Republic of the Philippines
Department of Environment and Natural Resources
MINES AND GEOSCIENCES BUREAU
Regional Office No. XI
2nd Floor, EMB-MGB Bldg., 3rd Avenue corner V. Guzman, Brgy 27-C, Davao City
Telefax. No.: (+63 82) 222-1968; Tel# (+63 82) 227 9938: E-mail:mgbxi.org@gmail.com
CHECKLIST OF REQUIREMENTS
ACCREDITATION OF PROCESSORS, TRADERS,
DEALERS AND RETAILERS IN THE TRADING OF
MINERALS/ MINERAL PRODUCTS AND BY-PRODUCTS
Name:_______________________________________
Address: _____________________________________
Date Filed: ___________________________________
MANDATORY REQUIREMENTS
The applicant shall submit at least five (5) sets of the
following mandatory requirements:
1. Duly accomplished application Form (MGB Form 13-1)
2. Certified copy of the Permit/ Contract of the
Suppliers/sources of minerals/ mineral products/ by-
products or copy of Certificate of Accreditation in case
the source of materials is a trader, dealer or retailer.
3. DTI Registration
3.1. Corporation, Articles of Incorporation/
Partnership/ Association, By-Laws and
Certificate of Registration, duly certified by
the SEC.
3.1.1. Registration Fee: PhP 1,020.00
3.2.1 Authority of the President/ Chairman of the
Board to sign all the documents related to
the application for accreditation in the form
of Notarized Board Resolution signed and
executed by the majority members of the
Board.
3.2.2. Registration Fee: PhP 220.00
4. Proof of Legal Source or Supply as supported by any of
the following documents:
4.1 Supply Contract/ Agreement with the Permit
Holder/ Contractor/ Accredited Dealer producing the
specified minerals/ mineral products/ by-products:
4.1.1 Registration fee: PhP 1,020.00
4.2 Affidavit executed by a Permit Holder/
Contractor/ Accredited Dealer to the effect that it is
willing or currently selling and will continue to sell
or supply the applicant with the minerals/
mineral products/ by-products specified in the
application:
4.2.1 Registration fee: PhP 1,020.00
4.3. Delivery or Purchase Receipts issued by a
Permit Holder, Contractor or previously accredited
dealer/ trader;
4.4. Ore Transport Permit (OTP) or Bill of Lading
which clearly indicates that the applicant is the
consignee of a Permittee or a duly accredited dealer/
trader/ shipper.
5. Application Fee: PhP 5,020.00
Checked By: _________________ Date: __________
CK-MMD-10-1
Republic of the Philippines
Department of Environment and Natural Resources
MINES AND GEOSCIENCES BUREAU
Regional Office No. XI
2nd Floor, EMB-MGB Bldg., 3rd Avenue corner V. Guzman, Brgy 27-C, Davao City
Telefax. No.: (+63 82) 222-1968; Tel# (+63 82) 227 9938: E-mail:mgbxi.org@gmail.com
Note: Applications with incomplete mandatory
requirements shall not be accepted.
CHECKLIST OF REQUIREMENTS
ACCREDITATION OF PROCESSORS, TRADERS,
DEALERS AND RETAILERS IN THE TRADING OF
MINERALS/ MINERAL PRODUCTS AND BY-PRODUCTS
Name:_______________________________________
Address: _____________________________________
Date Filed: ___________________________________
MANDATORY REQUIREMENTS
The applicant shall submit at least five (5) sets of the
following mandatory requirements:
1. Duly accomplished application Form (MGB Form 13-1)
2. Certified copy of the Permit/ Contract of the
Suppliers/sources of minerals/ mineral products/ by-
products or copy of Certificate of Accreditation in case
the source of materials is a trader, dealer or retailer.
3. DTI Registration
3.1. Corporation, Articles of Incorporation/
Partnership/ Association, By-Laws and
Certificate of Registration, duly certified by
the SEC.
3.1.1. Registration Fee: PhP 1,020.00
3.2.1 Authority of the President/ Chairman of the
Board to sign all the documents related to
the application for accreditation in the form
of Notarized Board Resolution signed and
executed by the majority members of the
Board.
3.2.2. Registration Fee: PhP 220.00
4. Proof of Legal Source or Supply as supported by any of
the following documents:
4.1 Supply Contract/ Agreement with the Permit
Holder/ Contractor/ Accredited Dealer producing the
specified minerals/ mineral products/ by-products:
4.1.1 Registration fee: PhP 1,020.00
4.2 Affidavit executed by a Permit Holder/
Contractor/ Accredited Dealer to the effect that it is
willing or currently selling and will continue to sell
or supply the applicant with the minerals/
mineral products/ by-products specified in the
application:
4.2.1 Registration fee: PhP 1,020.00
4.3. Delivery or Purchase Receipts issued by a
Permit Holder, Contractor or previously accredited
dealer/ trader;
4.4. Ore Transport Permit (OTP) or Bill of Lading
which clearly indicates that the applicant is the
consignee of a Permittee or a duly accredited dealer/
trader/ shipper.
5. Application Fee: PhP 5,020.00
CK-MMD-10-1
 Republic of the Philippines
Department of Environment and Natural Resources
MINES AND GEOSCIENCES BUREAU
Regional Office No. XI
2nd Floor, EMB-MGB Bldg., 3rd Avenue corner V. Guzman, Brgy 27-C, Davao City
Telefax. No.: (+63 82) 222-1968; Tel# (+63 82) 227 9938: E-mail:mgbxi.org@gmail.com

Checked By: _________________ Date: __________

Note: Applications with incomplete mandatory
requirements shall not be accepted.