APPLICATION FOR MEMBERSHIP

I, ________________________________ hereby apply for membership in the

_________________________________ cooperative, and agree to faithfully obey its rules and
membership meeting as well as those of the board of directors.
I have paid the required membership fee of _______(P_____).

Note: Membership for Savings: 150.00

For associate and regular members additional of 3,000.00 for CBU.
_______________
Signature of Applicant
MEMBER’S PROFILE
Member’s name
Contact number
Civil status
Date of Birth
Age
Address
Number of family How many boys:
members How many girls:
Tin number
Name of Dependents Age Relationship

This application was ( ) approved / ( ) disapproved by the board of Directors in this meeting held on
December 29,2022.
Type/kind of membership:
( ) Savings only ( ) Associate ( ) Regular
Prepared by: __________________
Secretary
Noted: ________________________
Chairperson
In case of Membership termination:
BOD Resolution number: 5- 2022 Date: December 29,2022