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    BLR Form No. 5 Series 2016 - Creation of Local Chapter

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    jbvnayu
    This document is an application for registration of a local chapter union with the Department of Labor and Employment. It requests information such as the name and address of the applicant organization and national union, the charter certificate details, and details of the local chapter such as its president, date organized, date of collective bargaining agreement ratification, and information about the company it represents such as the name, address, industry, and numbers of employees in bargaining unit and as union members. The president of the local chapter must attest to the truth of the information provided and the application must be notarized.

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    © All Rights Reserved
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    BLR Form No. 5 Series 2016 - Creation of Local Chapter

    Uploaded by

    jbvnayu
    102 views1 page
    This document is an application for registration of a local chapter union with the Department of Labor and Employment. It requests information such as the name and address of the applicant organization and national union, the charter certificate details, and details of the local chapter such as its president, date organized, date of collective bargaining agreement ratification, and information about the company it represents such as the name, address, industry, and numbers of employees in bargaining unit and as union members. The president of the local chapter must attest to the truth of the information provided and the application must be notarized.

    Original Description:

    DOLE Form to register a union

    Original Title

    BLR-Form-No.-5-Series-2016_Creation-of-Local-Chapter

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    This document is an application for registration of a local chapter union with the Department of Labor and Employment. It requests information such as the name and address of the applicant organization and national union, the charter certificate details, and details of the local chapter such as its president, date organized, date of collective bargaining agreement ratification, and information about the company it represents such as the name, address, industry, and numbers of employees in bargaining unit and as union members. The president of the local chapter must attest to the truth of the information provided and the application must be notarized.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    102 views1 page

    BLR Form No. 5 Series 2016 - Creation of Local Chapter

    Uploaded by

    jbvnayu
    This document is an application for registration of a local chapter union with the Department of Labor and Employment. It requests information such as the name and address of the applicant organization and national union, the charter certificate details, and details of the local chapter such as its president, date organized, date of collective bargaining agreement ratification, and information about the company it represents such as the name, address, industry, and numbers of employees in bargaining unit and as union members. The president of the local chapter must attest to the truth of the information provided and the application must be notarized.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    BLR Form No.

    5, Series 2016

    Republic of the Philippines


    DEPARTMENT OF LABOR AND EMPLOYMENT
    Regional Office No. ____

    APPLICATION FOR REGISTRATION OF CREATION OF LOCAL CHAPTER


    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 the legal personality of the local/chapter.

    Name of Applicant Organization Contact Nos.


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

    Name of Federation / National Union Contact Nos.


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

    Charter Certificate No. Date of Issuance

    Place of Operation of Union

    Name of President of Local/Chapter Contact Nos.


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

    Gender Male Female


    Padding

    Date of CBL Ratification (mm/dd/yyyy) Date o


    Date Organized (mm/dd/yyyy) Date of CBL Ratification (mm/dd/yyyy)

    Name of Establishment / Company Industry Classification Coverage of the Bargaining Unit


    (Pls. Refer to PSC in the TSSD)  Supervisory
     Rank and File
    Address  If Educational Institution:
    Teaching
     Non-Teaching
    No. of Employees in the Company No. of Employees in the Bargaining Unit No. of Union Members
    Male Male Male
    Female Female Female
    TOTAL TOTAL TOTAL
    padding

    I attest to the truth of the foregoing.

    ________________________________________________
    President
    (Signature over printed name)

    Subscribed and sworn to before me at ___________________________________________________, Philippines, this _______


    day of _________________ 20 _______ with I.D. No. __________________________________________issued by
    ___________________________________________________ on _________________________________.

    NOTARY PUBLIC

    Doc. No. __________


    Page No. __________
    Book No. __________
    Series of __________

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