REB CREDIT COOP ERP MANAGEMENT SYSTEM

1. Loan Details

Loan Type *

Regular Loan Convenient Loan Emergency Loan

Loan Amount (₱) *

Loan Term *

Loan Purpose *

Description of Loan / Project *

Terms of Payment *

Monthly Gross Income (₱) *

Mandatory Membership & Residency Verification (₱2,500) *

Mandatory ₱2,500 Membership Equity & Retention Package

Service Receipt: SR-2026-089

Deduct ₱2,500 from Loan Proceeds (Net Proceeds = ₱47,500.00 for ₱50k Loan)

Initial ₱2,500 membership requirement will be automatically retained upon disbursement and stamped on official Service Receipt.

Paid ₱2,500 Before Loan Application (Net Proceeds = Full ₱50,000.00)

Recommended by Chairman: ₱2,500 was settled at Coop Cashier prior to filing. Release full loan proceeds.

Loan Computation & Mandatory ₱2,500 Breakdown REB Coop Standard Itemized Matrix

Description	Allocation / Breakdown	Amount
Gross Principal Loan Amount	Approved Principal	₱ 50,000.00
Less: Share Capital (CBU Contribution)	Mandatory Capital	— ₱ 1,000.00
Less: Retention Fund	Coop Guarantee	— ₱ 500.00
Less: Mutual Benefit Fund (MBF)	Member Insurance	— ₱ 500.00
Less: Membership Fee	One-time Admin Fee	— ₱ 500.00
Total Mandatory Deductions (SR-XXXX Stamped)	Flat Package	— ₱ 2,500.00
🏦 Net Proceeds Released to Member	(Actual Net Check / Cash)	₱ 47,500.00

Monthly Payment

₱ 0.00

Interest Rate

2.5% / month

Total Interest

₱ 0.00

Total Repayment

₱ 0.00

Month	Payment	Interest	Principal	Balance
TOTAL	₱ 0.00	₱ 0.00	₱ 0.00	—

⚠️ This is an estimated computation based on REB Credit Coop's standard fee structure. Final amounts are subject to approval by the CRECOM and Treasurer.

2. Personal Information

Membership Type *

Account / Member No. *

Savings Balance (₱)

Share Capital / Ret. Fund (₱)

First Name *

Middle Name *

Last Name *

Gender *

Male Female

Date of Birth *

Civil Status *

Religion *

TIN *

Contact Number *

Email Address *

Present Address *

Permanent Address *

3. Employment & Income

Employment Status *

Self-Employed Private Employee Government Employee Other

Work Designation *

Years of Service *

Name of Employer *

Employer's Address *

Other Source(s) of Income *

Business Name

Business Address

4. Family Information

Name of Spouse

Dependents & Relationship

5. Certification & E-Signature

I hereby apply for a loan in REB CREDIT COOPERATIVE. If this application is approved, I agree and pledge to abide by the rules and regulations set forth in the Articles of Cooperation and By-Laws of the Cooperative, as well as the specific terms and conditions of this loan agreement.

E-Signature *

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Loan Application Form