Application for Regular Membership

    Personal Information

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    ElementaryHigh SchoolVocationalCollegePost Graduate
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    Family Profile

    Household Member ( 1 )

    YesNo

    Household Member ( 2 )

    YesNo

    Household Member ( 3 )

    YesNo

    Household Member ( 4 )

    YesNo

    Household Member ( 5 )

    YesNo

    Real/Personal Property

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    RiceCornSugarcaneCoconut

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    BENEFICIARIES

    Beneficiary ( 1 )

    Beneficiary ( 2 )

    Beneficiary ( 3 )

    Occupational & Special Interest Skills

    Rice FarmingCorn FarmingSugarcane FarmingAbaca ProductionOrchard FarmingLivestock RaisingPoultry RaisingCarpentryMasonryWeldingPlumbingElectricalCabinet MakingFurnitureUpholsterySewingDressmakingTailoringEmbroideryCookingFood ProcessingBeauticianManicure/PedicureHair StylingBarberMassagerWatch RepairElectronic RepairHome Appliance RepairHandicraft MakingBag MakingMechanincIron WorksRecycling

    Membership in Other Cooperatives

    Member’s Subscription Agreement

    In connection with my membership to this Cooperative, I hereby subscribe 100 Common/Preferred Shares valued at One Hundred Pesos (P100.00) per share or equivalent to Ten Thousand (Php 10,000) Pesos on the following terms and conditions.

    1. I agree to pay the initial amount of at least Five Hundred (P500.00) Pesos upon subscribing and the balance payable in monthly installment until the whole subscription is fully paid. I agree that the unpaid balance of my subscribed capital is my liability to this Cooperative.
    2. I agree that I could guarantee/sell a portion of my share capital to any member with prior approval by the Cooperative. I agree that I could make claims to my share capital contribution upon termination of membership without pending obligation and subject to the Cooperative applicable policies, systems and procedure.

    Undertaking

    I hereby agree and certify that the above information is true and correct

    Attachment

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