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Republic of the PhilippinesDepartment of Agriculture

PHILIPPINE COUNCIL FOR AGRICULTURE AND FISHERIESApacible Hall, Department of Agriculture Compound,

Elliptical Road, Diliman, Quezon CityTel. No.: (02) 920-3995 locals 2615

Email address: namdac.pcaf@gmail.com

NATIONAL AGRICULTURAL AND FISHERIES MACHINERY ASSEMBLERS, MANUFACTURERS,IMPORTERS, DISTRIBUTORS AND DEALERSACCREDITATION AND CLASSIFICATION (NAMDAC) BOARD

LIST OF EMPLOYEES

(Please use additional sheet if necessary)Note: Agri-fisheries machinery suppliers shall engage services of at least one (1) Agricultural and Biosystems Engineers

_________________________________________________________________ SIGNATURE OVER PRINTED NAME OF COMPANY SECRETARY/HRD

Note: This form is only for the purpose of application for the NAMDAC Certificate of Accreditation (CoA). Any illegal use of this document will be penalized accordingly.

PCAFNAMDAC- F0RM-04Revision 01Eff. Date Feb. 2019

Name PositionHighest Educational

Attainment (indicate College course, if any)

Skills Contact Number

1.2.3.4.5.6.7.8.9.10.11.12.13.14.15.16.17.18.19.20.