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PCAB-PAD-CMO-F01
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PHILIPPINE CONTRACTORS ACCREDITATION BOARD

CHANGE OF AUTHORIZED MANAGING OFFICER

APPLICATION
REQUIRED ITEMS

The following pertinent documents and information shall be submitted in support of Change AMO of PCAB license application.(Applicant may Initially fill
out the check boxes subject for final validation by PCAB/DTI-ROG pre-screener)
A. LEGAL

In behalf of ____________________________________________________________________________
(Name of Firm)
holder of Contractors License No. ________, originally issued on ______________ and last renewed during
the CFY 20__ - 20__ , I hereby request for change of Authorized Managing Officer (AMO) as follows:

From :

Name
____________________________________

Nationality
________________________________

To

____________________________________

________________________________

I hereby certify to the completeness of the information/documents contained in this application appertaining
to the category/classification the company is applying for and that they are true and correct.
I am fully aware that:
1. all documents submitted in support of this application are subject to verification before PCAB action;
2. any discovered misrepresentation of information and/or manifestations of fraud on the application
documents submitted by my firm applicant or its Authorized Representative/Agent/Liaison Officer shall
be subjected to investigation which may result to the disapproval of my application,
denial/suspension/revocation of license and blacklisting of my firm and myself as its Authorized
Managing Officer; and
3. unconfirmed information/documents submitted to support my firm's qualifications will be excluded
for categorization/classification purposes.
_______________________________
Authorized Managing Officer
(Signature over Printed Name)
Republic of the Philippines )
Province of ______________)
City/Municipality of ___________) S.S
SUBSCRIBED AND SWORN TO before me this ________ day of ___________________ 20____ at
______________________; affiant exhibited to me his Community Tax Certificate No. _______________
issued at __________________ on _________________ 20 ___.
Doc. No.
Page No.
Book No.
Series of 20 __.

NOTARY PUBLIC
(Until December 31, _______)

CHANGE OF AMO LICENSE APPLICATION

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PCAB
PCAB-PAD-CMO-F01
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Eff. Date
11/8/2010
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For Corporations or Associations with foreign shareholders, the following documents shall be submitted:
1. Corporate Secretarys Certification as follows:
a. List of stockholders showing their nationalities and shareholdings; and
b. List of Board of Directors showing their names and nationality.
2. Copy of latest General Information Sheet duly filed with SEC showing the names of stockholders and directors, nationality and
shareholdings.
The percentage control of the number of seats occupied by foreigners in the Board of Directors shall not exceed 40%.

CHECLIST OF REQUIREMENTS:

Complied
Yes

No

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5. Original copy/certified true copy by the BID of the Alien Certificate of Registration (ACR)
& valid working visa.

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6. Certified copy latest General Information Sheet submitted to SEC. (for corporations
only)
Note: Photo/xerox copies of documents may be submitted provided that original
documents are Presented for comparison to PCAB.
B. OTHERS
B.1. Original Signature of AMO on each and every page of the application forms including
Supporting documents.
B.2. The Board may require the AMO interview and submission of pertinent documents/information
other than the above in order to fully determine the qualifications of the applicants;
B.3. New AMOs/Applicants shall be required to take the AMO Examinations except category
TRADE applicants.
B.4. Self-stamped envelopes (One self stamped mailing envelope is required for each supporting
document submitted), or a prepaid courier pouch.
B.5. Applicants interested to participate in government projects should accomplish Application for
Registration and Classification of Contractor for Government Infrastructure Projects(PCABPAD-ARC-F01) and file the same together with the PCAB Application Form.
B.6. Accomplished Affidavit for Firms Authorized Representatives

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1. AMO Nomination / Original Corp. Secretary's certificate as to the

nomination of the AMO(Page 4 of 5);
2. AMO Affidavit (Page 3 of 5) with a passport size picture of AMO;
3. Original NBI Clearance of Filipino Authorized Managing Officer (AMO) and
non-Filipino AMO who has resided in the Philippines for six (6) months or longer;
4. Certified true copy of NBI Clearance Equivalent for non-Filipino AMO/RAR
duly authenticated by the Phil. Embassy in the home country of the AMO/RAR;

FOR PCAB/ DTI-ROG USE ONLY

N/A

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No. of Prescreening

Prescreening Results

2nd
3rd

Republic of the Philippines )

Province of ______________
)
City/Municipality of ___________
I,

Filed

[ ] Comply lacking items as listed in the Remarks

Accepted
[ ] Comply lacking items as listed in the Remarks
Accepted
[ ] Comply lacking items as listed in the Remarks
Accepted

1st

SURNAME
DD

Born on
REMARKS:

YYYY

ST. # & NAME

LETTER / at:
ITEM NO.
and residing

[ ]
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COMMENTS:

Pre-screener / Date

[ ] PCAB Makati [ ] DTI-ROG

[ ] PCAB Makati [ ] DTI-ROG
[ ] PCAB Makati [ ] DTI-ROG

) S.S.
FIRSTNAME

MM

PCAB
PCAB-PAD-CMO-F01
Revision
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Eff. Date
11/8/2010
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MIDDLE NAME

Single / Married
to
BARANGAY

SURNAME
DISTRICT

FIRSTNAME
CITY/MUNICIPAL

MIDDLE NAME
PROVINCE

ZIPCODE

Having duly sworn in accordance with law depose and say:

1. That I am the Authorized Managing Officer of :
________________________________________________________________________________
(Name of firm)
2. That I possess the following educational attainments (attach additional sheet if necessary)

AMO AFFIDAVIT
NAME OF SCHOOL

ADDRESS

COURSE

INCLUSIVE DATES

Recent Photo
Passport Size

3. That I possess at least two (2) years experience in the construction industry as follows (Ref. Sec. 20 of
IRR of R.A. 4566) (attach additional sheet if necessary)
DESIGNATION /
POSITION

COMPANY / NATURE
OF BUSINESS

ADDRESS

JOB DESCRIPTION

DATES OF
EMPLOYMENT

4. That I possess knowledge of the building, safety, health , & lien laws of the Republic of the Philippines
& the rudimentary administrative principles of construction contracting from my work experiences in item 3
above and from the following training/seminars (Ref. Sec. 20 of IRR of R.A. 4566):
5. That I am not involved in any construction malperformance suggestive of negligence, incompetence or
malpractice or any act of omission liable for disciplinary action by myself or in collaboration with any other
person (Section 4.2 of IRR of R.A. 4566)
6. That I have not been convicted by a court of competent jurisdiction of any offense involving moral turpitude
(Rule (Section 4.2 of IRR of R.A. 4566)
7. That I am fully aware that my failure to notify PCAB of my disassociation with my present employer shall
cause my disqualification to be an Authorized Managing Officer, a Sustaining Technical Employee or a
license applicant with PCAB .
8. That I authorize the PCAB to verify and investigate any or all information in this instrument from whatever
sources PCAB may consider appropriate
That I certify under pain of perjury that all information on this affidavit are true and correct.
FURTHER AFFIANT SAYETH NAUGHT.

_________________________________
Affiant
SUBSCRIBED and sworn to before me this _____ day of _________________, 20___ affiant exhibited his/her
Community Tax Certificate No. __________ issued at _____________________ on ________________.
Doc. No.
Page No.
Book No.
Series of 20__

NOTARY PUBLIC
Until December 20__

SECRETARYS CERTIFICATION

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(for Corporation/Cooperatives only)

PCAB
PCAB-PAD-CMO-F01
Revision
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Eff. Date
11/8/2010
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Republic of the Philippines )

Province of _____________ )
City/Municipality of ________) S.S
I,

SURNAME

and residing at:

ST. # & NAME

FIRSTNAME
BARANGAY

MIDDLE NAME
DISTRICT

CITY/MUNICIPAL

PROVINCE

ZIPCODE

do hereby certify, in my capacity as the duly elected and incumbent Corporate Secretary of
______________________________________________________________________________
(Name of firm)
DD MM YYYY
CITY / MUNICIPALITY OF MEETING
Held
That during its regular meeting held on
at
Wherein a quorum was present , the following resolution was unanimously approved, to wit:

AMO NOMINATION

"R E S O L V E as it is hereby resolved that

_______________________________________________________________________,
(FIRSTNAME

MIDDLENAME

SURNAME)

a senior executive who has been granted the power to render general management and
administrative decision, be appointed as the firm's Authorized Managing Officer to act on
all matters concerning the requirements of the PCAB and implementation of R.A. 4566 as
amended by P.D. 1746."

In WITNESS WHEREOF, I have hereunto affixed my hand this ___________ day of ______ 200___, in
______________________________, Philippines.
_________________________________
Corporate Secretary
(Signature Over Printed Name)

SUBSCRIBED and sworn to before me this ________ day of _______ 20___ affiant exhibited to me his/her
Community Tax Certificate. No. ____________ issued on _____________ at ________________________.

Doc. No.
Page No.
Book No.
Series of 20 __.

NOTARY PUBLIC
Until December 20 ____

AFFIDAVIT OF REPRESENTATIVE

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PCAB
PCAB-PAD-CMO-F01
Revision
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Eff. Date
11/8/2010
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Republic of the Philippines)

Province of _____________ )
City/Municipality of ________) S.S
I, _______________________________, of legal age, Filipino, married/single with postal
address at ____________________________________, after having been sworn to in accordance
with law, hereby depose and say:
1. That I am the Proprietor/Authorized Managing Officer (AMO) of
______________________________________________________________________;
(Name of Firm)
2. That I appoint ____________________________, whose picture and signature appear
below, to transact business with PCAB; i.e., present for pre-screening my application for
contractors license or any application related thereto, file/follow-up, submit documents,
receive notices/license in connection with the said application and the like.

Passport Size Photo

Most Recent
Taken within the last six
months prior to application
of PCAB license

Representative Signature over printed

Address: _______________________
_______________________________

3. That I am aware that I am responsible/liable for any or all acts/representation made by my

Type of Application:
(Pls. check)
representative
in connection with the functions stated herein.
New
Upgrading
4. That I undertake to notify PCAB in the event that this appointment is modified, amended or
Renewalrevoked.
Others, pls. specify
_______________________

______________________________________
AFFIANT
(Authorized Managing Officer of Firm)
SUBSCRIBED and sworn to before me this ______ day of ____________, 20___, affiant exhibited
his/her Community Tax Certificate No. _______________ issued at ___________ on
___________________.
Type of Application: (Pls. check)
New
Upgrading
Type of Application: (Pls. check)

Renewal
Type
of Application: (Pls. check)
New
Type
of
Application:
check)

Others,
specify

New
Upgradingpls.(Pls.
New
_______________________

Renewal
Upgrading
Upgrading
Renewal
Others, pls. specify
Renewal

Doc.
No.
_______________________
Others,
Others,
specify

specify
Page
No.pls. pls.
_______________________
Book
No.

Series of 20 __.

NOTARY PUBLIC
Until December 20 ____