Republic of the Philippines

Department of Labor and Employment

NATIONAL CONCILIATION AND MEDIATION BOARD

Regional Branch No. __________

S U M M I S S I O N A G R E E M E N T

FOR EXPEDITED VOLUNTARY ARBITRATION PROCEDURES

Date _________________________

The parties herein, after exhausting the procedures of the grievance machinery, do hereby agree to adopt the expedited voluntary arbitration procedure pursuant to TVAAC Resolution No. 1, Series of 1999.

TO SUBMIT to arbitration the following issue/s:

________________________________________________________________________________________________________________________________________________________________________________________________________________________

TO DESIGNATE AND APPOINT ______________________________________________ as the voluntary arbitrator.

TO ABIDE BY and comply with the Decision/ Order / Resolution / Award of the Arbitrator on the issues submitted for arbitration and to accept the same as final and biding upon the parties herein.

TO PAY the arbitrator’s fees in accordance with the proportionate sharing scheme under the CBA and in the absence or insufficiency of funds, to avail of the subsidy pursuant to existing TVAAC guidelines.

EMPLOYER: ___________________________________________________________

Address: _______________________________________________________________

Telephone No. ________________________________ Fax No. ____________________

Represented by: ___________________________________ Position:_______________

UNION: ________________________________________________________________

Address: _______________________________________________________________

Telephone No. ________________________________ Fax No. ____________________

Represented by: ___________________________________ Position:_______________

CONFORME:

_____________________________ _______________________________

Union Management

_________________________

Voluntary Arbitrator

_________________________

Date Accepted