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___________________________________________________________________

(Name of Organization)

__________________________________
(Address)

____________________
(DATE)

THE SANGGUNIANG BARANGAY


______________________
City of Naga

Thru: The Chairperson


Committee on Accreditation and People Participation

Honorable Members of the Sanggunian:

Greetings!

The officers and members of our organization have requested me to convey to you the
following for your kind information and favorable consideration:

1. THAT our organization is signifying intention to apply for accreditation for


membership in the Barangay Development Council (BDC) as manifested in the
herewith attached Board Resolution No. _______, series of 2008 ( see Annex “A”);

2. THAT our organization has a clear institutional vision and mission furtherly
supported and strengthened by our organizational goals and objectives enumerated
and Annex “C” of this application;

3. THAT we unequivocally declare our unswerving belief that once accredited, we could
truly serve as “ active partners in the pursuit of local autonomy” , which is the heart
and soul, so to speak, of Republic Act No. 7160 , otherwise known as the Local
Government Code of 1991;

4. AND THAT we are optimistic that with this looming partnership at hand, we can
move onward to greater bounds in committed and pro-active community service.

Thank you very much and we anticipate more fruitful sessions with you in the very near future.

Very sincerely,

______________________________________
President /Chairperson / Executive Director

Forms developed by CADENET, SALIGAN and NCPC for NGO/PO Accreditation in the different LGUs
Form No.02
DILG Memorandum Circular No. 94-153
29 August 1994

APPLICATION FORM
FOR ACCREDITATION OF NGOs/ POs/PS (Section 108, R.A No. 7160)

Name of NGO/PO/PS

Acronym: Address:

Contact Number/s: e-mail:

Date Organized: Date Registered:


Frequency of  Weekly  Monthly
Registering Agency:
Meeting:  Others (specify): ___________
 Management Organization
 Community – Based  Business
 Chapter  People’s Organization
Organizational Sectors
 Affiliate/Member of a  Non-Government Organization
Level: larger NGO/PO
Represented:  Cooperatives
 Others (Specify) __________  Socio – Civic /Religious Group
 Others (Specify): ___________
 City ___________________  Province ____________________
Linkages:
 National _______________  International ____________________
Number of Numbers of
Members: Staff:

Purposes/Objectives (Please use Annex C”)

Implemented and on-going Programs, Projects and Activities (PPA) in the last 12 months
Name of PPA Cost Beneficiaries/Areas Status

Please use other sheet if necessary:

Project Financing / Sources /Schemes:______________________________________________

Services NGO/PO/PS provide /can participate: ________________________________________


Name of Officers /Board of Directors (Please refer to Annex “B” No. 1)
List of Members within the Local Government Unit (Please use Annex “B” No. 2)

WE HEREBY to the correctness of the above information.

______________________ __________________________
President/Chairperson Secretary

Forms developed by CADENET, SALIGAN and NCPC for NGO/PO Accreditation in the different LGUs
Annex “ A “

___________________________________________________________________
(Name of Organization)

__________________________________
(Address)

RESOLUTION NO. ___________


Series of 20_____

RESOLUTION MANIFESTING INTENTION OF THE _____________________________________


__________________________________________________TO APPLY FOR ACCREDITATION
FOR MEMBERSHIP IN THE BARANGAY DEVELOPMENT COUNCIL (BDC) OF _________________
AND DESIGNATING ______________________________________________ AND MR./MS.
_____________________________________ AS THE OFFICIAL PERMANENT AND ALTERNATE
REPRESENTATIVES, RESPECTIVELY, OF THE SUBJECT ORGANIZATION OF THE SAID
BARANGAY DEVELOPMENT COUNCIL.

WHEREAS, Republic Act No. 7160, otherwise known as the Local Government Code of
1991, “hopes to complete the initial process of empowering our people through direct
participation in the affairs of government by allowing them the widest possible space to decide,
initiate and innovate;”

WHEREAS, Section 34 of the said law specifically enjoins local government units (LGUs)
to “promote the establishment and operation of People’s and Non-Government Organizations
(Pos/NGOs) to become active partners in the pursuit of local autonomy;”

WHEREAS, to effective carry out the essence of the above-quoted Section, Rule XIII,
Articles 62-70 of the LGC Implementing Rules and Regulations (IRR) clearly defines the ambit
of influence wherein Pos and NGOs can operate and cooperate with local government unit
concerned;

WHEREAS, there is much to gain and more to achieve when POs and NGOs are rightly
presented in such Local Development Councils (LDCs));

AND WHEREAS, the _____________________________________________________


is a bonafide association with identifiable leadership, membership and structure operating in
this city, duly registered with the _____________________ with registration Certificate No.
____________________ issued on __________________; (Note: This premise is optional if they
have formal registration with any government registration with any government registering agency).

WHEREFORE, on motion of Director _______________________________, duly


seconded by Director ___________________, and after due deliberation, be it

RESOLVED, AS IT HEREBY RESOLVED, to manifest the intention of accreditation for


membership in the Barangay Development Council (BDC) of ____________________________.

Forms developed by CADENET, SALIGAN and NCPC for NGO/PO Accreditation in the different LGUs
Page 2 of 2 Annex A

RESOLVED FURTHER to designate Mr./Ms. ____________________________ and


Mr./Ms __________________________________ as the official permanent and alternate
representatives, respectively, of the subject organization to the said Barangay Development
Council.

RESOLVED FINALLY, to furnish copies of this Resolution to all persons and agencies
concerned.

ADOPTED AND APPROVED this ___ th day of ___________________, 20____ at


Naga City, Philippines.

Board Member Board Member

Board Member Board Member

Board Member Board Member

Board Member Board Member

Board Member Board Member

X------ XXX------ XXX------ XXX------ XXX------ XXX------ XXX------ XXX------ XXX------ XXX------ X

I HEREBY CERTIFY to the correctness of the foregoing resolution which was taken from
the minutes of the Regular/Special Meeting of the Board of Directors of
__________________________________ held on ______________________________,
20_____, at ________________________________________, Naga City, Philippines.

________________________
Secretary

ATTESTED:

_______________________________
President/Chairman/Executive Director

Forms developed by CADENET, SALIGAN and NCPC for NGO/PO Accreditation in the different LGUs
Annex “B”

Name of Officers, members and Recent Accomplishments

1. LIST OF OFFICERS:

Name Position

2. LIST OF MEMBERS: ( Please use separate sheet if necessary )

3. LIST OF ACCOMPLISHMENTS: (Please use separate sheet if necessary)

Name of Project Date and Short Description

Forms developed by CADENET, SALIGAN and NCPC for NGO/PO Accreditation in the different LGUs
Annex “C”

STATEMENT OF ORGANIZATIONAL DEVELOPMENT


VISION, MISSION, GOALS AND OBJECTIVES

1. VISION:

_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________

2. MISSION

_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________

3. GOALS

_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________

4. OBJECTIVES:

_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________

Forms developed by CADENET, SALIGAN and NCPC for NGO/PO Accreditation in the different LGUs
Forms developed by CADENET, SALIGAN and NCPC for NGO/PO Accreditation in the different LGUs