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.
X 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
August 12, 2022
Date
Vice Mayor Rosemarie G. Gacutan
Presiding Officer, Sangguniang Bayan
Municipality of Bautista
Province of Pangasinan
Dear Vice Mayor Rosemarie G. Gacutan:
In response to your Notice of Call for Accreditation, kindly be informed that ___Artacho
Farmers Association, with office address at Artacho, Bautista, Pangasinan, would like to seek
accreditation by the Sangguniang bayan.
In support of this application are the following administrative requirements:
1. Duly accomplished Application Form for Accreditation;
2. Duly approved Board Resolution signifying intention for accreditation for the purpose of
representation in the local special body;
3. Certificate of Registration issued by the [SEC, CDA, DOLE, DHSUD/HLURB] or existing
valid Certificate of Accreditation issued by the ________________________________
or Certification issued by the NCIP;
4. List of Current Officers;
5. CY 2021 Minutes of the Annual Meeting;
6. CY 2021 Annual Accomplishment Report; and
7. CY 2021 Financial Statements
Thank you.
Sincerely,
JAMS L. BANGIS
(President)
ARTACHO FARMERS ASSOCIATIO
Artacho, Bautista, pangasinan
BOARD RESOLUTION NO 2022-1
WHEREAS, Section 108 of the Local Government Code of 1991 (RA 7160) provides for the
accreditation of civil society organizations
WHEREAS, on _________________,______,___________, the Department of the Interior and Local
Government issued Memorandum Circular No. 2022-__, on the Guidelines on the Accreditation of
Civil Society Organizations and Selection of Representatives to the Local Special Bodies;
WHEREAS, the Artacho Farmers Association ,is a civil society organization duly registered with the
[Securities and Exchange Commission/Cooperative Development Authority/Department of Labor
and Employment/ Department of Human Settlements and Urban Development, formerly the
Housing and Land Use Regulatory Board], and existing under Philippine laws;
WHEREAS, in the ___________________________________________________ Special Board Meeting held at
____________________________________ on _________________,______,___________, attended by the following Board
of Trustees present, the following resolution was approved and adopted:
RESOLVED, AS IT IS HEREBY RESOLVED, to signify our intention to be an accredited civil society
organization with the Sangguniang Bayan, pursuant to the procedures and guidelines set forth in
Section 108 of the Local Government Code of 1991 and DILG Memorandum Circular 2022-___, and
to apply for membership in a local special body in the Municipality of Bautista
RESOLVED FURTHER, to forward a copy of this RESOLUTION to the Sangguniang Bayan
RESOLVED FURTHERMORE, that the following representative/s of the Organization is/are
authorized and directed to take any action necessary to effectuate the foregoing resolution:
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
ADOPTED unanimously by the Board of Trustees/Directors of the Artacho Farmers Association
this 12th day of August, 2022 in the Municipality of Bautista
Name Position Signature
Jams L. Bangis President ______________________
Noly B. Pascua Secretary ______________________
Wilfredo N. Mayo Board of Trustees ______________________
Alvin C. Bangis Board of Trustees ______________________
Jay A. Fernandez Board of Trustees
________________________
______________________________________________
______________________________________________
SUBSCRIBED AND SWORN TO before me this 12th day of August, 2022 in _____________, Affiant
exhibiting to me his/her _________ with valid identification no. __________ issued on ___________________ at
_______________________.
Doc No: _______
Page No: _______
Book No: _______
Series of _______
List of Current Officers of the Artacho Farmers Association
as of August 12, 2022
Name Position
Jams L. Bangis President
Luis L. Bernardino Vice President
Noly B. Pascua Secretary
Gemma Lyne N. Quiano Treasurer
Lerio L. Cabalteja Auditor
Armando N. Mayo PRO
Ramil L. Eugenio
Rodolfo M. Braceros
Ronald D. Yutoc
Roger M. Cabonce
Alvin C. Bangis Board of Trustees
Jay A. Fernandez
Michael L. Tejaro
Wilfredo N. Mayo
Emilio B. Pascua
Mark Josephn C. Abalos Members
Fidel V. Acosta
Flora B. Acosta
Marie Ann Acosta
Romulo Alarin
Roger Ancheta
Nelly N. Apolonio
Alvin C. Bangis
Apolinario R. Bangis
Johny L. Bangis
Diosdado L. Bernadino
Rolito N. Blanco, Jr.
Leo C. Braceros
Ma. Teresa C. Braceros
Roger C. Braceros
Romeo R. Cabanilla
Ermenio Cabonce
Gerry B. Cabonce
Rolly C. Dela vega
Randy B. Fernandez
Jessie P. Gaspar
Segundo N. Libag
Fe P. Mayo
Ferdinand N. Mayo
Mabini P. Niño
Novel M. Niño
Lirio L. Paclibon
Ricardi L. Paclibon, Jr.
Manuel M. Tadeo
Arnulfo L. Tejarro
Eddie L. Tejaro
Elissa N. Tejaro
Paulino L. Tejaro, Jr.
Francisco Soriano, Jr
Artacho Farmers Association
Activity: Monthly Meeting
Participants: Officers and members
Date and Time: January 15, 2022
Expectations for the Activity: Maintain harmonious relationship with the officers and
members
General Objective:
Specific Objectives:
-
-
-
Agenda:
1. Payment of Registration and Monthly Dues
2. Distribution of Stubs for Rice Farmers Financial Assistance
3. P300.00 to be shared to members that are not qualified to the first batch of Rice Farmers
Financial Assistance Beneficiaries
Prepared by: Noted by:
NOLY B. PASCUA JAMS L. BANGIS
Secretary-General President
ARTACHO FARMERS ASSOCIATION
FINANCIAL STATEMENT FOR CY DECEMBER 31, 2021
INFLOW (Income)
SOURCE AMOUNT REMARKS
Donor 1
Donor 2
Monthly Dues / Membership
Fees
Income Generating Project :
Tractor Rental 26,550.00
Income Generating Project 2
TOTAL 26,550.00
OUTFLOW (Expenses)
PARTICULARS AMOUNT REMARKS
Project 1
Project 2
Fuel, Oil and Lubricant 750.00
Office Supplies 300.00
Logistics / Transportation 850.00
Printing/Encoding 650.00
TOTAL
TOTAL FUND BALANCE 24,000.00
(Total Inflow – Total Outflow)
Noted by:
JAMS L. BANGIS_ LUIS L. BERNARDINO
[Name] [Name]
[President] [Vice President]
NOLY B. PASCUA GEMMA LYNE N. QUIANO
[Name] [Name]
[Secretary-General] [Treasurer]
LERIO L. CABALTEJA
[Name]
[Auditor]
