COMMUNITY DEVELOPMENT COOPERATIVE

Welfredo Aquino St., Agdao Proper Agdao District, Davao City CDA Reg. No. 95 !""!!9 "9 C#N$!"!5""%&' (#N$!!)$"'"$5*) MEMBERSHIP APPLICATION FORM
Date: MBR No.: THE BOARD OF DIRECTORS COMMUNITY DEVELOPMENT COOPERATIVE S#R+,ADA,, # -ere.y apply to /e/.ers-ip in t-e COMMUNITY DEVELOPMENT COOPERATIVE and agree to o.ey fait-fully its RULES AND REGULATIONS as provided for in t-e Articles of Cooperation and 0y 1a2s and decision of t-e 3eneral ,e/.ers-ip Asse/.ly and t-ose of t-e BOARD OF DIRECTORS. I HEREBY PLEDGE TO WIT: ". . *. &. 5. ). %. '. Attend and co/plete t-e Prescri.ed ,e/.ers-ip 4ducation Se/inar 5P,4S6. Continually7 attend COOPERATIVE EDUCATION SEMINAR to internali8e t-e P9#1:S:P9;, Attend and co/plete t-e ANNUAL GENERAL MEMBERSHIP ASSEMBLY MEETING. (o develop 2it-in /e t-e -a.it of t-riftiness .y saving regularly to /y acccount. (o contri.ute to /y s-are deposits. (o pay t-e necessary ,e/.ers-ip <ee, P,4S <ees, and ot-ers as it /ay dee/ necessary. (o co/ply 2it- t-e MEMBERSHIP and SUBSCRIPTION AGREEMENT. (o pay all o.ligations required .y t-e CDC as -ereunder state to 2it= #nitial S-are Capital$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ ,ini/u/ Savings $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ Pass.oo> $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ #D Card $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ ,e/.ers-ip $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ 9. )!!.!! 5!!.!! 5!.!! 5!.!! "5!.!! ,!"0.00 , 20,

# understand and 2ill a.ide all policy, decisions and rules and regulations contained in t-is /e/.ers-ip and su.scription agree/ent. <or your consideration # -ere.y attac-ed /y infor/ation s-eet and affi?ed /y signature on t-e space as -erein provided. Re#o$$e%&e& '(:

Date Attended t-e P,4S+place

Signature :ver Printed Na/e

MEMBERSHIP SCREENING COMMITTEE APPROVAL)

C-air/an Regular ,e/.er

@ice$C-air/an

,e/.er Associate ,e/.er

#n case of 2it-dra2al of /e/.ers-ip ". ,e/.ers-ip <ee and ,ortuary Aid .enefit pre/iu/ are non$refunda.le . A 2it-dra2al of s-are capital s-all .e c-arged of 5A percent of t-e /e/.er is ter/inated REMINDERS Pay Directly to t-e C::P Cas-ier+Collections. De/and Al2ays an :<<#C#A1 R4C4#P( for every pay/ent /ade.

MEMBERSHIP AND SUBSCRIPTION AGREEMENT Date: The Board of Directors Community Development Cooperative Wilfredo Aquino St. Agdao Proper Agdao Davao City !entlemen: " a regular#associate mem$er of the Community Development Cooperative. " have completed the seminar prescri$ed for prospective mem$ers and " understand the purpose and o$%ectives of the Community Development Cooperative. "n connection &ith such mem$ership " here$y agree to the follo&ing terms and conditions: '. To comply &ith the provision of the Articles of Cooperation. The By (a&s and Policies set $y the Board the !eneral Assem$ly as &ell as acts of duly constituted authori)es and failures on my part to do so the Community Development Cooperative as its option may: a. *ine +for defaults, $. Suspend or c. -.pel me from mem$ership &hereupon all my shareholdings in shall $e ans&era$le for my lia$ilities to the fine of P and to ma/e up the activity " have missed. 0. To attend all regular and special meetings conference and seminars as required $y the Board of Directos and failure on my part to do so unless previously e.cused $y the Board to pay the fine of P and to ma/e up the activity " have missed. 1. To participate in the planned thrift and savings program $y: a. Su$scri$ing for shares +minimum of 23 shares, valued of S"4 567D8-D +P933.33, per share in paying for them either in lump sum or in regular installments. "f on installments to pay at least the value of one share upon approval $y the Board of my application for mem$ership and the $alance in regular monthly installment of +P , $. Contri$uting monthly the amount of +P , from my salary into my share capital. c. Contri$uting as &ell the amount of +P , monthly to my savings deposit. +*ailure on my part to comply &ith my financial o$ligation unless e.cused $y the $oard shall ma/e me lia$le for the fines and penalties in the amount of default as stipulated in the policies., 2. To pay the mem$ership fee of :7- 567D8-D *"*T; +'<3.33, <. To comply &ith the directives of the duly constituted authori)ed as &ell as the decisions of the Board regarding the operating policies of the Community Development Cooperative. The provisions of this agreement the Articles of Cooperative and By=la&s have $een e.plained to me and " understand them and agree to a$ide &ith all of them. "n all of the a$ove understanding " am a&are that the Board of Directors and Community Development Cooperative may impose sanctions against me or perform any acts necessary to ma/e the sanction +s, affective &ithout going to court. "n &itness hereof " have hereunto affi.ed my signature#right hand thum$ mar/ this day of 03 .

COMMUNITY DEVELOPMENT COOPERATIVE

Wilfredo Aquino St. Proper Agdao District Davao City

MEMBERS INFORMATION SHEET

8esidence: Place of Birth: Tel. 7o.: Benefeciaries: 7ame

Date of Birth:

Date of Birth

8elationship

-.perience in Cooperative: Training#Seminars in Cooperative: "nclusive Dates Course Description 7o. :f 5ours Place Conducted $y

Business Activities: Present: $. Previous: Civic Social and 8eligious Affiliation: +"ndicate Position 5eld,: :ther Sources of "ncome: Crop Production: >a%or: Secondary: (ivestoc/ Production: :thers: +"nclude "ncome of Spouse and Children, 5ave you ever $een accused or convicted of any crime? "f in the affirmative please specify: !ive the names and address of t&o relia$le persons &ho can vouch your character. C-8T"*"CAT":7 " here$y certify that the a$ove information is true and correct to the $est of my /no&ledge. Signed this day of 03 .

+Signature of >em$er, Signed in the Presence of: 8es. Cert. @:

"ssued on: "ssued at:

Draw the Sketch o the !ocat"o# o $o%r re&"'e#ce "# the (o)*

APPLICATION FORM FOR MEMBERSHIP ID 7ame: Date of Birth: Place of Birth: 5omes Address: Position: Telephone 7o.#Cell 7o.: Date of >em$ership: >em$ership 7o.: Blood Type: SSS 7o.#!S"S 7o.: PA!="B"! 7o.: P5"(5-A(T5 7o.: T"7 7o.: Per&o# to (e co#tacte' "# ca&e o e+er,e#c$*

" here$y certify that all DATA stated herein are true and correcy to the $est of my /no&ledge.

Signature of the >em$er