ANNEX A

CSO APPLICATION FORM

This form should be accomplished digitally. The signatory should place initials on all pages, except the page requiring
complete signature in blue ink.

I. Status of Application

New Application
Renewal previously issued with OPPAP CSO Accreditation
Certification No. _________________
Date of Issuance: _________________
Date of Expiration: _______________

Date filed by CSO. _______________

Date received by OPPAP _______________

II. CSO Information

Complete Name of # of Years in

Organization Operation

# of Members
Other names the
Organization is
currently known (if
any)
Organizational Vision:
Thrusts Mission:
Goals Objectives
Advocacy/s 1. # of Years on
2. Advocacy
3.
Sector/s of # of Years in
Engagement Sectoral
Engagement
Technical Area/s of # of Years
Operation Technical Performing
Expense
Area of Operation # of years on
Area of
Operation
Membership in a
network and/or
association of
(umbrella) CSOs # of years of
(Prioritize networks Membership
associations related to
Peace-building
Transparency and
Accountability. Good 1.
Governance.
Constructive
Engagement with
Government.)
Affiliated CSOs
(Provide background
on engagement and
prioritize CSOs
related to Peace- # of years of
building. Engagement
Transparency and
Accountability. Good
Governance.
Constructive
Engagement with
Government.
Engagement in any Formulation Review of Plan Budget
Local Governance Research. Data Collection, Validation and/or
Initiative. Analysis
Capacity development of LGU personnel
Social Preparation of local
communities/people’s organizations # of years of
Implementation of programs, projects and/or Engagement
activities
Monitoring and Evaluation of programs,
projects and/or activities
Others, please specify_____________________
Engagement in any PAMANA Third Party Monitoring (TPM)
Peace-building Peacemaking and Conflict Resolution (i.e
initiative Dialogues. Community Consultations, etc.)
Peace-building and Development Programs
(i.e Implementation of PAMANA projects,
capacity building, community organizing,
etc.)
Integration of Former Rebels (i.e. CLIP, e-
# of years of
CLIP. Etc.)
Engagement
Peace Advocacy (Peace Month Celebration
Activities. I Am For Peace Campaign, Peace
Education, etc.)
Monitoring and Evaluation of Peace-building
Programs.
Others, please specify ____________________
Government 1.
Agency/ies from 2.
which the 3.
Organization expects
to receive public
funds
Business Permit No.
Valid Until
Principal Registration Agency (SEC, CDA)
No.
Date Registered
Secondary Agency
Registration No.
(if applicable) Date Registered
Name of Head
Designation
Contact Person
Tax Identification No.
at CSO Head
Main Office Physical Address
Landline:
Fax Number:
Mobile Number:
Email Address:
Field Office/s 1.
(Address if Any) 2. Contact Details
3.

____________________________________________

Name and signature of the individual applying on behalf of the CSO

___________________________________________

Date accomplished