27th NATIONAL STATISTICS MONTH

PLEDGE OF CONTRIBUTION

As support to the month-long celebration of the 27 th National Statistics

Month (NSM), the _____________________________ will contribute an
(Name of Agency)

amount of ___________________ to the common fund to cover the expenses

(Amount in Peso)

of the different NSM activities.

The check will be made available upon the signing of the Memorandum
of Agreement (MOA) on the Financial Requirements for the Activities of the 27 th
NSM.

_________________________________
(SIGNATURE OVER PRINTED NAME)

_________________________________
(DESIGNATION)

_________________________________
(DATE)

MEMORANDUM OF AGREEMENT
FINANCIAL REQUIREMENTS FOR THE ACTIVITIES
OF THE 27th NATIONAL STATISTICS MONTH (NSM)
KNOW ALL MEN BY THESE PRESENTS:
This Memorandum of Agreement entered into by and between the following
parties:
The PHILIPPINE STATISTICS AUTHORITY (PSA) Regional Statistical
Services Office 02, with principal address at City Hall Annex Building,
Enrile Boulevard, Carig Sur, Tuguegarao City, Cagayan, 3500, and
represented by its Regional Director, MARILYN T. ESTRADA;
and
The (NAME OF AGENCY) with principal address at (agency address)
and represented by its (Designation), (NAME OF AGENCY HEAD);
WHEREAS, under Presidential Proclamation No. 647, the National Statistics
Month (NSM) shall be held every October with the following two-fold objectives: (a) to
promote, enhance and instill nationwide awareness and appreciation of the importance
and value of statistics to the different sectors of the society; and (b) to elicit the
cooperation and support of the general public in upgrading the quality and standard of
statistics in the country;
WHEREAS, PSA Memorandum Circular No. 01-2016 dated 29 January 2016
enjoins all agencies of the government, local government units, academic institutions,
and the private sector at the national and subnational levels to actively participate in
and support the celebration of the 27th National Statistics Month in October 2016;
WHEREAS, the 27th NSM celebration shall have for its theme
Sustainable Development: Making Statistics Count;
WHEREAS, the above Memorandum Circular provided that the participating
agencies shall earmark funds for their respective agencies as well as common
activities for the 27th NSM;
WHEREAS, the Memorandum Circular provides among others, that
participating agencies shall be requested to contribute at least Fifteen Thousand
Pesos (P15,000.00) each, payable to Philippine Statistics Authority (PSA), to fund
all NSM inter-agency activities from preparatory work, celebration proper, to post
evaluation.

NOW, THEREFORE, for and in consideration of the foregoing premises, the

contracting parties hereby agree to the following:
1.

The (Name of Agency) shall contribute at least FIFTEEN THOUSAND

PESOS (P15,000.00) to cover the expenses for the 27 th NSM activities
which shall be made payable to PSA within 30 days from the signing of
contract; and
2. The PSA shall acknowledge receipt of funds, deposit the same with the
Bureau of Treasury in accordance with E. O. 338, series of 1996, andPage 1 of 3
utilize the funds for the purpose of the 27 th NSM celebration and subject
to existing accounting and auditing rules and regulations.

This Agreement shall take effect upon signing by the contracting parties.
Modifications may be made upon written consent of all parties.
IN WITNESS WHEREOF, the parties have hereto set their hands at the City of
______________ this ____ day of __________ 2016.

MARILYN T. ESTRADA
Regional Director
PSA RSSO 2

NAME OF AGENCY HEAD

Designation
Name
of
Agency

Signed in the presence of

_____________________________
Witness

_________________________
Witness

ACKNOWLEDGMENT
Republic of the Philippines
Tuguegarao City

)
) ss

BEFORE ME, this ____ day of _________ at ___________________,

Philippines, personally appeared Marilyn T. Estrada with ID No.___________issued
on _________________at ____________________ and Community Tax Certificate
No. ___________ issued on ___________, 2016 in ______________________,
known to me to be the same persons who executed the foregoing instruments and
acknowledged to me that the same is their free act and deed.
This instrument, consisting of (3) pages including this one on which the
Page 2 of 3
acknowledgment is written, has been signed on the left hand margin of each page
thereof by said parties and their instrumentals, and sealed with my notarial seal.
IN WITNESS WHEREOF, I have hereunto set my hand and seal on the day, in
the year and place above written.
Doc. no.
Page no.
Book no.
Series of

______________
______________
______________
______________

Page 3 of 3