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Membership Form

This document is a regular membership application for Ayala Coop. It requests personal information from the applicant such as name, date of birth, contact details, employment information, and beneficiary details. The applicant agrees to subscribe to Ayala Coop shares and authorize salary deductions for capital contributions and loan payments. HR certification of the applicant's employment status is also required. Once approved, a membership ID number will be provided.

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Novey Casio
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1K views

Membership Form

This document is a regular membership application for Ayala Coop. It requests personal information from the applicant such as name, date of birth, contact details, employment information, and beneficiary details. The applicant agrees to subscribe to Ayala Coop shares and authorize salary deductions for capital contributions and loan payments. HR certification of the applicant's employment status is also required. Once approved, a membership ID number will be provided.

Uploaded by

Novey Casio
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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8F 111 Paseo de Roxas Bldg.

Paseo De Roxas cor. Legaspi Sts., Legaspi Village,


Ayala Coop Makati City
Tel. No.: 751-7991-92; 519-2939
Fax No.: 751-8004
REGULAR MEMBERSHIP APPLICATION
PERSONAL INFORMATION
Surname First Name Middle name
Name
Gender Male Female
(mm/dd/yyyy)
Date of Birth Marital Status Single Married
Name of Spouse Separated Widowed
Present Address
Owned Rented/Boarder Living with Parents/Relatives
Permanent Address
Mobile Number Home Phone Number
BPI/BFB Account No. SA CA Position
SSS ID No. Director/Executive Officer Supervisor Staff
Company Name Office Email Address
Office Address
Employee No. Personal Email Address
Date Hired Office Phone Number

APPLICATION TYPE

New Member Re - Activate Update Records


( e.g. change of status, address, etc. )
Transfer From ___________ To __________

FOR ACTIVE EMPLOYEE


CAPITAL BUILD-UP PLEDGE
I declare that the information herein above written is correct, futher I have read and understood the policies, rules, etc. of the Coop as contained in the
website and other communication channels of the Ayala Coop. I also agree to the terms and conditions therein contained.
I hereby subscribe to the Ayala Multi-Purpose Cooperative common shares at P500 per share and my contribution per payday for continued capital build-up is:

P100 / per payday ______________ (amount of your choice)


This serves as an authorization for salary deduction for capital contribution and any future loan amortization to be paid to Ayala Coop hereafter. I acknowledge
that I have read, understood and/or have been duly informed of the terms and conditions pertaining to the data privacy practices of the Coop as reflected in the
Coop’s Data Privacy Policy at www.ayalacoop.com and I hereby express my full conformity thereto.

_________________________________ ______
Signature over Printed Name of Applicant Date
BENEFICIARIES (Surname, First name, Middle name)
Fullname (Last, First, Middle) Date of Birth Relationship to the Member
1.
2.
3.
4.
*Disclaimer: If no beneficiaries nominated, Ayala Coop will follow the legal heirs based on hierarchy rule: spouse for married and parents for single member*

HRD CERTIFICATION AYALA COOP APPROVAL


(Please put a check mark on the employment status of Applicant) (To be filled out by AMPC)

I certify that the Applicant is a PERMANENT PROBATIONARY Membership ID No:


employee of
Date Approved in MLMS:
(Company Name)
Start Date of Salary Deduction:
Signature over printed name Date
HRD Authorized Officer Received by:
NOTE: Please send the accomplished form through email to [email protected]

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