Republic of the Philippines · City of Pagadian SANGGUNIANG PANLUNGSODOffice of the Secretary of the Sanggunian

Accreditation of a civil society organization (CSO)

CONTROL NO. (office use)

Form SP-F12 · Complex transaction · Processing: Acted on within the accreditation period set by DILG (for verification) · Fee: No fee (for verification)

A. Requesting party

DateTime

Name

Address / Barangay

Contact no.E-mail

Office / organization (if any)

B. Request details

Name of organization

Type☐ NGO☐ People's organization☐ Cooperative☐ Professional / business group☐ Other

Registering agency and registration no.Date registered

Head / presidentNumber of members

Sector and area of operation

Years in operation

C. Documents attached / to be presented

☐ Letter of application
☐ Duly accomplished application form
☐ Board resolution signifying intent to be accredited
☐ Certificate of registration (SEC, CDA, DOLE, DHSUD or other agency)
☐ List of officers and members
☐ Annual accomplishment report (if operating 1 year or more)
☐ Financial statement (if operating 1 year or more)
☐ Minutes of the annual meeting (if operating 1 year or more)

Signature over printed name

Date

FOR OFFICE USE ONLY

Received by

Date / time

Documents complete?☐ Yes☐ No — lacking:

Referred to

O.R. no. / amount

Action taken

Released by

Date released

SP-F12 · Rev. 2026-10 Track online: sppagarchive.com/visitor/track.php