Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 336 views

    National Commission On Indigenous Peoples

    Uploaded by

    Reginald Buduhan
    This document is a petition form for the identification, delineation, and recognition of an ancestral domain claim and the issuance of a Certificate of Ancestral Domain Title (CADT) in the Philippines. It collects information about the petitioner such as name, tribe, address, and authority to represent the community. It also requests details about the ancestral domain claim like the number of stakeholders, location, area in hectares, and any previous technical surveys that have been conducted. The petitioner and tribal leader signatures are required to certify the accuracy of the information provided in the petition.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    National Commission On Indigenous Peoples

    Uploaded by

    Reginald Buduhan
    336 views2 pages
    This document is a petition form for the identification, delineation, and recognition of an ancestral domain claim and the issuance of a Certificate of Ancestral Domain Title (CADT) in the Philippines. It collects information about the petitioner such as name, tribe, address, and authority to represent the community. It also requests details about the ancestral domain claim like the number of stakeholders, location, area in hectares, and any previous technical surveys that have been conducted. The petitioner and tribal leader signatures are required to certify the accuracy of the information provided in the petition.

    Original Description:

    National commission on n indigenous peoples form

    Original Title

    ncip-ado-form-ad-1

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is a petition form for the identification, delineation, and recognition of an ancestral domain claim and the issuance of a Certificate of Ancestral Domain Title (CADT) in the Philippines. It collects information about the petitioner such as name, tribe, address, and authority to represent the community. It also requests details about the ancestral domain claim like the number of stakeholders, location, area in hectares, and any previous technical surveys that have been conducted. The petitioner and tribal leader signatures are required to certify the accuracy of the information provided in the petition.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    336 views2 pages

    National Commission On Indigenous Peoples

    Uploaded by

    Reginald Buduhan
    This document is a petition form for the identification, delineation, and recognition of an ancestral domain claim and the issuance of a Certificate of Ancestral Domain Title (CADT) in the Philippines. It collects information about the petitioner such as name, tribe, address, and authority to represent the community. It also requests details about the ancestral domain claim like the number of stakeholders, location, area in hectares, and any previous technical surveys that have been conducted. The petitioner and tribal leader signatures are required to certify the accuracy of the information provided in the petition.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 2

    NCIP ADO FORM AD-1 ATTACH

    To be filed in 2 copies PASSPORT SIZE


    PICTURE

    Republic of the Philippines


    Office of the President
    NATIONAL COMMISSION ON INDIGENOUS PEOPLES
    Regional Office No. 12
    ________________________

    Petition No.
    Date:

    PETITION FOR IDENTIFICATION, DELINEATION AND RECOGNITION


    OF ANCESTRAL DOMAIN CLAIM AND FOR THE ISSUANCE OF
    CERTIFICATION OF ANCESTRAL DOMAIN TITLE (CADT)

    I HEREBY PETITION THIS COMMISSION FOR THE IDENTIFICATION


    DELINEATION AND RECOGNITION OF ANCESTRAL DOMAIN CLAIM AND FOR THE
    ISSUANCE OF CERTIFICATE OF ANCESTRAL DOMAIN TITLE, AND HEREBY DECLARE:

    1. CADT Applicant:

    2. Tribe/Ethnolinguistic Group:

    3. Representative:
    Surname Given/First Name Middle Name

    4. Address:

    5. Date of Birth: ____________ 6. Age: _____ 7. Civil Status: ________ 8. Sex: ______

    9.a. Nature of Authority:

    9.B. Date Given: _____________ 9.c. Body Giving Authority:

    Council of Leaders Council of Timuays Others

    9.d. Elders/Leaders/Timuays/Person who give authority:

    10. Number of Stakeholders: Communities _______ Clans _______ Families: ________

    Page 1 of 2
    If ancestral domain has been technically surveyed, please complete items 11.a, 11.b,
    11.c, 11.d and 11.e.
    11. Date of Survey 11.a. Survey Authority Number:

    11.b. Issuing Official 11.c. Designation

    11.d. Approving Official 11.e. Position

    12. Location of Ancestral Domain: _________________________________________

    _______________________________________________________________________

    13. Area: ____________________________________________ (_________) Hectares

    I hereby certify that the entries/statements made hereon are true and correct to the best of
    my knowledge.
    In witness whereof, I have hereunto set my hand this ____ day of _____________, 20____,
    at _______________________________________ Philippines.

    ___________________________
    Thumb Mark/Signature of CADT
    Authorized Representative

    CONFORME:

    ___________________________
    Tribal Leader/Elder/Chieftain/Datu

    Republic of the Philippines )


    ___________________________)SS
    ___________________________)

    SUBSCRIBED AND SWORN to before me this ___ day of ________________,


    20___, representative showing to me his/her Community Tax Certificate No.
    ___________________ issued on ________________ at ________________________,
    Philippines.

    ___________________________
    Officer Administering Oath

    Page 2 of 2

    You might also like