, board resolution, and certificate of registration. Organizations are to indicate which local special body they are capable of being a member of.

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    Annex C Application Form and Checklist of Requirements

    Uploaded by

    jomar
    469 views4 pages
    This document is an application form for organizations seeking accreditation. It requests information such as the organization's name, address, contact details, date organized, sector represented, purposes, services provided, registering agency, accrediting agency, organizational level, and projects implemented. It also asks applicants to self-assess that they meet requirements like having a letter of application, completed application form, board resolution, and certificate of registration. Organizations are to indicate which local special body they are capable of being a member of.

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    Annex-C-Application-Form-and-Checklist-of-Requirements

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    This document is an application form for organizations seeking accreditation. It requests information such as the organization's name, address, contact details, date organized, sector represented, purposes, services provided, registering agency, accrediting agency, organizational level, and projects implemented. It also asks applicants to self-assess that they meet requirements like having a letter of application, completed application form, board resolution, and certificate of registration. Organizations are to indicate which local special body they are capable of being a member of.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    469 views4 pages

    Annex C Application Form and Checklist of Requirements

    Uploaded by

    jomar
    This document is an application form for organizations seeking accreditation. It requests information such as the organization's name, address, contact details, date organized, sector represented, purposes, services provided, registering agency, accrediting agency, organizational level, and projects implemented. It also asks applicants to self-assess that they meet requirements like having a letter of application, completed application form, board resolution, and certificate of registration. Organizations are to indicate which local special body they are capable of being a member of.

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    APPLICATION FORM FOR ACCREDITATION

    Name of Organization:_________________________________________________________

    Address:____________________________________________________________________

    Contact No.: ____________________ Email address (optional): ___________________

    Date Organized: _________________ Sector/s Represented: _____________________

    Purposes/Objectives: _________________________________________________________

    ____________________________________________________________________________

    ____________________________________________________________________________

    Services that the organization provides or can participate in: ________________________

    ____________________________________________________________________________

    ____________________________________________________________________________

    ____________________________________________________________________________

    Registering Agency: Date Registered: ______________________

    Securities and Exchange Commission (SEC)

    Cooperative Development Authority (CDA)

    Department of Labor and Employment (DOLE)

    Department of Human Settlements and Urban Development (DHSUD), formerly the


    Housing and Land Use Regulatory Board (HLURB)

    National Commission on Indigenous Peoples (NCIP) *certification

    Accrediting Agency (if any): Date Accredited: ____________________

    Commission on Population and Development (POPCOM)

    Department of Agriculture (DA)

    Department of Public Works and Highways (DPWH)

    Department of Social Welfare and Development (DSWD)

    Department of Agriculture (DA)

    Department of the Interior and Local Government (DILG)

    Department of Labor and Employment (DOLE)

    National Commission for Culture and the Arts (NCCA)

    Presidential Commission for the Urban Poor (PCUP)

    Philippine Drug Enforcement Agency (PDEA)


    Department of Labor and Employment (DOLE)

    Others (specify): ____________________________

    Organizational Level:

    Barangay-level

    Chapter

    Affiliate of a larger organization (identify organization): ________________________

    Others (specify): ____________________________

    Projects Implemented in the Municipality of Bautista

    Year Project Cost Financing Beneficiaries Status


    Source/Scheme Completed Ongoing
    Depending on your organization’s technical area of expertise and scope of activity,
    which Local Special Body are you most capable to be a member of?

    Local Development Council

    Local Health Board

    Local School Board

    Local Peace and Order Council

    WE HEREBY CERTIFY to the correctness of the above information.

    ______________________ ______________________
    President Secretary
    TO THE APPLICANT

    Kindly go through a self-assessment of the following requirements for your application. Please
    do not submit the Application Form without performing the said self-assessment.

    1 Letter of Application
    2 Duly accomplished Application Form for Accreditation
    3 Duly approved Board Resolution signifying intention for accreditation for the purpose of
    representation in a local special body
    4 Certificate of Registration or existing valid Certificate of Accreditation from any NGA (or in the
    case of IPOs, certification issued by NCIP)
    5 List of current Officers
    ADDITIONAL REQUIREMENTS FOR CSOs IN OPERATION FOR AT LEAST ONE (1) YEAR

    6 Minutes of the Annual Meetings of the immediately preceding year as certified by the
    organization’s board secretary or Certification from the board secretary certifying the annual
    meeting’s conduct, including the date, location, attendees, and agenda
    7 Annual Accomplishment Report for the immediately preceding year
    8 Financial Statement, at the minimum, signed by the executive officers of the organization, of
    the immediately preceding year, and indicating therein other information such as revenue,
    expenses and the source(s) of funds

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