TREE CUTTING PERMIT APPLICATION

Application Number

asterisk(*) = Required Fields/ Kailangan lagyan ng impormasyon.

AGENCY

Agency Name*

PROJECT SITE ADDRESS

Province*

Municipality*

Barangay*

Cenro Office

Agency Complete Address*

Type of Project*

AUTHORIZED REPRESENTATIVE

Lastname*

Firstname*

Middlename*

Extension

Mobile Number*

Email Address*

REQUIREMENTS TO BE ATTACHED PURSUANT TO REPUBLIC ACT 11032 (EASE OF DOING BUSINESS) Note: Original copies of the documents still needs to be presented for review and evaluation of CENRO personnel. (KAILANGANG MGA DOKUMENTO AYON SA REPUBLIC ACT 11032 (EASE OF DOING BUSINESS) Palala: Ang mga orihinal na kopya ng mga dokumento ay kinakailangang isumite para sa pagsusuri at pagtatasa ng mga tauhan ng CENRO.)

Upload Duly accomplished Application Form (PDF Format)*

Upload LGU Endorsement/Certification of No Objection (PDF Format)*

Upload Approved Site Development Plan/Infrastructure Plan with tree charting indicating the geotagged location of individual trees affected by the project, to be numbered sequentially, as basis of validation by the DENR during actual cutting operations (PDF Format)*

Upload Environmental Compliance Certificate (ECC)/Certificate of NonCoverage (CNC), if applicable.(PDF Format)

Upload Free, Prior and Informed Consent (FPIC), if applicable (PDF Format)

Waiver/Consent of owner/s, if titled property, if applicable (PDF Format)

PAMB Clearance/Resolution, if within Protected Area (PDF Format)

Note: Please review your information and upload your supporting documents before submitting your application. Once submitted the Application, this form can no longer be updated. Please make sure you can be reached through the contact number you provided. A personnel from the Cenros Office will call you for verification of your Application. (Suriing mabuti ang iyong impormasyon at ikarga ang mga kinakailangang dokumento bago isumite ang iyong aplikasyon. Pagkatapos isinumite ang aplikasyon, hindi na maaaring baguhin ang form na ito. Siguruhing maaaring makontak sa pamamagitan ng ibinigay mong contact number. Tatawagan ka ng isang tauhan mula sa Tanggapan ng Cenros para sa beripikasyon ng iyong aplikasyon)

I hereby declare that the information provided is true and correct. I also understand that any willful dishonesty may render for refusal of this application

APPLICATION FOR ISSUANCE OF TREE CUTTING AND/OR EARTH BALLING PERMIT FOR

TREES AFFECTED BY PROJECTS OF NATIONAL GOVERNMENT AGENCIES