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Annex C Application Form and Checklist of Requirements

The document is an application form for accreditation from the Bagong Oroquieta Senior Citizen Association (BOSCA). It provides details about the organization such as its name, address, date organized, services provided, and registering/accrediting agencies. It also includes a checklist of requirements for the accreditation application such as a letter of application, accomplished form, board resolution, certificate of registration, list of officers, annual meeting minutes, accomplishment report, and financial statement.

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Edcel John Minglana Lamanilao
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642 views4 pages

Annex C Application Form and Checklist of Requirements

The document is an application form for accreditation from the Bagong Oroquieta Senior Citizen Association (BOSCA). It provides details about the organization such as its name, address, date organized, services provided, and registering/accrediting agencies. It also includes a checklist of requirements for the accreditation application such as a letter of application, accomplished form, board resolution, certificate of registration, list of officers, annual meeting minutes, accomplishment report, and financial statement.

Uploaded by

Edcel John Minglana Lamanilao
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Annex C: Application Form for Accreditation and Checklist of Requirements

APPLICATION FORM FOR ACCREDITATION

Name of Organization; BAGONG OROQUIETA SENIOR CITIZEN ASSOCIATION


(BOSCA )

Address:_BAGONG OROQUIETA,GUIPOS,ZAMBOANGA DEL SUR

Contact No.: 09071762407 Email address (optional): NONE _

Date Organized: _________________Sector/s Represented: ELDERS

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 Province of Zamboanga del sur /Municipality of Guipos


Barangay Bagong Oroquieta

Year Project Cost Financing Beneficiaries Status


Source/Scheme Completed Ongoing

Elderly
2021 Week
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.

_NIEVES TALLEDO VIRGINIA BULA


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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