• NICO Membership Application

  • Welcome to NICO’s Membership Application Form!


    Thank you for your interest in becoming part of our cooperative.
    Please complete the form fully and accurately.

    To begin, simply choose the branch you wish to register with by clicking the branch options provided — this will help us process your application and connect you to your chosen branch.

    If you have any questions, feel free to contact the branch directly or call our hotline at 0919-818-2188.

    Let’s get started — we look forward to welcoming you as a NICO member!

  • APPLICATION FOR MEMBERSHIP

  • Date Filed
     / /
    2 digit month, 2 digit day, 4 digit year

  • I agree to faithfully and willingly

    • Obey the rules and regulations embodied in the Articles of the Cooperative and By-Laws of the associates, the decision of the General Assembly and those to the Board of Directors;
    • Attend Ownership meetings, seminars and trainings;
    • Participate in the savings program of the cooperative and other services and programs which the cooperative may offer;
    • Pay the membership fee of Two Hundred Pesos (P200.00
    • Contribute at least P125.00 per month for continuous Capital Build-up; and
    • Contribute at least% of the interest on capital and patronage refund due to me.

    I further agree to faithfully and willingly comply with the following Membership Subscription agreement:

    • Subscription of at least 40 shares of common stock.
    • Payment of at least P1,000.00 of the common stock subscribed.
    • Payment of the unpaid subscription (if any) within three (3) years.
    • Payment of two (2) percent interest per month of delinquency based on the unpaid subscription after the prescribed payment period of three (3) years.

  • CLIENT PROFILE

  • BIRTHDATE
     / /
    2 digit month, 2 digit day, 4 digit year
  • Mailing Address
  • Type of Address
  • Are you an IP?

  • Business/Employer Information/Occupation/Source of Income Business/Employer Name

  • Are you a farmer or farm owner?

  • Education

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Contacts and IDs

  • Format: (000) 000-0000.

  • Spouse Information

  • Date of Birth
     / /
    2 digit month, 2 digit day, 4 digit year
  • Date Hired
     / /
    2 digit month, 2 digit day, 4 digit year

  • Beneficiares and References

  • Beneficiary 1

  • Birthdate
     - -
    2 digit month, 2 digit day, 4 digit year

  • Beneficiary 2

  • Birthdate
     - -
    2 digit month, 2 digit day, 4 digit year

  • Beneficiary 3

  • Birthdate
     - -
    2 digit month, 2 digit day, 4 digit year

  • Character Reference 1

  • Format: (000) 000-0000.

  • Character Reference 2

  • Format: (000) 000-0000.

  • Other Information (For Farmers)

  • Techniques
  • Technolgy usage
  • Market
  • Purpose
  • No. of workers

  • Requirements & Proof of Payment

    Please upload clear photos or scanned copies of the following documents. All uploaded files will be securely stored for verification.

    • 2x2 ID Picture

    • Proof of Civil Status(Birth Certicate is single or marriage contract is married)              
    • 1 Valid ID (Government-issue)
    • TIN(Tax Identification Number) 
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
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  • Landbank
    Account No.: 000-339-0000-3392100821

    BPI
    Account No.: 009515-8038-39

    BDO Network Bank
    Account No.: 040090052277

    GCash
    (Bills Payment option)


    Please send a copy of your receipt after payment for confirmation. Thank you!

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