UNION PROFILE UPDATE FORM

Name of Union:

Official Address:

President:

Date of Assumption of Office:

Date of Expiration of Term of Office:
CONTACT INFO:
Phone No.: _________________ Fax No.:______________ Email Add.:______________________
Cellphone No: Globe: _________________ Smart: ___________________ Sun: _________________
Region:

Name of Agency

Sector: __NGA __LGU __GOCC __SUC

Address:
Agency Head:

Designation:

If affiliated to a National Confederation, Please state name:

Registered?

____Yes

Registration No.: ____________________________

____No

Date of Registration: ____________________________

Accredited?

____ Yes

Accreditation No.: ____________________________

____No

Date of Accreditation: ____________________________

With Existing CNA? ___Yes

Registration No.: __________________________

____No

Date of Expiration: __________________________

PROFILE OF MEMBERS:
Total No. of Board of Directors: ______________________

Male _________ Female ___________

Total No. of Officers:

______________________

Male _________ Female ___________

Total No. of Members (Incl. Officers and BODs) ________

Male _________ Female ___________