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Sample nomination form — Pamana Parangal sa Manlilikhang Natatangi

DOT

Department of Tourism – Region III

PAMANA PARANGAL SA MANLILIKHANG NATATANGI

Official Nomination Form for Culture Bearers and Intangible Cultural Heritage (ICH) Practitioners. Please complete all required sections carefully and upload the necessary dossier documents, images, and video materials for evaluation by the jury members.

* Indicates required question

A. Nominee Information

Provide accurate personal details of the culture bearer or ICH practitioner.

1. Full Name *

2. Date of Birth *

3. Age *

4. Sex *

Male

Female

Others:

5. Home Address *

6. Contact Number *

7. Email Address (if applicable)

8. Ethnolinguistic Group (if applicable)

9. Locality/Province Represented *

B. Category of Nomination

Please select one primary domain of Intangible Cultural Heritage.

C. Nominator Information

Details of the Local Government Unit (LGU) representative submitting the nomination on behalf of their city or municipality.

1. Full Name *

2. LGU / Office *

3. Position / Role in the LGU *

4. Address *

5. Contact Number *

6. Email Address *

D. Nominee Profile and Qualifications (The Dossier)

Upload all mandatory dossier requirements and supporting digital materials via Google Drive links or direct uploads as specified.

Target Recognition Level *

Determine whether the culture bearer is nominated as a Master Artisan or an Emerging Artisan.

Master Artisan

Emerging Artisan

1. Proof of Identity *

Scanned digital copy of PSA Birth Certificate or valid government ID (.JPG or .PNG).

2. Bionote of the Nominee *

300–500 words in English or Filipino. Written in Google Docs, Times New Roman, single-spaced, 16pt title, 12pt body, A4 size.

3. Visual Evidence of ICH Transmission (Min. 10 photos) *

Prior photo documentation of workshops, apprenticeships, or community activities with source citations/attributions included.

Tip: You may also provide a Google Drive folder link containing all 10+ photos and captions below:

4. Two (2) Duly Accomplished Endorsement Forms *

Completed by people who know the culture bearer well — a family member, friend, neighbor, co-worker, or peer (DOT-III Template). It’s the LGU’s responsibility to collect these on the nominee’s behalf.

5. Video File (Documentation / Archival Footage & Interview) *

Includes required interview of the culture bearer focused on their practice, max 2 minutes, raw format encouraged.

6. Supporting Documents / Certificates / News Articles *

Scanned certificates from workshops, seminars, competitions won, or screencapped news articles (.JPG/.PNG).

7. Recent Profile Photo of Culture Bearer *

Portrait style, vertical format (formal shot or candid while working), submitted as .JPG or .PNG.

8. 1,500-Word Essay & Landmark Works Dossier *

Must include specific local name in title (e.g., “Ang Pagyabong ng Kulturang ‘Pamandukit’ sa Betis”), name of nominee, category, 2-3 landmark works with details, embedded images, transmission explanation, Times New Roman single-spaced, 16pt title, 12pt body, A4 size.

9. Additional Requirement for Chanting, Traditional Healing, or Ritual Performance (Conditional)

If applicable: Submit a 3-minute video featuring authentic performance demonstration, combining archival/recent footage, with narrated voice-over on cultural value and historical context.

E. Statement of Authenticity

Certification and agreement by nominator.

“I hereby certify that the information provided is true and correct to the best of my knowledge. I understand that all materials submitted will be used solely for the purpose of this recognition program.”

I agree to the Statement of Authenticity and certify that all uploaded documents and media are genuine and submitted with the nominee’s consent. *

Signature of Nominator (Full Name as Electronic Signature) *

Date *

F. For Official Use Only (To be filled out by the PAMANA Secretariat)

Date Received: __________________

Received By: __________________

Control No.: __________________

Completeness of Documents: ☐ Complete ☐ Incomplete

Remarks: __________________________________________________________________