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9-B Filipino Overseas Volunteer Registration Form
PNVSCA registration form for foreign volunteers
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Republic of the Philippines
National Economic and Development Authority
Philippine National Volunteer
Service Coordinating Agency
G/F, Philippine Sugar Center Building
North Avenue, Diliman, Quezon City
Telefax: (632) 927-6847
Email Address: international@pnvsca.gov.ph
Form 9-B
Revised: October 2015
FILIPINO OVERSEAS
VOLUNTEER REGISTRATION
Reference. No: __________
Attach passport
size photo
_______________________
_____
1. Name of volunteer:
____________________________________________________
Surname
Given name
Middle name
2. Present address in home country:
___________________________________________________
VOLUNTEER’S ASSIGNMENT
TERMS AND CONDITIONS
__________________________________________________
Tel. nos.: ____________________________________________
E-mail address : _____________________________________
3. Date of birth (mm/dd/yr):________________________________
4. Place of birth: _______________________________________
5. Gender: ___________ 6. Civil status: __________________
If married, name of spouse: ______________________________
___________________________________________________
7. Previous international volunteer assignment/s:
Year
Duration
Sponsoring
IVSO
Country
8. Country of assignment: ______________________________
9. Name of host country partner organization:
_________________________________________________
Address of host partner organization:
_________________________________________________
_________________________________________________
1. Shall not engage in any job or activities resulting to
monetary or economic gain while doing volunteer service
overseas;
2. Shall not engage in any ad-hoc activity during the period of
assignment without approval of Host Country Partner
Organization;
3. Shall submit to PNVSCA copies of reports concerning
volunteer assignment;
4. Shall not solicit any contribution nor participate in any
political activities during the duration of volunteer
assignment;
5. Shall not leave the place of assignment without written
permission from the Host Country Partner Organization
and/or appropriate authority/ies;
6. Shall inform in writing the Host Country Partner
Organization and the volunteer sending organization when
he/she wishes to resign at least thirty (30) days prior to
effectivity thereof;
7. Shall return to the Philippines upon the end of assignment
as a development volunteer worker;
8. Shall report to PNVSCA upon completion of assignment for
de-briefing interview; and
9. Shall upon return to the Philippines endeavor to share my
volunteer experience/learning to either government or nongovernment institutions and organizations as a prerequisite for re-volunteering overseas; and.
10. Shall not act in violation of the rules and regulations
prescribed by the Host Country Partner Organization, the
volunteer sending organization and PNVSCA in accordance
with RA 9418 and its Implementing Rules and Regulations.
Name and designation of head of host country institution:
__________________________________________________
__________________________________________________
10. Project assisted: _____________________________________
__________________________________________________
11. Period of assignment :
Start: _____________________________________________
I hereby agree to comply with the abovementioned
terms and conditions of my volunteer assignment and to
fulfill such commitments to the best of my ability. I also
fully understand my responsibilities as a Filipino overseas
volunteer. Furthermore, I declare that the information
provided herein is true, correct and complete to the best of
my knowledge.
__________________________________
Volunteer’s Signature
End: ______________________________________________
Extension: _________________________________________
12. Volunteer sending organization: _________________________
__________________________________________________
13. Person to be contacted in case of emergency:
Verified and attested:
__________________________________
Printed Name, Designation & Signature of
Head of Volunteer Sending Organization
Approved:
Name/Relation: ______________________________________
Address/ Contact Nos.: _________________________________
JOSELITO C. DE VERA
Executive Director
___________________________________________________
Date: