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    APPLICATION FORM For Accreditation (Annex B)

    Uploaded by

    Catherine Cayda dela Cruz-Benjamin
    This document is an application form for the accreditation of civil society organizations. It requests information such as the organization's name, address, contact details, date established, registration number, registering agency, organizational level, sectors represented, purpose, past projects and costs, sources of funding, services provided, communities served, recommended local special body, number of members, and list of current officers. Upon providing these details, the president and secretary of the organization must certify the correctness of the information.

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    APPLICATION FORM For Accreditation (Annex B)

    Uploaded by

    Catherine Cayda dela Cruz-Benjamin
    588 views3 pages
    This document is an application form for the accreditation of civil society organizations. It requests information such as the organization's name, address, contact details, date established, registration number, registering agency, organizational level, sectors represented, purpose, past projects and costs, sources of funding, services provided, communities served, recommended local special body, number of members, and list of current officers. Upon providing these details, the president and secretary of the organization must certify the correctness of the information.

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    for cooperative application for accreditation

    Original Title

    APPLICATION FORM for accreditation (annex b)

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    This document is an application form for the accreditation of civil society organizations. It requests information such as the organization's name, address, contact details, date established, registration number, registering agency, organizational level, sectors represented, purpose, past projects and costs, sources of funding, services provided, communities served, recommended local special body, number of members, and list of current officers. Upon providing these details, the president and secretary of the organization must certify the correctness of the information.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    588 views3 pages

    APPLICATION FORM For Accreditation (Annex B)

    Uploaded by

    Catherine Cayda dela Cruz-Benjamin
    This document is an application form for the accreditation of civil society organizations. It requests information such as the organization's name, address, contact details, date established, registration number, registering agency, organizational level, sectors represented, purpose, past projects and costs, sources of funding, services provided, communities served, recommended local special body, number of members, and list of current officers. Upon providing these details, the president and secretary of the organization must certify the correctness of the information.

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    © All Rights Reserved
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    of 3

    Annex B

    APPLICATION FORM FOR ACCREDITATIONOF CIVIL SOCIETY ORGANIZATIONS


    Name of Organization : _______________________________________________
    Registered Address : _______________________________________________
    Contact Nos. : _______________________________________________
    Email Address/Website : _______________________________________________
    Date Organized : __________________________
    Date Registered : __________________________
    Registration Number : __________________________

    Registering Accrediting Agency: (Check appropriate box)


    Securities and Exchange Commission
    Cooperative Development Authority
    Department of Labor and Employment
    Department of Social Welfare and Development
    Department of Health
    Department of Agriculture
    Department of Agrarian Reform
    Department of Education
    Department of the Interior and Local Government
    National Commission on Indigenous Peoples
    National Housing Authority
    Insurance Commission
    Philippine Regulatory Commission
    Housing and Land Use Regulatory Board
    Others: (Please specify) ____________________________________________

    Organizational Level: (Check appropriate box)


    Barangay-based
    Municipal/City-based
    Provincial based
    Regional based
    Chapter
    Affiliate of a larger organization (Please identify larger organization)
    ___________
    Others: (Please specify) ____________________________________________

    Sectors Represented: (Check appropriate box)


    Non-Government Organization (NGO)
    People’s Organization
    Indigenous People’s Organization
    Cooperative
    Civic Organization
    Social movement
    Professional Group
    Business Group
    Others: (Please specify) ____________________________________________

    Purpose/Objectives: (Use additional sheets, if necessary)


    __________________________________________________________________________
    __________________________________________________________________________
    __________________________________________________________________________
    CY ______ ((Use additional sheets, if necessary)
    Projects Costs Beneficiaries Status

    Project Financing (Sources or Schemes):


    __________________________________________________________________________
    __________________________________________________________________________
    __________________________________________________________________________
    __________________________________________________________________________

    Services the Organization provides or can participate in based on Sec 17 of RA7160:


    __________________________________________________________________________
    __________________________________________________________________________
    __________________________________________________________________________
    __________________________________________________________________________

    Community or communities served or currently being served:


    __________________________________________________________________________
    __________________________________________________________________________

    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 School Board
    Local Health Board
    Local Peace and Order Council

    Number of Members: ______________________

    List of Current Officers and Members: (Use Separate Sheet)


    Name Position Contact Number

    WE HEREBY CERTIFY to the correctness of the above information

    _______________________
    Secretary
    _______________________
    President

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