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(address)
EXCERPT FROM THE MINUTES OF THE (NAME OF ORGANIZATION) MEETING HELD AT THE (PLACE OF
MEETING) (ADDRESS) ON (DATE OF MEETING)
PRESENT:
ABSENT:
WHEREAS, the (Name Of Organization) as one of the Civil Society organizations has the intention to
apply for accreditation as one of the CSO in the municipality of ________;
WHEREAS, the (Name Of Organization) (is a registered organization under ____________/is an affiliated
organization under _____________ );
RESOLVED FURTHER that copy of this Resolution be sent to the Sangguniang Bayan of (Municipality)
for their information and appropriate action.
(Name)
President
(Name of Organization)
(Address)
SWORN STATEMENT
WE, the (NAME OF ORGANIZATION) duly registered by the ______________ under registration No.
_____ represented by (NAME), (Position ), do hereby declare that we are an independent, non-partisan
organization and that we will retain our autonomy while pursuing the advancement of the people’s interest
through our membership in a local special body.
__________________
PRES/CHAIRMAN
____________________
Notary Public