BLR Reg. Form No. 7–PSU, S.
1998
(For Public Sector Unions)
Republic of the Philippines
DEPARTMENT OF LABOR AND EMPLOYMENT
Regional Office No. ____
APPLICATION FOR REGISTRATION
PART I. INFORMATION ABOUT THE APPLICANT ORGANIZATION Date Accomplished:
(To be accomplished by the applicant. Supply all required information. Misrepresentation, false
statement or fraud in this application or in any supporting document is a ground for denial or
cancellation of registration.)
Name of Applicant Organization
Address Place/s of Operation of Union
Name of President (Last) (First) (Middle) Address
Date Organized (Day) (Month) (Year) Date of CBL Ratification (If ratification was done on
successive dates, state dates of ratification.)
Fiscal Period Status of Finances
[ ] Calendar Year [ ] Fiscal year (Pls. specify) _____ [ ] w/ Financial Report [ ] w/o Financial Report
No. of Employees
Employer Bargaining Unit Union Members
Male ______ Female ________ Male _______ Female _______ Male ______ Female ________
Description of the Bargaining Unit (Check all appropriate boxes)
Composition: [ ] Supervisory [ ] Rank and File
Structure: [ ] Employer Unit [ ] Occupational Unit [ ] Geographical Unit
Sectoral Classification: [ ] Industry [ ] Services [ ] Agriculture
Occupational Classification: [ ] Technical [ ] Administrative [ ] Faculty [ ] Professional
Mode of Payment of Wages: [ ] Monthly-paid [ ] Daily-paid
I attest to the truth of the foregoing.
__________________________________________
Authorized Representative / Position in the Union
(Signature over printed name)
SUBSCRIBED AND SWORN TO before me at __________________________________, Philippines
this ___ day of ______________ 200___, by _____________________________ with Community Tax
Certificate No. ________________ issued at __________________________ on ____________________.
NOTARY PUBLIC
Doc No. _____
Page No. _____
Book No. ____
Series of _____
p. 2
PART II. PROCESSING OF REQUIREMENTS Date Received:
(To be accomplished by the processor in the Bureau)
A. Checklist of documents, each of which must be certified under oath by the Secretary or Treasurer
and attested to by the President. Documents not so certified and attested shall not be considered as
compliance.
[ ] 1. Name of the organization’s officer and their respective addresses
[ ] 2. Minutes of the organizational meeting/s
[ ] 3. List of the members who participated in the organizational meeting/s
[ ] 4. Names of all its members comprising at least thirty percent (30%) of the employees
in the appropriate organizational unit where the applicant seeks to operate
[ ] 5. Two (2) copies of the financial reports if the applicant organization has been in existence
for one year or more
[ ] 5a. Financial report not required because applicant organization has been in existence for
less than one year or has not collected any amount
[ ] 6. Four (4) copies of the constitution and by-laws which must be attached the names and
signatures of ratifying members
[ ] 7. Minutes of adoption or ratification of the constitution and by-laws and dates/s when
ratification was made
[ ] [Link] of adoption or ratification is not required if it is done simultaneously with the
organizational meeting and the same is reflected in the minutes of the organizational
meeting
[ ] 8. Certification from the administrative or personnel officer as to the total number of rank
and file employees
B. Payment of Registration Fee
[ ] Registration Fee paid under O.R. No. ______________ Date ____________
[ ] Registration Fee not paid
C. Recommendation on the Application:
[ ] Recommending Approval with Certificate of Registration attached
[ ] Recommending Denial due to failure to comply with documentary requirements
(Pls. specify lacking documents)
1. _______________________________________________________
2. _______________________________________________________
3. _______________________________________________________
By: ____________________________________
Processor
(Signature over printed name)
Date: __________________________________
PART III. ACTION ON THE APPLICATION
A. Approval /Denial
[ ] Approved for Registration with duly signed Certificate of Registration attached
[ ] Registration denied, with duly signed Notice of Denial
Respectfully endorsed to the Director
[ ] For approval of the Certificate of Registration
[ ] For approval of Notice of Denial
______________________________ ____________________
Director/Head Field office Date
Approved for release. ______________________________ ____________________
Name, Releasing Officer Date
Registration Certificate No. Date Issued: Date Released:
