(Name of Organization)

(address)

EXCERPT FROM THE MINUTES OF THE (NAME OF ORGANIZATION) MEETING HELD AT THE (PLACE OF
MEETING) (ADDRESS) ON (DATE OF MEETING)

PRESENT:
ABSENT:

RESOLUTION NO. ____ S. 2019

RESOLUTION REQUESTING THE HONORABLE MEMBERS OF THE SANGGUNIANG BAYAN OF

(MUNICIPALITY) FOR THE ACCREDITATION OF THE (NAME OF ORGANIZATION) AS CIVIL SOCIETY
ORGANIZATION (CSO) IN (MUNICIPALITY)

WHEREAS, the (Name Of Organization) as one of the Civil Society organizations has the intention to
apply for accreditation as one of the CSO in the municipality of ________;

WHEREAS, the (Name Of Organization) (is a registered organization under ____________/is an affiliated
organization under _____________ );

NOW THEREFORE, on motion of ________________________ and duly seconded by

_________________, the officers of (Name Of Organization) in meeting assembled:

RESOLVED AS IT IS HEREBY RESOLVED to request the Honorable Members of the Sangguniang

Bayan of (Municipality) for the Accreditation of the (Name Of Organization) As Civil Society Organization (CSO)
In (Municipality).

RESOLVED FURTHER that copy of this Resolution be sent to the Sangguniang Bayan of (Municipality)
for their information and appropriate action.

ADOPTED: (Date of Adoption)

I HEREBY CERTIFY to the correctness of the foregoing Resolution.

(Name)
Secretary
Attested & Certified
To Be Duly Adopted:

(Name)
President
(Name of Organization)
(Address)

SWORN STATEMENT

WE, the (NAME OF ORGANIZATION) duly registered by the ______________ under registration No.
_____ represented by (NAME), (Position ), do hereby declare that we are an independent, non-partisan
organization and that we will retain our autonomy while pursuing the advancement of the people’s interest
through our membership in a local special body.
__________________
PRES/CHAIRMAN

SUBSCRIBED and sworn to before me this __________ of ______ , 2019 at (Municipality)

____________________
Notary Public