7/26/2019 Union Profile

1/1

UNION PROFILE UPDATE FORM

Name of Union:

Official Address:

President:

Date of Assumption of Office:

Date of Expiration of Term of Office:

CONTACT INFO:

Phone No.: _________________ Fax No.:______________ Email Add.:______________________

Cellphone No: Globe: _________________ Smart: ___________________ Sun: _________________

Name of AgencyRegion:

Sector: __NGA __LGU __GOCC __SUC

Address:

Agency Head: Designation:

I f af f il iated to a National Confederation, Please state name:

Registered? ____Yes Registration No.: ____________________________ ____No

Date of Registration: ____________________________

Accredited? ____ Yes Accreditation No.: ____________________________ ____No

Date of Accreditation: ____________________________

With Existing CNA? ___Yes Registration No.: __________________________ ____No

Date of Expiration: __________________________

PROFILE OF MEMBERS:

Total No. of Board of Directors: ______________________ Male _________ Female ___________

Total No. of Officers: ______________________ Male _________ Female ___________

Total No. of Members (Incl. Officers and BODs) ________ Male _________ Female ___________