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Project Authorization
CIAP POCB form for project authorization
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: PHILIPPINE OVERSEAS CONSTRUCTION BOARD
5/F Executive Building Center, 369 Gil J. Puyat Ave. cor. Makati Ave., Makati City
Telephone Nos. 896-1833/896-4569; Email: POCB@dti.gov.ph
APPLICATION FOR OVERSEAS PROJECT AUTHORIZATION
POCB-F-SVD-006 || Rev. 0 || 19/11/2018
☐ PROJECT CONTRACT
NAME OF POCB REGISTERED COMPANY:
POEA LICENSE NO.*
☐ SERVICE CONTRACT
*ATTACH A CERTIFIED TRUE COPY OF YOUR POEA LICENSE
NAME OF PROJECT:
PROJECT LOCATION:
PROJECT OWNER:
GENERAL DESCRIPTION OF THE PROJECT:
☐ GOVERNMENT
☐ PRIVATE
GENERAL SCOPE OF WORK/SERVICE OF POCB REGISTERED
COMPANY:
CONTRACT PRICE (US DOLLARS):
CONTRACT DURATION:
COMPANY IS BIDDING ☐ NEGOTIATING ☐ AS:
☐ PRINCIPAL CONTRACTOR
☐ SUB-CONTRACTOR
NAME OF PRINCIPAL CONTRACTOR:
☐ PROJECT MANAGEMENT
NATIONALITY OF COMPANY:
☐ SERVICE CONTRACTOR
ADDRESS:
CONTACT PERSON:
DATE & PLACE OF BIDDING/NEGOTIATION:
OTHER FILIPINO COMPANIES BIDDING/NEGOTIATING FOR THE PROJECT:
PROFESSIONAL
CONTACT DETAILS:
ESTIMATED MANPOWER REQUIRED:
SKILLED
UNSKILLED
FILIPINO
NON-FILIPINO
TOTAL
In compliance with the provision of PD 1167 and its implementing rules and regulations, we hereby agree to the following:
1) refrain from bidding for or undertaking any overseas project without prior authorization from the POCB;
2) submit to regular monitoring, checking, verification, and evaluation of performance by the POCB;
3) submit regular reports and other information that the board may require
Signature Over Printed Name of Authorized Managing Officer
SUBSCRIBED AND SWORN TO BEFORE ME THIS _______ DAY OF ______________________, ______, AFFIANT EXHIBITING TO ME HIS/HER
RESIDENCE CERTIFICATE NO. A- _____________________________, ISSUED AT _____________________________ ON
_____________________, ________.
_______________________________
NOTARY PUBLIC
In accordance with the Data Privacy Act of 2012 (Republic Act No. 10173), the Philippine Overseas Construction Board (POCB) i s required to inform you that the
personal information that you will supply below shall be promptly processed for such purposes as are necessary to process your application. The information
that you will supply through this form shall be collected, recorded, organized and stored into a database, subject to updating or modification to maintain data
accuracy, and retrieval, use and consolidation as necessary for the purposes related to the mandate of POCB. Recipients of the personal information shall be
limited to CIAP-POCB with office address 5/F Executive Building Center, 369 Gil J. Puyat Ave. cor. Makati Ave., Makati City. The information processed will be
held by CIAP-POCS until such time as necessary. As data subject, you have the right to access and request for removal of your personal inf ormation, make
corrections to the same, and lodge a complaint before the National Privacy Commission for any violation of the Data Privacy Act. You agree to grant full rights to
use the images resulting from the photography/video filming obtained from any POCB, CIAP, DTI event coverage, and any reproductions or adaptations of the
images for publicity or other purposes to help achieve the organization’s aims. This might include (but is not limited to), the right to use them in their printed
and online publicity, social media and press releases.
