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Republic of the Philippines Republic of the Philippines

Department of Environment and Natural Resources Department of Environment and Natural Resources
MINES AND GEOSCIENCES BUREAU MINES AND GEOSCIENCES BUREAU
Regional Office No. XI Regional Office No. XI
2nd Floor, EMB-MGB Bldg., 3rd Avenue corner V. Guzman, Brgy 27-C, Davao City 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 Telefax. No.: (+63 82) 222-1968; Tel# (+63 82) 227 9938: E-mail:mgbxi.org@gmail.com

CHECKLIST OF REQUIREMENTS
DECLARATION OF MINAHANG BAYAN
CHECKLIST OF REQUIREMENTS
DECLARATION OF MINAHANG BAYAN
Name:______________________________________
Address: ___________________________________
Date Filed:__________________________________ Name:______________________________________
Address: ___________________________________
Date Filed:__________________________________
MANDATORY REQUIREMENTS
The applicant shall submit at least five (5) sets of the
following mandatory requirements: MANDATORY REQUIREMENTS
The applicant shall submit at least five (5) sets of the
1. Petition/Proposal for Declaration of an area as following mandatory requirements:
Minahang Bayan duly notarized, properly signed
and executed by the petitioners. 1. Petition/Proposal for Declaration of an area as
Minahang Bayan duly notarized, properly signed
2. Location Map of the proposed Minahang Bayan and executed by the petitioners.
area showing its geographic coordinates/meridional
block(s) and boundaries, using a National Mapping 2. Location Map of the proposed Minahang Bayan
and Resources Information Authority (NAMRIA) area showing its geographic coordinates/meridional
topographic map in a scale of 1:50,000 or 1:10,000 block(s) and boundaries, using a National Mapping
duly prepared, signed and sealed by a deputized and Resources Information Authority (NAMRIA)
Geodetic Engineer; topographic map in a scale of 1:50,000 or 1:10,000
duly prepared, signed and sealed by a deputized
3. Area Status (MGB RO) Geodetic Engineer;

4. MGB RO Evaluation Report re: 3. Area Status (MGB RO)

4.1 Area Viability for Small-scale Mining 4. MGB RO Evaluation Report re:
4.2 Allocation for Mineral Processing Zone (if
applicable) 4.1 Area Viability for Small-scale Mining
4.2 Allocation for Mineral Processing Zone (if
If Petitioner is a registered organization: applicable)

5) Proof of registration with the SEC/DTI/CDA or If Petitioner is a registered organization:


other appropriate government agency: Provided, that
the applicant shall be 100% Filipino. (e.g. Articles of 5) Proof of registration with the SEC/DTI/CDA or
Incorporation and By-Laws, originally certified by other appropriate government agency: Provided, that
concerned agency) the applicant shall be 100% Filipino. (e.g. Articles of
5.1 Registration Fee: PhP 1,020.00 per Incorporation and By-Laws, originally certified by
document concerned agency)
5.1 Registration Fee: PhP 1,020.00 per
6) Sworn Board Resolution signed and executed by document
the members of the board authorizing the President or
Chairman of the company/ applicant to execute 6) Sworn Board Resolution signed and executed by
documents in behalf of the corporation; the members of the board authorizing the President or
6.1 Registration Fee: PhP 220.00 per document Chairman of the company/ applicant to execute
documents in behalf of the corporation;
6.1 Registration Fee: PhP 220.00 per document
Checked By: __________________ Date: _____

Note: Applications with incomplete mandatory Checked By: __________________ Date: _____
requirements shall not be accepted.
Note: Applications with incomplete mandatory
requirements shall not be accepted.

CK-MMD-04 CK-MMD-04
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

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