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Application For Registration: (Federation/National Union)

This 3-page document is an application form from the Department of Labor and Employment Bureau of Labor Relations for registration of a federation or national union. It requests information about the applicant organization such as its name, address, president's details. It also requires a list of affiliated locals including industry, membership numbers, and bargaining status. The second page is an evaluation form with checklist of required documents for the application. The third page describes approval or denial of the application and signatures from the Division Chief and Director.

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221 views3 pages

Application For Registration: (Federation/National Union)

This 3-page document is an application form from the Department of Labor and Employment Bureau of Labor Relations for registration of a federation or national union. It requests information about the applicant organization such as its name, address, president's details. It also requires a list of affiliated locals including industry, membership numbers, and bargaining status. The second page is an evaluation form with checklist of required documents for the application. The third page describes approval or denial of the application and signatures from the Division Chief and Director.

Uploaded by

Carissa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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FM-DOLE-BLR-03.

01
Revision No. 01
Date Issued: 15 May 2015

Republic of the Philippines


DEPARTMENT OF LABOR AND EMPLOYMENT
Bureau of Labor Relations

APPLICATION FOR REGISTRATION


(FEDERATION/NATIONAL UNION)
PART I. INFORMATION ABOUT THE REPORTING ORGANIZATION Date Accomplished (mm/dd/yyyy)
To be accomplished by the applicant. Supply all required information. Misrepresentation, false statement or fraud in this
application or any supporting document is a ground for denial or cancellation of registration.

Name of Applicant Organization Contact Nos.


E-mail: ________________________________
Landline No: ___________________________
Address
Mobile No:_____________________________

Name of President Contact Nos.


(Last Name) (First Name) (M.I.)
E-mail: ________________________________
Landline No: ___________________________
Address
Mobile No:_____________________________

Gender Male Female


Padding

Date Organized(mm/dd/yyyy) (if ratification was done on successive dates, state the dates of ratification)

Date of CBL Ratification (mm/dd/yyyy)

Industry
List of Locals Bargaining Status
Classification No. of
Addresses Certified / Recognized
(Use additional sheet/s if necessary)
Members With CBA
(Please refer to PSIC at the Bargaining Agent as
BLR / LRD) (State duration)
of

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
padding

The abovenamed locals/affiliates (including, if any, those named in Annex “A” of this application) are not locals/affiliates of other
federations/national unions, or have ceased to be locals/affiliates thereof.

I attest to the truth of the foregoing.


________________________________________________
President or Authorized Representative
(Signature over printed name)

Subscribed and sworn to before me at ___________________________________________________, Philippines,


this _______ day of _________________ 20 _______ with I.D. No. __________________________________________
issuedby ___________________________________________________ on _________________________________.

NOTARY PUBLIC

Doc. No. __________


Page No. __________
Book No. __________
Series of __________

Padding
FM-DOLE-BLR-03.01
Revision No. 01
Date Issued: 15 May 2015

EVALUATION FORM WITH CHECKLIST Date Received(mm/dd/yyyy)


(FEDERATION/NATIONAL UNION)
FOR PROCESSOR’S USE ONLY.
A. CHECKLIST. ALL DOCUMENTS MUST BE CERTIFIED BY THE SECRETARY OR TREASURER
AND ATTESTED TO BY THE PRESIDENT OF THE LABOR ORGANIZATION. DOCUMENTS NOT SO
CERTIFIED AND ATTESTED SHALL NOT BE ACCEPTED.

Duly accomplished application form shall be accompanied by the original copy and two (2) duplicate original
copies of the following documents (Section 3 Rule IV of D.O. 40-03, as amended):

 1. Duly filled-up Application Form


 2. Names of the organization’s officers and their addresses
3. Minutes of the organizational meeting/s
4. List of members who participated in the organizational meeting/s
5.Financial reports, if applicant organization has been in existence for one year or more
6. Certification on non-collection of dues or financial report if applicant organization has been in existence for
less than one year
7. Constitution and By-laws
8. Minutes of adoption or ratification of the CBL and dates of ratification (Minutes of adoption or ratification is
not required if it is done simultaneously with the organizational meeting and the same is reflected in the
minutes of the organizational meeting)
9. List of members who participated in the ratification of CBL
10. Resolution of the affiliation of at least ten (10) locals/chapters/affiliates (each must be the duly recognized
orcertified bargaining representative in the establishment).
11. Names and addresses of the companies where the locals/chapters/ affiliates operate and the list of all the
membersin each company.

B. PAYMENT OF REGISTRATION FEE

 Registration Fee paid under O.R. No. ___________________________ Date ___________________________


 Registration Fee not paid

C. RECOMMENDATION ON THE APPLICATION:

 Recommending Approval with Certificate of Registration attached


 Recommending Denial due to failure to comply with documentary requirements (refer to BLR Form No.2-1 CL-
FED-mm/yy/seq)

By: ___________________________
Processor
(Signature over printed name)

Date: __________________________

ACTION ON THE APPLICATION


FM-DOLE-BLR-03.01
Revision No. 01
Date Issued: 15 May 2015

A. APPROVAL / DENIAL

 Approved for Registration, with duly signed Certificate of Registration attached


 Registration denied, with duly signed Notice of Denial

Respectfully endorsed to the Director

 For attestation of the Certificate of Registration


 For notation of Notice of Denial

___________________________ ___________________________
Division Chief Date

Approved for release.

___________________________ ___________________________
Director Date

Registration Certificate No. Date Issued: Date Released:

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