SUBSCRIPTION AGREEMENT

SA No.

KNOW ALL MEN BY THESE PRESENTS:

I, ,single/married, of legal age, a resident of

,hereby subscribes common/preferred shares of the authorized share capital of

cooperative duly registered and existingunder and by virtue of the laws of the Republic of the Philippines, with
principaloffice address at

In viewof the foregoing I herebypledge to subscribed ( )common/preferred shares with

the total amount of (P )payable
within_months/years for my continuous membership thereof.

Iunderstand that my failure to pay the fullsubscription on the termsstated above may affect my rights and the
status of my membership in accordance with the cooperative By Laws and cooperative laws
Done this at .,Philippines.

Name and Signature of Subscriber

CONFORME:

For the Cooperative