Membership Application Form - REB Credit Cooperative

ONLINE MEMBERSHIP APPLICATION

Pre-Membership Education Seminar (PMES) Orientation

Mandatory CDA Requirement: In compliance with the Cooperative Development Authority and REB Credit Cooperative bylaws, all prospective members must complete the Pre-Membership Education Seminar (PMES) orientation before submitting this application. Please watch the seminar video below with the official narration.

Duration: ~7 mins • 25 Slides • Official REBCC PMES Video Orientation

I hereby certify that I have watched and completed the Pre-Membership Education Seminar (PMES) and fully understand the rights, duties, and financial responsibilities of joining REB Credit Cooperative. *

1. Personal Information

First Name *

Middle Name

Last Name *

Gender *

Date of Birth *

Civil Status *

Contact Number *

Email Address *

TIN Number

Present Address *

Permanent Address *

2. Employment & Financial Information

Employment Status *

Designation / Position

Employer / Company Name

Employer / Business Address

Other Income Source

3. Primary Beneficiary

Beneficiary Full Name

Relationship

4. Mandatory Member Residency & Capital Build-Up (₱2,500.00)

In accordance with REB Credit Cooperative bylaws, member residency status is activated upon registration of the mandatory ₱2,500.00 Capital Build-Up package:

• Initial Share Capital (CBU): ₱ 1,000.00

• Mutual Benefit Fund (MBF): ₱ 500.00

• Loan Retention Fund: ₱ 500.00

• Membership / Admin Fee: ₱ 500.00

Total Member Residency Capital Requirement: ₱ 2,500.00

I hereby apply for membership in REB CREDIT COOPERATIVE, agree to the ₱2,500 member residency capital build-up requirement, and pledge to abide by the By-Laws and Articles of Cooperation.

RESILIENT EMBOLDENED AND BOUNTIFUL CREDIT COOPERATIVE (REBCC)