SANGUIT UPLAND FARMERS MULTI-PURPOSE SANGUIT UPLAND FARMERS MULTI-PURPOSE
COOPERATIVE COOPERATIVE
SANGUIT, DUPAX DEL SUR, NUEVA VIZCAYA SANGUIT, DUPAX DEL SUR, NUEVA VIZCAYA
CDA Reg. No: 9520-1020000000025-193 CDA Reg. No: 9520-1020000000025-193
TIN No. 462- 259-262-000 TIN No. 462- 259-262-000
WITHDRAWAL SLIP Date: _________ WITHDRAWAL SLIP Date: _________
Received from the SANGUIT UPLAND FARMERS MULTI- Received from the SANGUIT UPLAND FARMERS MULTI-
PURPOSE COOPERATIVE PURPOSE COOPERATIVE
(Amount in words) (Amount in words)
Php. _______________________ Regular Savings Php. _______________________ Regular Savings
Savings Passbook No. _________ Time Deposit Savings Passbook No. _________ Time Deposit
RECEIVED BY: RECEIVED BY:
______________________________________ ______________________________________
(Depositor’s Signatures Over Printed Name) (Depositor’s Signatures Over Printed Name)
___________________ ___________________
Verified Verified
__________________ Thumb Mark __________________ Thumb Mark
Approved Approved
(If Cannot Write) (If Cannot Write)
This slip must bear authorized and be accompanied by This slip must bear authorized and be accompanied by
Depositor’ Saving’s Passbook) Depositor’ Saving’s Passbook)
SANGUIT UPLAND FARMERS MULTI-PURPOSE SANGUIT UPLAND FARMERS MULTI-PURPOSE
COOPERATIVE COOPERATIVE
SANGUIT, DUPAX DEL SUR, NUEVA VIZCAYA SANGUIT, DUPAX DEL SUR, NUEVA VIZCAYA
CDA Reg. No: 9520-1020000000025-193 CDA Reg. No: 9520-1020000000025-193
TIN No. 462- 259-262-000 TIN No. 462- 259-262-000
WITHDRAWAL SLIP Date: _________ WITHDRAWAL SLIP Date: _________
Received from the SANGUIT UPLAND FARMERS MULTI- Received from the SANGUIT UPLAND FARMERS MULTI-
PURPOSE COOPERATIVE PURPOSE COOPERATIVE
(Amount in words) (Amount in words)
Php. _______________________ Regular Savings Php. _______________________ Regular Savings
Savings Passbook No. _________ Time Deposit Savings Passbook No. _________ Time Deposit
RECEIVED BY: RECEIVED BY:
______________________________________ ______________________________________
(Depositor’s Signatures Over Printed Name) (Depositor’s Signatures Over Printed Name)
___________________ ___________________
Verified Verified
__________________ Thumb Mark __________________ Thumb Mark
Approved Approved
(If Cannot Write) (If Cannot Write)
This slip must bear authorized and be accompanied by
This slip must bear authorized and be accompanied by Depositor’ Saving’s Passbook)
Depositor’ Saving’s Passbook)
SANGUIT UPLAND FARMERS MULTI-PURPOSE SANGUIT UPLAND FARMERS MULTI-PURPOSE
COOPERATIVE COOPERATIVE
SANGUIT, DUPAX DEL SUR, NUEVA VIZCAYA SANGUIT, DUPAX DEL SUR, NUEVA VIZCAYA
CDA Reg. No: 9520-1020000000025-193 CDA Reg. No: 9520-1020000000025-193
TIN No. 462- 259-262-000 TIN No. 462- 259-262-000
I/We authorized M__________________________________ I/We authorized M__________________________________
Whose signature appears below, to received the amount Whose signature appears below, to received the amount
indicates on the reverse side of this Withdrawal Slip. indicates on the reverse side of this Withdrawal Slip.
__________________________________________ __________________________________________
Signature Over Printed Name of Authorized party Signature Over Printed Name of Authorized party
__________________________________________ __________________________________________
Depositor’s Signature Over Printed Name Depositor’s Signature Over Printed Name
RECEIVED AMOUNT OF Php.____________________ RECEIVED AMOUNT OF Php.____________________
______________________ ______________________
Verified VerifiedThumb Mark
______________________ ______________________
Approved (If Cannot Write) Approved (If Cannot Write)
________________________ ________________________
Recipient Recipient
SANGUIT UPLAND FARMERS MULTI-PURPOSE SANGUIT UPLAND FARMERS MULTI-PURPOSE
COOPERATIVE COOPERATIVE
SANGUIT, DUPAX DEL SUR, NUEVA VIZCAYA SANGUIT, DUPAX DEL SUR, NUEVA VIZCAYA
CDA Reg. No: 9520-1020000000025-193 CDA Reg. No: 9520-1020000000025-193
TIN No. 462- 259-262-000 TIN No. 462- 259-262-000
I/We authorized M__________________________________ I/We authorized M__________________________________
Whose signature appears below, to received the amount Whose signature appears below, to received the amount
indicates on the reverse side of this Withdrawal Slip. indicates on the reverse side of this Withdrawal Slip.
__________________________________________ __________________________________________
Signature Over Printed Name of Authorized party Signature Over Printed Name of Authorized party
__________________________________________ __________________________________________
Depositor’s Signature Over Printed Name Depositor’s Signature Over Printed Name
RECEIVED AMOUNT OF Php.____________________ RECEIVED AMOUNT OF Php.____________________
______________________ ______________________
Verified VerifiedThumb Mark
______________________ ______________________
Approved (If Cannot Write) Approved (If Cannot Write)
________________________ ________________________
Recipient Recipient
SANGUIT UPLAND FARMERS MULTI-PURPOSE
COOPERATIVE
SANGUIT, DUPAX DEL SUR, NUEVA VIZCAYA
CDA Reg. No: 9520-1020000000025-193
TIN No. 462- 259-262-000
DEPOSIT SLIP Date: _________
___________________
Verified
__________________ Thumb Mark
Approved
(If Cannot Write)
This slip must bear authorized and be accompanied by
Depositor’ Saving’s Passbook)
