NGO Application Form

Details: Category: About Vigan City Council; Published on 10 July 2019

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Republic of the Philippines

Province of Ilocos Sur

CITY OF VIGAN

APPLICATION FORM FOR ACCREDITATION OF NON GOVERNMENT ORGANIZATIONS (NGO)

(Section 108 of Republic Act 7160; Article B, Chapter VII of Ord. No. 20, S. 2014)

New

Name of Organization: __________________________________________________________

Address: ______________________________________________________________________

Telephone/Contact No.: _________________________________________________________

Date Organized:____________________________ Date Registered:______________________

Registering Agency: (Please check the appropriate box)

( ) Securities and Exchange Commission (SEC)

( ) Cooperatives and Development Authority (CDA)

( ) Department of Labor and Employment (DOLE)

( ) Department of Social Welfare and Development (DSWD)

( ) Others (Please Specify) ________________________________________

NGO Organization Level: (Please Check applicable box)

( ) Barangay/Community Based

( ) Chapter

( ) Affiliate of larger NGO: _________________________________________

( ) Others (Specify):______________________________________________

Sectors Represented: (Please check one (1):

( ) Business Sector ( ) Persons with Disability

( ) Social/Cultural Devt. ( ) Academe/Education

( ) Cooperatives ( ) Transport/PUV Drivers/Operators

( ) Professional ( ) Charitable/Socio-Civic

( ) Women ( ) Senior Citizens

( ) Youth/Children/Sports ( ) Religious

( ) Health and Sanitation ( ) Social Justice/Peace & Order

( ) Others (Specify)

Total Number of Members: ______ Male _______Female _______Total

Names of Officers and Members of its Board of Directors:

Name Position

Purposes/Objectives (Please Use Additional Sheet if Necessary)

______________________________________________________________________________

Services/Facilities the Organization can provide or participate in.

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

ACCOMPLISHMENTS (Previous Year)

PROJECTS	COST	BENEFICIARIES	STATUS

SOURCE OF PROJECT FINANCING:

( ) Membership Dues ( ) Fund Raising ( ) Foreign Donation

( ) Local Grant ( ) Foreign Grant

( ) Others (Pls specify):___________________________________________________

Linkages ( check level and specify)

( ) International ________________________________________________

( ) National ________________________________________________

( ) Regional ________________________________________________

( ) Provincial ________________________________________________

We hereby Certify to the correctness of the above-mentioned information.

__________________________________________

(PRINTED NAME AND SIGNATURE)

Secretary of the Organization

Attested:

________________________________________________

(PRINTED NAME AND SIGNATURE)

President of the Organization

Date of Submission: _______________________________________