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Application For Membership: Personal Data: First Name Middle Name Last Name

The applicant agrees to obey the rules and regulations of the cooperative as outlined in its bylaws and policies. They have paid the required membership fee of ₱________. The applicant pledges to initially subscribe to ____ shares worth ₱100 each, totaling ₱______, and to pay ₱______ as their initial paid-up capital in weekly/monthly/quarterly installments. Their application was approved/disapproved by the Board of Directors on __________.

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Reshel Bulcase
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101 views1 page

Application For Membership: Personal Data: First Name Middle Name Last Name

The applicant agrees to obey the rules and regulations of the cooperative as outlined in its bylaws and policies. They have paid the required membership fee of ₱________. The applicant pledges to initially subscribe to ____ shares worth ₱100 each, totaling ₱______, and to pay ₱______ as their initial paid-up capital in weekly/monthly/quarterly installments. Their application was approved/disapproved by the Board of Directors on __________.

Uploaded by

Reshel Bulcase
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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APPLICATION FOR MEMBERSHIP

I hereby apply for membership in __________________________________ .And agree to obey its rules
and regulations as set down in its by-laws, policies and the amendments thereof, likewise the decisions of the
body during general, regular and or special membership meetings.
I have paid the required membership fee of ₱ ___________only.
I also hereby pledge to subscribe initially_____share/s with a par value of one hundred pesos only (₱
100.00) with the equivalent amount of ____________________________________ (P _______) as my capital
stock of the said cooperative. Likewise, I swear to pay the amount of ___________________________ (₱
_________) equivalent to ____share/s as my initial paid-up capital. I promised to pay the balance of my
subscription weekly/monthly/quarterly/semi-annually or yearly installments.
____________________________________________________________
(Signature above Printed Name of the Applicant)
PERSONAL DATA:

FIRST NAME MIDDLE NAME LAST NAME


Present Address: ________________________________________________________________________________
Date OF Birth: ______________________________Civil status: _______________ Age: ______ Gender: ________
Place of Birth: _______________________________________________________Cell phone No.________________
Highest educational Attainment: ________________________________ Occupation: ________________________
Skills: __________________ Monthly Salary Rate: ________________ Other Income: ________________________
No. of Dependent: ____ Nearest Relative: _________________________________________ Relationship: ________
Ethnic Affiliation: ________ Organizational Affiliation: _______________
LIST OF DEPENDENTS/BENEFICIARIES:
NAME BIRTHDAY AGE RELATIONSHIP
1.
2.
3.
4.
5.
6.
7.
8.
This application is approved/ disapproved by the Board of Directors during the meeting held on_____________ at
______________________________________________.
Registration Fee: ___________O.R. No. _______________Transferred from: __________________
Date Issued: ______________Issued by: ______________ Account Number: __________________

Prepared by: Attested by:

____________________ ______________________
Secretary Chairman

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