UNITED ARCHITECTS OF THE PHILIPPINES

THE INTEGRATED AND ACCREDITED PROFESSIONAL ORGANIZATION OF ARCHITECTS

7-TIME PRC’s MOST OUTSTANDING ACCREDITED PROFESSIONAL ORGANIZATION AWARDEE
UAP CORPORATE CENTER, 53 SCOUT RALLOS ST., DILIMAN, QUEZON CITY
TEL. NOS. (632) 888-9266 • MOBILE: 0999-226-2767 • FAX NO. (632) 3721796
EMAIL: uapnational@yahoo.com • WEBSITE: www.united-architects.org

• APPLICATION FORM AMNESTY PROGRAM •

TO APPLY FOR THE 2019 AMNESTY PROGRAM FOR PAST UAP NATIONAL ANNUAL MEMBERSHIP DUES AND THEIR
RESPECTIVE PENALTY CHARGES THIS FORM MUST BE PROPERLY FILLED-UP.

A. PERSONAL INFORMATION
FAMILY NAME FIRST NAME MIDDLE NAME

CURRENT PHOTO
BIRTHDATE (MM/DD/YYYY) BIRTHPLACE SEX CIVIL STATUS (1.5” X 1.5”; white background)

HOME / PERMANENT ADDRESS TEL NO/s. FAX NO/s.

FACEBOOK ID TWITTER ID SKYPE ID WEBSITE MOBILE NO/s.

NAME OF COMPANY AND ITS OFFICIAL ADDRESS TEL NO/s. FAX NO/s. EMAIL ADDRESS

DESIGNATION
B. MEMBERSHIP INFORMATION
UAP NUMBER PRC NUMBER
CHAPTER
AREA DISTRICT
SPECIALIZATION
CERTIFICATION
I ________________________________________ hereby apply for the 2019 AMNESTY PROGRAM FOR PAST UAP NATIONAL ANNUAL
MEMBERSHIP DUES AND THEIR RESPECTIVE PENALTY CHARGES based on my accounts as indicated below. As applicant, I have read and
understand the terms and conditions as indicated in this form and I agree to abide by these terms and conditions.

_______________________________________________ __________________________
Signature Over Printed Name of the Applicant Date

C. ACCOUNT INFORMATION
AMOUNT PAYABLE (National Dues)
Unpaid
Fiscal Year Required % Amnesty Net Payable
Penalty Total Fiscal Year
Annual Dues
2017-2018 600.00 300.00 900.00
2016-2017 600.00 300.00 900.00
2015-2016 600.00 300.00 900.00
2014-2015 600.00 300.00 900.00
2013-2014 600.00 300.00 900.00
2012-2013 600.00 300.00 900.00
2011-2012 600.00 300.00 900.00
2010-2011 600.00 300.00 900.00
2009-2010 600.00 300.00 900.00
2008-2009 500.00 50.00 550.00
2007-2008 500.00 50.00 550.00
2006-2007 500.00 50.00 550.00
2005-2006 500.00 50.00 550.00
2004-2005 500.00 50.00 550.00
Plus Annual Dues of FY 2018-2019 and Penalty (P600.00 + 300) P 900.00
TOTAL (must be paid on or before June 30, 2019)

Amount Due Paid on: ________________________ UAP Official Receipt No: ________________________________________
DON’T FILL-OUT THIS PORTION (FOR UAP NATIONAL ADMINISTRATION USE ONLY)
Verification of Information/Data Recommending Approval for Amnesty Approved by Data Encoded by

UAP National Admin – Membership Division UAP Secretary General UAP National Treasurer UAP National Admin – Membership Division
UAP MEMBERSHIP GENERAL INFORMATION
UAP CHAPTERS (as of January 31, 2019) GUIDELINES AND PROCEDURES ON AMNESTY PROGRAM
AREA A
PANGASINAN-DAGUPAN, BAGUIO, ILOCOS-CIUDAD FERNANDINA, LA
DISTRICT A1A
UNION, ILOCOS NORTE-LAOAG CITY, SUMMER CAPITAL, PANGASINAN
(NORTHERN LUZON)
SCALE, YLOCOS VIGAN, LA UNION-AGUILA, CORDILLERA The following are the guidelines and procedures on General
DISTRICT A1B
(PART OF
CAGAYAN VALLEY, ISABELA SIERRA MADRE, NUEVA VIZCAYA, Amnesty Program for Past UAP National Annual Membership
CAGAYAN NORTH
NORTHERN LUZON)
DISTRICT A2A NUEVA ECIJA CABANATUAN, BULACAN, BARASOAIN, STA. MARIA-
Dues:
(CENTRAL LUZON) BULACAN EAST, DEL PILAR-BULACAN, MALOLOS REPUBLIKA
ZAMBALES-OLONGAPO, TARLAC, PAMPANGA-SAN FERNANDO,
DISTRICT A2B
(PART OF CENTRAL
BALANGA-BATAAN, ANGELES CITY, SINUKWAN-PAMPANGA, CLARK • 1. Coverage
ANGELES CITY-ALAYA, CABALEN PAMPANGA • TARLAC – KUBLAHI •
LUZON)
PAMPANGA SAN FERNANDO CABALEN - CAMPAMPANGAN
DISTRICT A3
(QUEZON CITY-
QUEZON CITY, QC SILANGAN, QC CAPITOL, QC TANDANG SORA,
HONGKONG, QC CENTRAL, QC SOUTH TRIANGLE, LOS ANGELES
All interested UAP Members who are delinquent in the
NORTH)
DISTRICT A4
DILIMAN, NEW MANILA, CAMANAVA HILAGA, QC ELLIPTICAL, NOVA payment of their UAP Annual National Membership Dues
CENTRAL, KSA EASTERN PROVINCE , KSA WESTERN REGION KSA
(QUEZON CITY
SOUTH)
RIYADH, UAE DUBAI, UAE ABU DHABI, QATAR, KUWAIT, BAHRAIN, since membership with the UAP until Fiscal Year 2017-2018.
OMAN • CAMANAVA-AB BANTAYOG
RIZAL TAYTAY, PASIG, MARIKINA VALLEY, SAN JUAN MANDALUYONG,
DISTRICT A5
(METRO MANILA –
GREENHILLS, RIZAL EAST, CALIFORNIA SAN FRANCISCO, CALIFORNIA
116, RIZAL KALAYAAN 100, RIZAL CAINTA 101, SAN JUAN 2. Implementation Period
NORTH)
PINAGLABANAN, SOUTHERN CALIFORNIA

AREA B
The Amnesty Program shall be implemented beginning
DISTRICT B1
(MANILA NORTH)
MANILA ATELIER, MANILA SAMPALOC, MANILA METRO, MANILA
CENTRUM, MANILA ARCHIZONIAN, MANILA STA. MESA, SINGAPORE January 14, 2019 until June 29, 2019.
MANILA MAGS, MANILA MAHARLIKA, MANILA MAYNILAD, MANILA
DISTRICT B2 CORINTHIAN, MANILA INTRAMUROS, MANILA ALCALDIA, MANILA
(MANILA SOUTH) ILLUSTRADO, ONTARIO-CANADA, MANILA LA SOLIDARIDAD, BRITISH
COLUMBIA
3. Procedure for Availing the Amnesty Program for UAP
DISTRICT B3
(METRO MANILA –
MAKATI, MAKATI-CBD, PARAÑAQUE-PALANYAG, MAKATI GREENBELT,
ALABANG, CAVITE, FORT BONIFACIO, SHANGHAI, BRUNEI, LAS PIÑAS,
Annual National Membership Dues
SOUTH) MAKATI AYALA TRIANGLE, KUALA LUMPUR • GUAM-USA
DISTRICT B4
(SOUTHERN
QUEZON PROVINCE, SAN PABLO, LAGUNA, BATANGAS, PALAWAN,
MINDORO, LIPA • BATANGAS LAKESHORE a. Fill-up the UAP General Amnesty Application Form (See
TAGALOG)
DISTRICT B5
CAMARINES, LEGAZPI, IRIGA-RINCONADA, DARAGA-CAGSAWA, Annex A). The form can also accessed at the UAP
SORSOGON KASANGGAYAHAN, DAET-CAMARINES NORTE, TABACO,
(BICOL REGION)
CATANDUANES, MASBATE RODEO Official Website (www.united-architects.org)
AREA C b. Submit the Form to your respective Chapter President
DISTRICT C1 CEBU, DUMAGUETE, RAJAH HUMABON, BOHOL, LAPU-LAPU, SUGBU, for processing and payment of Chapter Dues.
(CENTRAL VISAYAS) CEBU LEON KILAT, METRO CEBU, FORT SAN PEDRO
DISTRICT C2
BACOLOD, NEGRENSE, MT. KANLAON
c. Submit the Form to UAP National Office as properly
(WESTERN VISAYAS)
DISTRICT C3 LEYTE, SAN JUANICO, LEYTE WEST, METRO TACLOBAN, SAMAR
endorsed by the Chapter President.
(EASTERN VISAYAS)
DISTRICT C4
SINIRANGAN
d. Pay the required dues pursuant to the table of payment.
ILOILO, CAPIZ, MARIKUDO, ANTIQUE, HAMILI, AKLAN
(PANAY ISLAND) e. Receive the Membership Certificate from the UAP
AREA D National for the Fiscal Year 2018-2019.
DAVAO, MOUNT APO, COTABATO, SOCSKSARGEN, DATU BAGO-
DISTRICT D1
DABAW, KADAYAWAN-DABAW, NORTH DAVAO , DAVAO ALPHA,
(SOUTHERN
MINDANAO)
BALLADAW DABAW, SINLAYAN-DABAW, SOUTH COTABATO 3. Terms and Conditions
KORONADAL
DISTRICT D2
(WESTERN ZAMBOANGA, ZAMBOANGA-CHAVACANO
MINDANAO) a. This program is made available to all UAP members
DISTRICT D3
(NORTHERN
CAGAYAN DE ORO, BUTUAN, SURIGAO, GOLD-CDO, METRO KAGAY-AN,
CDO BAY
who have arrears but have not availed of amnesty in the
MINDANAO)
DISTRICT D4
past. A member may avail of amnesty only once
(NORTHERN
MINDANAO)
ILIGAN CITY, DIPOLOG, OZAMIS CITY, PAGADIAN
throughout his/her UAP Membership.
b. The Amnesty Program shall apply to the UAP Annual
National Membership Dues only.
COMPUTATION
c. Those who will avail this amnesty may pay to their
respective chapters including their chapter annual dues
or must seek clearance from the chapter when payment
will be made directly at the UAP National Headquarters.
d. The UAP Membership Number of the delinquent UAP
Member who availed this Amnesty Program shall be
retained however will have a suffix of “0” after the UAP
Number indicating that said member has availed the
amnesty. Example: 12345-0
e. The Membership Status of the delinquent UAP Member
who availed the Amnesty Program shall start on the
Fiscal Year 2018-2019.

CHAPTER CERTIFICATION

I hereby certify that Arch. ______________________________

is a regular member of __________________________ Chapter
and has paid and settled his/her arrears and Chapter Dues for the
Fiscal Year _________________________. As such, I hereby
authorize him / her to directly pay his Annual UAP Membership Fee
UAP National Administration Office through the Amnesty Program.

___________________________________________ _________________
Signature over Printed Name of Chapter President/ Treasurer Date