Date: _________________

BALDWIN G. JALLORINA, PhD.

Director IV
PHilMech, CLSU Compound, Science City of Munoz
3120 Nueva Ecija

Dear Sir,

We the _______________________________________________________________________________________ of
____________________________________________________________________________would like to signify our
interest to apply for the following agricultural machineries postharvest facilities under the
Rice Mechanization Competitiveness Enhancement Fund- Mechanization Component.

1._________________________________________________
2._________________________________________________
3._________________________________________________
4._________________________________________________
5._________________________________________________

Attached herewith are the Board Resolution and the FC/FAs profile which identifies the
need of the said technologies and facilities as your guide.

We are looking forward for your consideration regarding our request.

Very truly yours,

_________________________
President/Chairperson

Contact Number: ________________________

FARMER'S ORGANIZATION
 _____________________________________________
_____________________________________________
A RESOLUTION TO REQUEST ASSISTANCE FROM THE PHILIPPINE CENTER FOR
POSTHARVEST DEVELOPMENT AND MECHANIZATION THRU THE RICE
COMPETITIVENESS ENHANCEMENT FUND - MECHANIZATION COMPONENT
BOARD RESOLUTION No. ________
Series of _______

WHEREAS, the ______________________________________________________________

with address at __________________________________________________________realizes
that having control over all aspects of the palay and rice industry is the only way to advance
for agricultural development;

WHEREAS, to improve its productivity and save postharvest losses, the

_____________________________________________________________ needed to acquire
basic production and postharvest facilities such as:
Technologies Number of Units Rank according to
priority of needs

WHEREAS, the ______________________________________________________________

has a total of _______ hectares of irrigated and _______ hectares of non-irrigated rice land of
members;

WHEREAS, the ______________________________________________________________

has _______ farmer-members that will be directly benefit under the project and has access
to the services of expert personnel to manage and operate the said machinery/facilities;

WHEREAS, the proposed location of the project is bounded by rice area with following
details:
Nearby Barangays Estimated Rice Area

WHEREAS, the _____________________________________________________________

has the access in availing/hiring/assigning the following personnel:
a) Manager : Name: _______________________ : CP Number ___________
b) Bookkeeper :Name: _______________________ : CP Number ___________
c) Mechanic: Name: _______________________ : CP Number ___________
d) Operator: Name: _______________________ : CP Number ___________
e) Operator: Name: _______________________ : CP Number ___________

WHEREAS, the _____________________________________________________________

has machinery shed as counterpart for the project with an area of ________ sqm
Location: _______________________________
Lot owner: _______________________ CP Number: ________________
(Owned) ______ Donated _________ Lease ____________

WHEREAS, the _____________________________________________________________

has available cash for the revolving fund/initial operating cost amounting to:
Php _________________

NOW THEREFORE, on motion of________________________________and duly seconded

by ______________________, it is hereby RESOLVED that the
_____________________________________________________________ is requesting
assistance from PHILIPPINE CENTER FOR POSTHARVEST DEVELOPMENT AND
MECHANIZATION for the acquisition of the above requested technologies.

RESOLVED FURTHER, that Mr./Ms. ___________________________________________

Chairperson/Head of the __________________________________________________________, shall be
designated as the authorized representative to transact with the DA-PHILMECH and/or
sign documents for and in behalf of the ______________________________________ _________ with
respect to the requested assistance, with his/her three (3) specimen signatures shown
below this resolution.

APPROVED, this _______ day of _________________, 20____ in

__________________________________________________.

I hereby CERTIFY to the correctness of the foregoing resolution.

Secretary: _____________________________________
Approved:

________________________ ________________________ _________________________

Director Director Director

_______________________ ________________________ ________________________

Director Vice- Chairperson Chairperson

THREE SPECIMEN SIGNATURE OF AUTHORIZED REPRESENTATIVE:

1._________________ 2. _________________ 3. _________________

Table 1 - List of Farmer Members
Name of Farmer Cooperative/ Association (FCA) _______________________________________________________
Address: _______________________________________________________________________________________

(Please Rice Production Type of Seeds

check) Area, ha Used Machinery
Name of Member Position sex Remarks
Owned
Non -
PWD* IP* irrigated
irrigated
total Hybrid Inbred

             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             

total Continue On Separate Sheet If Necessary

Prepared by: Attested by:

FCA Secretary FCA President/Chairperson

Table 2 - List of Existing Machineries
Name of Farmer Cooperative/ Association (FCA): ______________________________________________________
Address: _______________________________________________________________________________________

Mode of Acquisition
Facilities/Machinery/ Year Brand/ Condition/
Equipment Acquired Model Remarks
Grant Purchased
           
           

           
           
           
           
           
           
           
           

Type of Business/Services:
( ) Trading ( )Lending ( ) Custom Servicing ( )Others:_______

Prepared by : Attested by:

       
FCA Secretary FCA President/Chairperson