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Accreditation Application Form Template

This document is an application form for an organization to become accredited. It requests information such as the organization's name, address, date organized, nature, registering agency, sectors and groups served, number of members, organizational linkages, and a list of local special bodies they would like to join. It also provides a checklist of documents that must be submitted with the application, including a resolution from the board of directors, certificate of registration, list of members, and financial statements. The application must be certified by the organization's president and secretary and submitted to the Office of Councilor Kristian Rome Sy.

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Chrome Jericho
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96 views1 page

Accreditation Application Form Template

This document is an application form for an organization to become accredited. It requests information such as the organization's name, address, date organized, nature, registering agency, sectors and groups served, number of members, organizational linkages, and a list of local special bodies they would like to join. It also provides a checklist of documents that must be submitted with the application, including a resolution from the board of directors, certificate of registration, list of members, and financial statements. The application must be certified by the organization's president and secretary and submitted to the Office of Councilor Kristian Rome Sy.

Uploaded by

Chrome Jericho
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

APPLICATION FORM FOR ACCREDITATION

Pursuant to Sec. 108, RA 7160 and DILG Memorandum Circular No. 2001-89

Complete Name of Organization ______________________________________________________


Acronym ________________________________________________________________________
Mailing Address ___________________________________________________________________
Contact Number ________________________ Date Organized _____________________________

Nature of the Organization:


Civil Society Organization Private Sector Organization
_____ People’s organization _____ Chamber of Commerce / Chamber affiliates
_____ Non-government organization _____ Business sector organization
_____ Civic group
_____ Professional association (specify profession) _______________________________________

Registering Agency (please check appropriate box/es)


_____ Securities & Exchange Commission _____ Department of Labor & Employment
_____ Cooperative Development Authority _____ Department of Social Welfare & Dev’t
_____ Housing & Land Use Regulatory Board _____ Presidential Commission for the Urban Poor
Others (please specify) _____________________________________________________________

Sector/Group Served
_____ Education _____ Business _____ Cooperative
_____ Urban Poor _____ Religious _____ Disabled
_____ Youth _____ Women _____ PUV/Transport
_____ Livelihood _____ Professionals _____ Arts/Culture
_____ Homeowners _____ Labor _____ Social Justice
_____ Peace & Order _____ Charitable / Welfare _____ Health & Sanitation
_____ Social / Cultural Development _____ Children / Minor
Others (specify) ___________________________________________________________________________

Total Number of Members ________ Active Members ______ Inactive Members _____

Organizational Linkages
_____ City _____ Regional _____ National _____ International
Name of entity where the organization is linked / affiliated __________________________________________

We would like to be a member of the following local special bodies:


_____ City Development Council _____ Health Board _____ School Board
_____ Pre-qualification, Bids & Award ______ People’s Law _____ Peace and Order
Committee Enforcement Board Council
Others (specify) ___________________________________________________________________________

In a separate sheet of paper, please write the following:


 Purposes / objectives of the association;
 Project financing (sources / schemes);
 List of current officers, their complete addresses and contact numbers;
 Annual accomplishment report of the immediately preceding year;
 List of Projects, identifying its beneficiaries, cost and status; and
 Financial statement of the immediately preceding year.
Together with the application, submit the following:
_____ Resolution of the Board of Directors signifying intention to accredit
_____ Certificate of registration with appropriate agency
_____ List of members, their complete addresses and contact numbers

We hereby certify to the correctness of the above information.


(signature over printed name)

_________________________________ _________________________________
President Secretary
Date Accomplished: _________________

Submit to the Office of Councilor Kristian Rome Sy


Chairperson, Committee on Accreditation
2/F Legislative Building, New City Hall, Mac Arthur Highway, Valenzuela City
Telephone No: 352-1000 loc. 1312

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