Version 2.

1 – 05 February 2023 Revised Annex A

☐ Old ☐ New ☒ Returnee

(OFFICIAL LOGO OF THE ORGANIZATION)

Date

MR. REJIE BOY A. MINGMING

Lead Convener
LGBT Davao City Coalition

Through: MR. LOUIGIE BOY G. SALUDAR

Committee Chairperson
Recruitment and Membership Committee

Sir,

Greetings from (Name of the Organization)!

It is our desire and aspiration to submit our application to the LGBT Davao City Coalition. Thus, we are
respectfully submitting the following documents as required pursuant to RMC Resolution No. 2022-001
Amending Certain Provision of Implementing Rule No. 001, s. 2021, Providing a Specific Guidelines
for Submission of Organizational Membership / Accreditation of LGBT Organizations in Davao City
to the LGBT Davao City Coalition for Fiscal Year 2021 and Thereafter.

The following are the checklist of requirements hereto attached:

☐ Annex B (Individual Membership Forms)

☐ Annex C (Certification – List of Officers)
☐ Annex D (Action Plan)
☐ Annex E (Quarterly Accomplishment Report)
☐ Annex F (Updated Masterlist of Members as of ____________________)
 No. of Old Members ______
 No. of Removed Members ______
 No. of New Members ______
 Total Members with Complete Documents _____
☐ Annex G (Organizational Profile)
Other Documents:
☐ Constitution and By-Laws
For New Applicants Only
☐ Official Endorsement from Punong Barangay / Sangguniang Barangay (for Barangay-based
organizations)
☐ School Head (for School-based organizations)
☐ Endorsement from other Community-based Organizations (for community-based
organizations); or
☐ Head of Office (for company / industry-based organizations)

Should you have any concerns, you may contact Chapter Secretary in the person of Juana dela Cruz with
Contact Details 0998 123 4567 or the Official Email Address LGBTDCC.sampleorg@gmail.com.

We are pinning our hopes for your positive response for a wider participation and democratic space for LGBT
communities in Davao City.

Yours truly,

CHAPTER PRESIDENT

To be fill-out by the Treasurer: Date: __________________

TREASURER’S CERTIFICATION

This is to certify that the (Name of the Organization) has been paid the amount of Five Hundred pesos
(₱500.00) and ___________________________________________________ (₱ __________.00) for the ________
members of the said Organization with Official Receipt Nos. _____________ and _____________.

This certification is being for the Accreditation of the Organization for CY 2023.

NOLI M. CLOMA
Coalition’s Treasurer