Form No. Cr.

03

CAWAYAN II FARMERS MULTI PURPOSE COOPERATIVE 1x1

Brgy. Poblacion, San Francisco, Quezon picture

MEMBERSHIP NO: ____________

APPLICATION FOR MEMBERSHIP

I, ____________________hereby apply for membership in the Cawayan II Farmers Multi-

Purpose Cooperative. I agree to obey faithfully its rules and regulations as set down in its Articles of
Cooperation and By-laws, the decisions of the general membership meetings and those of the Board of
Directors.

I hereby pledge to:

1. Attend and finish the prescribed pre-membership education seminar;

2. Pay the membership fee of P 100.00;
3. Participate in the following savings program;
a) Subscribe for at least 50 shares and pay either in lump sum or installments, under the
terms and conditions prescribed in the Membership Agreement.
b) Contribute daily/ weekly/ bi-monthly/ monthly at least 2% of my monthly salary into the
share capital; and
c) Contribute into the share capital at least 50% of the annual interest on capital and
patronage refund due me; and
4. Comply with the membership and subscription agreements.

For your consideration, I do hereby attach my information sheet.

______________________________
Signature over Printed Name or Right hand Thumbmark
Of Applicant
__________________
Date
_______________________________
Place
PERSONAL DATA:

First Name: ___________ Middle Name: __________ _ Surname: ______________

Birthplace: ___________________________ Date of birth: __________ Civil Status: __________
Present Address: _______________________________________________________________
Occupation: _________________________________ ARB: ___________ Non- ARB: _________
Employer or office: ______________________ TIN No. ________________ Salary:
_______________Beneficiary: ____________________________________________ Relationship:
____________
Number of dependents: _________________________________________________________

This application for membership was ( ) approved ( ) disapproved by the Board of Directors in its
meeting held on ___________________________20_________.

Attested by:
___________________________________
Secretary to the Board of Directors

Prepared by: Noted by:

ROSALIE G. ELEAZAR SALVACION R. DUGAN LOIDA S. HILARIO

Treasurer/Loan Officer Manager Chairperson

“EARN AND SAVE THE COOPERATIVE WAY”

Form No. 04
MEMBERSHIP AND SUBSCRIPTION AGREEMENT

_______________
Date
The Board of Directors
Cawayan II Farmers Multi-Purpose Cooperative
Purok 4, Brgy. Poblacion, San Francisco, Quezon

Gentlemen:
I, ___________________________________, a resident of ________________________
_________________hereby agree to be a member of the Cawayan II Farmers Multi-Purpose
Cooperative. I have completed the training course prescribed for prospective members and I
understand the purpose and objectives of this Cooperative.
In connection with such membership, I hereby agree to the following terms and conditions:

1. To comply with the provisions of the Articles of Cooperation and By-laws and the
policies set by the Board of Directors, the General Assembly as well as act of duly
constituted authorities and failure on my part to do so, the cooperative, at its option,
may:
a. Fine
b. Suspend; or
c. Expel me from membership whereupon all my shareholdings shall be
answerable for my liabilities to the Cooperative.
2. To attend all meetings, conferences and seminars as required by the Board of Directors
and failure on my part to do so, unless previously excused by the Board, to pay the fine
of P__________ and to make up for the activity I have missed.
3. To participate in the planned thrift and saving program by:
a. Subscribing for at least 50 shares valued at P100.00 per share
and paying for them either in lump sum or in regular installments. If on
installments, to pay at least the value of 10 shares on or before the
organizational meeting and the balance upon approval by the Board of
my application for membership in regular monthly/ bi-monthly/
weekly/daily installments of.___________________;
b. Contributing to its share capital an amount equivalent to 2% of my
monthly income;
c. Contributing at least 5% of every loan granted me and at least 50% of
the annual interest and patronage refund due me;
d. Failure on my part to comply with my financial obligation, unless
excused by the Board of Directors, shall make me liable for a fine of 2%
a month on the amount in default.
4. To pay the membership fee of P100.00.
5. To comply with the directives of duly constituted authorities as well as the decisions of
the Board of Directors regarding the operating policies of the Cooperative.
....................................................................
....................................................................
The provisions of this agreement, the Articles of Cooperation and By-laws have
been explained to me and I understand them and agree to abide with all of them.
In all of the above undertakings, I am aware that the Board of Directors and the
cooperative may impose sanctions against me or perform any act necessary to make the
sanction(s) effective without going to court.
In witness hereof, I have hereunto affixed my signature/right hand thumb mark
this _____day of 20_________

____________________________________________
Signature over Printed Name or Right hand Thumbmark of Applicant