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Requirements for National Committee on Music

Assistance for Musicians/Music Practitioners

Rationale: The Effect of COVID-19 is far-reaching. Not only


has it affected our health, but also the economy of the country.
Some of the Filipinos have lost their jobs or cannot practice
their professions due to quarantines imposed by the
government. The National Commission for Culture and the Arts
(NCCA) would like to extend its help to artists and cultural
workers affected by this crisis. The Committee on Music of the
NCCA is mandated to its extend its help to musicians/music
trainers/music practitioners affected by the pandemic. A one-
time grant of Php 5,000 shall be given.

If you think you are eligible for this grant, please fill in this
information and submit this to the person who sent you this
notice, along with an email to arvinvillalon@gmail.com
The details asked shall not be used for any other purpose other
than the processing of the grants application, as compliance to
the Data Privacy Act 0f 2012. By submitting this form you
express your consent that these details will be used for this
NCCA assistance.

1. Full name - Michaella Mari Serrano Sanares


2. Date of Birth -December 4, 1999
3. Address - 82 Sto. Rosario St., Karuhatan, Valenzuela City
4. Region - NCR
5. Mobile number - 09508204105
6. E-mail - sanaresmichaellamari@gmail.com
7. Social media account (e.g. facebook, twitter, if any): Michaella Mari Sanares
8. Employment: Unemployed

9. Questions related to Music Practice


a. Instrument/Area of Expertise in Music: Voice
b. Number of years as musician/music practitioner: 8 years
c. Organization (if any), include position Philippine Madrigal Singers
d. Type of Employment as Musician:
___Freelance Contractual ________ Part-time
_____ Permanent
10. Please also answer the following survey questions
a. Family size/household size: ___ 1-2 members
___3-5 members ___ 6 and more
b. Are you the breadwinner of the family? ____ Yes
No
c. Check the following assistance received during the
quarantine?
___ DOLE ____ DSWD ___LGU
(barangay/municipality) __others, please specify: ____
d. What other sources of income do you have aside from
being a musician?
___ regular salary ____ pension ______ business
____ others (please specify)_______

11. You need to pass a certification that will show that you are
a musician/music practitioner.
Please tick what you can submit:
____ certificate of employment ___certification from LGU
local culture & arts council/tourism
_____ photos in action ____certificates/diploma/etc.
12. Bank account details:
BPI Savings - 4669-2345-92
Michaella Mari Sanares
13. Scan/Photo of Identification card (ID)

PLEASE SCROLL DOWN TO ACCOMPLISH THE FORM


ON PAGE 3
DECLARATION OF RECIPIENT

I, Michaella Mari Sanares , Filipino citizen,


of legal
age, and a resident
of
82 Sto. Rosario St., Karuhatan, Valenzuela City , duly
states that I am a first time recipient of cash assistance from the
National Government through the Assistance Program of the
NCCA and has not been a beneficiary of any of the following
government agencies and any assistance program under the
Joint Memorandum Circular No. 1, s. 2020:
1. TUPAD of the Department of Labor (DOLE);
2. SAP of the Department of Social Welfare and Development (DSWD);
3. First Batch of the NCCA Assistance Program;
4. Assistance Program of the Artists’ Welfare of the Philippines, Inc. supported by NCCA;
5. DEAR of the Film Development Council of the Philippines;
6. Assistance Program of the Film Academy of the Philippines supported by the NCCA;
7. Other programs and assistance spearheaded by the National Government.

I hereby authorize the NCCA or their duly authorize


representative/s to obtain and secure from all appropriate
government agencies, including but not limited to: Department
of Interior and Local Government, Department of Social
Welfare and Development, and the Department of Labor and
Employment such documents that may show receipt or
availment of other forms of assistance provided during this time
of Public Health Emergency due to Covid-19. Otherwise, if
found and proven to be a recipient of other assistance program,
the recipient shall return the amount received from the NCCA
under this Program.
By submitting this Form, I am authorizing the NCCA to collect
the above information to be used solely for the evaluation and
processing of my application. I hereby certify that all
information given are true and correct and that any
misrepresentation and/or manifestation of fraud in this
application shall be a ground for disapproval of my application
and/or the filing of the administrative and/or criminal charges
against me.
This declaration is being issued as part of the supporting
documents for the request of cash assistance from the National
Commission for Culture and the Arts (NCCA) and for whatever
legal or administrative purpose it may serve.

Michaella Mari Sanares


_____________________________________________
Signature over Printed Name

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