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
Date
_________________________
The parties herein,
after exhausting the procedures of the grievance machinery, do hereby agree:
TO SUBMIT to
arbitration the following issue/s:
________________________________________________________________________________________________________________________________________________________________________________________________________________________
TO DESIGNATE AND
APPOINT ___________________________________ as the voluntary arbitrator or
the following as panel of arbitrators in this case.
1. __________________________________,
Chairman
2. __________________________________, Member
3.
__________________________________, Member
TO ABIDE BY and
comply with the Decision/ Order/ Resolution/ Award of the Arbitrator/Panel of
Arbitrators on the issues submitted for arbitration and to accept the same as
final and binding 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