For OADR Use Only

OADR Form No. 001

Date Received: _____________________

O.R. No. ___________________________
Certificate of Accreditation No. PAPO- ________
Date Issued:______________________________

Republic of the Philippines

Department of Justice
OFFICE FOR ALTERNATIVE DISPUTE RESOLUTION
2nd Floor DOJ Programs Building, Padre Faura, Ermita, Manila

APPLICATION FOR ACCREDITATION

as Private ADR Provider Organization (APO)
Application is hereby made for the accreditation as Private ADR Provider Organization (APO) as required under the Accreditation Guidelines and
Training Standards of the Office for Alternative Dispute Resolution (OADR). (Please prepare two (2) copies, including attachments).

ORGANIZATIONAL INFORMATION
Name
Nature of Office
Law Firm Partnership Others (Pls. specify)
Address
Address
Telephone No. Fax No.
E-mail Address Website Address
AUTHORIZED REPRESENTATIVE – INFORMATION
Name
Position Contact No. E-Mail Address

ACCREDITATION REQUIREMENTS (Please submit one (1) printout and one (1) saved in a CD or DVD)

Authorization of Representative of Private APO

Certificate of Registration from the Securities and Exchange Commission (SEC) or other relevant regulatory
agencies

Website address of the Private APO, which shall contain, at a minimum, the following information:

a. Basic information about the private APO

Company profile, including its track record

Statement defining the private APO’s mission and objectives
List of officers and directors
Contact information (office address, telephone, fax numbers and e-mail address)

b. ADR Services Offered

List and description of each ADR process offered

Process flow for each of these processes
Rules of procedure adopted for each ADR process
Enforcement mechanism for ADR outcomes
 c. Roster of Neutrals and Fees

Roster of accredited neutrals, with their corresponding professional resumés/curriculum vitae

Schedule of Fees
Qualification standards for neutrals

d. Ethical Standards/Recourse Mechanisms

Code of ethics/ethical rules adopted

Recourse mechanism for parties, in the event of complaints against neutrals

Complete printout (in letter-sized paper) of all the information contained in the website at the time the application is
filed.

Signed Commitment Form (OADR Form 002) that the private APO shall comply with the guidelines and standards
provided in OADR’s Statement of Principles for ADR Provider Organizations (Annex “A” of the OADR Accreditation
Guidelines) and the OADR’s Training Standards for ADR Practitioners

Copy of proposed training program that complies with Sections 24 to 29 of the OADR Accreditation Guidelines and
Training Standards for ADR Practitioners (If the APO intends to offer ADR training)

Date Signed Signature over Printed Name of Authorized Representative

REPUBLIC OF THE PHILIPPINES)

)S.S.

SUBSCRIBED AND SWORN TO BEFORE ME, this day of _____ 20____, for and in the City of
__________, affiant _______________________________________personally appeared and exhibited to me his/her I.D.
______________________ No. ________________________ issued on _______________ at
________________________.

Notary Public

Doc No. __________;

Page No. _________;
Book No. _________;
Series of 20_______.