Annex C

<Name of Agency>
<Address>

CERTIFICATION

This is to certify that the <Name of Agency>, <City/Municipality>, <Province>, has

<number of rank-and-file employees> total number of rank-and-file employees as of
<date>.

This Certification is issued upon the request of <name> for the purpose of filing a
Petition for Accreditation by the <Name of Union/Association> to the Civil Service
Commission.

Done this _________ day of _________________________, <City/Municipality, Province>.

Signature over Printed Name

<Office Designation of HRMO>