Accreditation Form A PRESIDENTIAL COMMISION FOR THE URBAN POORFIELD OPERATION DIVISION FOR _______APPLICATION FOR ACCREDITATION N E W Checklist of Documents: Date Received: __________ By: __________ ( ) Application (Accreditation Form A) ( ) List of Officers, Members and their addres ses (Ac creditation Form B) ( ) Minu tes of th e Election of Off icers Duly Certified by the Secretary ( ) B rief Hi story of the Organization (Ac creditation Fo rm C) ( ) Copy of Constitution and By-Laws ( ) C opy of Certificate of Registration with SEC , HIGC o r CDA or other government bodies ( ) A nnual Financial Report Duly C ertified by the T reasurer, ifexisting for one year. ( ) Sketch of A rea\Site ( Accreditation Form D) ( ) Minutes of Adoption of CBL. (Note: Not required ifregistered with SEC, HIGC or C DA) ( ) Other documents as may b e req uired: _ ( ) PhP 50.00 OR# ___ ___ _ Socio-Economic Profile Date Submitted : __ ____ __ Name of Organization: ________________________________________________________ ________________________________________________________ Address: ________________________________________________________ ________________________________________________________ Contact Person: __________________ Telephone No. Type of Organization: ( ) Community–based ( ) Occupation–based General Objectives of the Organization: ( ) Tenure and Business ( ) Speed -up Delive ry of Basic Service (wate r, electrici ty, CMP, etc) ( ) Representation ( ) Others, specif y: ___
