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Form 103 Application For Accreditation..

The document is an application for accreditation with the Philippine Council for NGO Certification (PCNC). It provides information about the applicant organization, Niels and Nelson Scholarship Foundation Inc., including its basic details, purpose of applying, and acknowledgment that it will pay the requisite application and membership fees based on the organization's total assets. The application includes sections for organizational information, application status, assessment of fees, and agreement to sharing of necessary information for evaluation. Upon approval, the organization would receive a Certificate of Accreditation from PCNC.

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0% found this document useful (0 votes)
163 views1 page

Form 103 Application For Accreditation..

The document is an application for accreditation with the Philippine Council for NGO Certification (PCNC). It provides information about the applicant organization, Niels and Nelson Scholarship Foundation Inc., including its basic details, purpose of applying, and acknowledgment that it will pay the requisite application and membership fees based on the organization's total assets. The application includes sections for organizational information, application status, assessment of fees, and agreement to sharing of necessary information for evaluation. Upon approval, the organization would receive a Certificate of Accreditation from PCNC.

Uploaded by

Lyca Arcena
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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PCNC Form 103

Philippine Council for NGO Certification


APPLICATION FOR ACCREDITATION

I. PURPOSE OF APPLICATION
To acquire PCNC Certificate of Accreditation as a seal of good NGO governance, transparency and accountability.
For BIR Certificate of Registration as Donee Institution as per Sec. 34(h) and 101(A) of the National Internal Revenue Code
of 1997, as amended, and BIR Revenue Regulation No. 13-98.

II. BASIC ORGANIZATIONAL INFORMATION


Name of Organization:NIELS AND NELSON SCHOLARSHIP FOUNDATION INC.
Doing business under the style (if any)
UNIT 18F KINGSWOOD ARCADE KINGSWOOD CONDOMINIUM P. OCAMPO ST. LA PAZ
Principal Business Addres MAKATI, CITY OF MAKATI, FOURTH DISTRICT, NATIONAL CAPITAL REGION (NCR), 1204
Email: [email protected] Landline No. 8289-6337 Mobile No. 09338639601
Website: Tax Identification No. (TIN
Full Name Position Mobile No. Email
Name of Head of Organization
Person in-charge of PCNC Accreditation
Official Representative to PCNC
Alternate Representative to PCNC

III. APPLICATION STATUS


First time: Newly established, operating less than two years
Operating for more than two years
Renewal
PCNC Accreditation valid until:
BIR COR valid until:
Renewal with lapsed accreditation more than two (2) years
PCNC Accreditation valid until:
BIR COR valid until:

IV. ASSESSMENT OF APPLICATION AND ANNUAL MEMBERSHIP DUES


A. We agree to pay the application due assessed based on the total assets or total current assets, as the case may be,
according to the latest Audited Financial Statements.

Total Assets Application Due


PhP 5 million and below Php 10,000
Above PhP 5 million to PhP 15 million PhP 15,000
Above PhP 15 million to PhP 50 million PhP 20,000
Above PhP 50 million PhP 30,000
If the total assets is more than PhP 50 million, the total current assets is used in assessing application dues:
Total Current Assets
Above PhP 100 million to PhP 200 million PhP 40,000
Above PhP 200 million to PhP 300 million PhP 50,000
Above PhP 300 million to PhP 400 million PhP 60,000
Above PhP 400 million to PhP 500 million PhP 70,000
Above PhP 500 million to PhP 1 billion PhP 80,000
Above PhP 1 billion PhP 90,000

B. When accredited, it is understood that the organization becomes a member of PCNC. As such, we are willing to pay the
Annual Membership Due for the duration of such accreditation as indicated in the Certificate of Accreditation, assessed as
follows:

Total Assets Annual Membership Due


PhP 5 million and below PhP 2,000
Above PhP 5 million to PhP 15 million PhP 4,000
Above PhP 15 million to PhP 50 million PhP 7,000
Above PhP 50 million PhP 10,000

V. SHARING OF INFORMATION
PCNC values and protects the privacy of its members, applicant-organizations, partners, trustees, officers and staff. PCNC,
through its evaluators, staff members and the Board of Trustees, collects and analyzes the data and other relevant
information you provide in relation to your organization’s application for accreditation in order to make a fairly accurate
assessment of your organization in accordance to existing laws and PCNC policies as the duly designated accrediting entity.
PCNC will not sell or disclose personal data to other parties without the subject’s consent.
By submitting to the PCNC certification process, we explicitly acknowledge, agree and consent to the collection, use and
processing of necessary and relevant data and information. In doing so, we understand that such information may be
transferred throughout PCNC and may be shared with the evaluators, trustees, officers, and staff members who will be
working on such certification process. We understand that our consent does not preclude PCNC to process any personal data
or information based on lawful criteria, and does not waive any of our rights, individually and collectively as an organization
under the Data Privacy Act of 2012 and other applicable laws.

Prepared by: Verified by:


Signature
Name
Designation President/Executive Director
Date

For PCNC use:

Received by Reviewed by
Signature Signature
Date Date
Remarks Remarks

APPLICATION FOR ACCREDITATION / p. 1 of

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