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    FM-EW-038 - ACP Application Form

    Uploaded by

    Erica Paramio
    This document is an application form for an organization to become an Accredited Co-Partner (ACP) with the Department of Labor and Employment in the Philippines. The form requests information about the organization such as its name, type, address, registration details, affiliations, number of employees, and any previous grants received from the Department of Labor. The organization must also attach required documents like registration certificates, articles of incorporation, audited financial reports, and an affidavit stating there is no conflict of interest. The completed form will be reviewed and evaluated to determine if the organization qualifies for ACP status.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    FM-EW-038 - ACP Application Form

    Uploaded by

    Erica Paramio
    45 views1 page
    This document is an application form for an organization to become an Accredited Co-Partner (ACP) with the Department of Labor and Employment in the Philippines. The form requests information about the organization such as its name, type, address, registration details, affiliations, number of employees, and any previous grants received from the Department of Labor. The organization must also attach required documents like registration certificates, articles of incorporation, audited financial reports, and an affidavit stating there is no conflict of interest. The completed form will be reviewed and evaluated to determine if the organization qualifies for ACP status.

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    for independent, application form

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    This document is an application form for an organization to become an Accredited Co-Partner (ACP) with the Department of Labor and Employment in the Philippines. The form requests information about the organization such as its name, type, address, registration details, affiliations, number of employees, and any previous grants received from the Department of Labor. The organization must also attach required documents like registration certificates, articles of incorporation, audited financial reports, and an affidavit stating there is no conflict of interest. The completed form will be reviewed and evaluated to determine if the organization qualifies for ACP status.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    45 views1 page

    FM-EW-038 - ACP Application Form

    Uploaded by

    Erica Paramio
    This document is an application form for an organization to become an Accredited Co-Partner (ACP) with the Department of Labor and Employment in the Philippines. The form requests information about the organization such as its name, type, address, registration details, affiliations, number of employees, and any previous grants received from the Department of Labor. The organization must also attach required documents like registration certificates, articles of incorporation, audited financial reports, and an affidavit stating there is no conflict of interest. The completed form will be reviewed and evaluated to determine if the organization qualifies for ACP status.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Republic of the Philippines

    DEPARTMENT OF LABOR AND EMPLOYMENT


    Regional Office No. IV-A

    ACCREDITED CO-PARTNER (ACP) ACP FORM 1


    APPLICATION FORM

    Name of Organization: Type of Organization:


    NGO Cooperative PO Union
    Rural Workers Association Others ________ (pls. specify)
    Registered Address: Registration No. and Date with DOLE/SEC/CDA:

    Office Telephone No.: Taxpayer Identification Number (TIN)/VAT No.:


    Affiliations with other organizations/s No. of Employees:
    PREVIOUS GRANTS/ASSISTANCE RECEIVED FROM DOLE
    Date Title Amount Duration Status

    Other related information/request/intervention/s from DOLE:

    Attached are the documents/requirements which I/We hereby attest to their veracity. Any false statement
    would cause the automatic cancellation of the services/contract/grant and applicant shall refund amount received and/or
    pay damages to DOLE and other sanctions in accordance with law.

    I/We declare that the answers given above are true and correct.

    Signature of Organization’s Representative Date

    PROVINCIAL
    TSSD Review
    Checklist of Requirements: Assessment Remarks
    and Validation
    & Evaluation
    Duly accomplished and signed application form (in 4 sets);
    Certificate of Registration with the Securities and Exchange
    Commission (SEC), or the Cooperative and Development Authority
    (CDA), or Department of Labor and Employment (DOLE), as the case
    maybe;
    Authenticated copy of the latest Articles of Incorporation in the case
    of a corporation, or the Articles of Cooperation in the case of
    cooperative or Constitution and By-Laws in the case of
    unions/associations, showing the original incorporators/organizers
    and the Secretary’s Certificate for the incumbent officers, together
    with the Certificate of Filing with SEC/Certificate of Approval by the
    CDA;
    Audited financial report for the past three (3) years preceding the date
    of project implementation. For applicant which has been in operation
    for less than 3 years, financial reports for the years in operation and
    proof of previous implementation of similar projects;
    List and/or photographs of similar projects previously completed, if
    any, indicating the source funds for implementation; and
    Sword affidavit of the secretary of the applicant organization/entity
    that none of its incorporators, organizers, directors or officers is an
    agent of or related by consanguinity or affinity up to the fourth civil
    degree to the official of the agency authorized to process and/or
    improve proposed Memorandum of Agreement, and release of funds.
    NAME & SIGNATURE OF EVALUATOR

    DATE

    FM-EW-038 Effective 09/21/15

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