• MANATAL MULTI-PURPOSE COOPERATIVE MEMBER APPLICATION FORM

    MANATAL MULTI-PURPOSE COOPERATIVE MEMBER APPLICATION FORM

  • Format: (0000) -000-0000.

  • Specimen Signatures must be the same and identical to the one on the uploaded ID

  • RESIDENCE ADDRESS:

  • DATE OF BIRTH: (mm/dd/yyyy)*
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  • SEX:*
  • CIVIL STATUS:*
  • Date of Marriage*
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  • Spouse Information:

  • SPOUSE DATE OF BIRTH (mm/dd/yyyy):*
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  • Format: (0000)-000-0000.
  • EDUCATIONAL ATTAINMENT:*
  • LAND OWNERSHIP:*
  • ADDRESS:*
  • HOME OWNERSHIP:*

  • NAME OF PARENTS:

  • Rows
  • DO YOU HAVE VEHICLES:*
  • Rows
  • AGRARIAN REFORM BENEFICIARY: Are you a farmer?*
  • SOURCE OF INCOME:*
  • MONTHLY INCOME RANGE:*
  • Rows

  • RECOMMENDED BY:

  • BENEFICIARY: Hierarchy (if married—spouse & children; single—parents/siblings

  • Na ang aking idineklarang "beneficiary/ies" ay ang aking kahalili na siyang aking binibigyan ng lahat ng karapatan at tatayo bilang aking kinatawan sa lahat ng aking deposito, benepisyo, karapatan at pagmamay-ari mula sa Manatal Coop kailanma't ako ay wala ng kakaya-han o hindi na magawa ang anumang transaksyon sa Manatal Coop para sa aking sarili, lalo't higit sa sandaling ako ay pumanaw.
  • Rows

  • Life Saving Deposit (MAF / Insurance)

  • Ito ay Life Insurance, at ang pamilya ng miyembro ay maka-katanggap ng takdang halaga mula sa Insurance Provider ng ating kooperatiba. Batid ko na kailangan ko itong bayaran kada taon.
  • *

  • Care for Members Program (Abuluyan)

  • Ito ay sistemang "Abuluyan" at ang pamilya ng kasapi sa programang ito ay makakatanggap ng donasyon mula sa lahat ng kasapi sa programa.
  • *

  • QUESTIONS REQUIRED TO ANSWER:

  • MGA TUNGKULIN AT PANANAGUTAN BILANG MIYEMBRO:

  • 1. Kumpletuhin at palaguin ang Share Capital at Savings Deposit.
    2. Tangkilikin ang produkto at serbisyo ng Coop.
    3. Dumalo sa mga Trainings at Seminars.
    4. Dumalo sa General Assembly.
    5. Sumunod sa mga patakaran at alituntunin ng Coop.
    6. Tumulong sa pagpapalago ng Coop.
  • Lubos kong nauunawaan ang aking tungkulin bilang miyembyo.
  • I hereby certify that all information I have provided in this application is true and correct to the best of my knowledge. Any false information, omission, concealment, or misrepresentation shall be sufficient grounds for the denial of my membership application.

  • REMINDERS: If there's any changes in address, contact number and status please notify MANATAL COOP as soon as possible.

  • Landmark o palatandaan malapit sa tirahan:

  • KAHILINGAN SA PAGSAPI AT PANANAGUTANG KASUNDUAN

  • Ako, si G./Gng./Bb. {firstName} {middleName} {lastName} nakalagda sa ibaba nito, ay humihiling na maging kasapi ng Manatal Multi-Purpose Cooperative at ako ay nangangakong tutupad sa mga sumusunod: 

  • 1. Bayaran ang kasapiang butaw (Membership Fee) na may halagang Php500.00.
  • 2. Magbayad ng itinakdang Saping Puhunan (Share Capital).
  • 2.1. Na, ang aking nauunawaan na ang Saping Puhunan ay salaping taya.
  • 2.2. Na, ang nasabing Saping Puhunan ay hindi ko maaaring kuhanin o non-withdrawable maliban na kung ako ay titiwalag na bilang kasapi.
  • 2.3. Na, hindi ko kukuhanin ang Saping Puhunan nang paunti-unti o partial withdrawal.
  • 2.4. Na, kung sakaling dumating ang panahon na kailangan kong kuhanin ang aking Saping Puhunan, ako na bilang kasapi ay kailangang sumulat sa Lupon ng Patnugutan 60 araw patiuna para sa kanilang pag-sang-ayon.
  • 2.5. Na, aking nauunawaan na sa oras na kuhanin ko ang aking Saping Puhunan, ako ay awtomatikong kuma-kalas bilang kasapi ng Kooperatba at ang lahat ng pribilehiyo at benepisyo bilang isang kasapi ay aw-tomatikong mawawala.
  • 2.6. Na, bilang isang kasapi na may gulang na LIMAMPU'T SIYAM (59) na taon pababa ay obligado kong bayaran ang aking Life Saving Deposit (Mortuary Assistance Contribution - Insurance Premium) taun-taon na may halagang APAT NA RAANG PISO (Php400.00).
  • 2.7. Na, pananagutan ko na magsadya sa opisina ng Kooperatba upang punuan o bayaran ang anumang kakulangan sa aking taunang kontribusyon sa Life Saving Deposit (Mortuary Assistance Program).
  • 2.8. Na, pananagutan ko na magsadya sa opisina ng Kooperatiba upang punuan o bayaran ang anumang kakulangan sa aking taunang kontribusyon sa Care for Members Program (Abuluyan).
  • 2.9. Na, kung ako ay may pagkakautang o pananagutan ng lagpas na sa takdang panahon (past due), ako ay kusang loob na sumasang-ayon na kuhanin ng Kooperatiba ang aking Salaping Lagak (Deposits) at iba-yad sa aking pagkakautang na hindi na kailangang bigyan pa ng abiso.
  • 2.10. Na, kung ako bilang kasapi ay patuloy na lalabag sa mga alituntunin ng pagbabayad ng pananagutan, ang Patnugutan ay may karapatan na ako ay itiwalag sa ating Kooperatiba ng hindi na kailangang bigyan pa ng abiso.
  • 2.11. Na, kung ako bilang kasapi ay makikisangkot o masasangkot sa anumang hakbang laban sa Kooper-atiba, ang Patnugutan ay may karapatan na ako ay itiwalag sa ating Kooperatiba ng hindi na kailangang bigyan pa ng abiso.
  • 3. Makilahok sa palatuntunan na pag-iimpok gaya ng Pagpapalaki ng Saping Puhunan (Capital Build-Up) / Savings & Time Deposit.
  • 3.1. Tuparin ang pagbabayad ng Ipinangakong Saping Puhunang Bibilhin (Subscribed Capital).
  • 3.1.1. Associate Member - Bilang ng Subscribed Capital (Preferred Share / minimum of Php4,000.00) na nagkakahalaga ng Php100.00 bawat sapi (share) na magsisimula sa ika- ng hanggang ika-ng
  • 3.1.2. Na, kung sakaling ako ay maging kwalipikado bilang Regular Member batay sa itinakdang polisiya ako magsubskribe ng Common Share.
  • 3.2. Sumunod sa itinakdang polisiya ng Pangasiwaan ukol sa nabanggit na pag-iimpok ayon sa sumusunod:
  • 3.2.1. Hindi kukulangin sa limang porsyento (5%) ng salaping naiutang kung ang Saping Puhunan ay wala pang Php 16,000.00;
  • 3.2.2. Hindi kukulangin sa dalawang porsyento (2%) ng kinikita kung ang Saping Puhunan ay wala pang Php 16,000.00;
  • 3.2.3. Hindi kukulangin sa limampung porsyento (50%) ng interes ng Saping Puhunan at Balik-Tangkilik kung ang Saping Puhunan ay wala pang Php 16,000.00.
  • 4. Dumalo sa lahat ng pagpupulong, panayam at pag-aaral na itinakda ng Patnugutan at ang hindi ko pagtupad dito ng walang sapat na dahilan ay nangangahulugan na ako'y mumultahan, masususpindi o matitiwalag sa kooperatiba sang-ayon sa pasya ng Patnugutan nang hindi na kailangang bigyan pa ng abiso ang isang kasapi.
  • Ang mga pasubali sa kasunduang ito at mga alituntuning panloob at artikulo ng kasapian ay naipaliwanag sa akin. Ito ay malinaw kong naunawaan at sumasang-ayon ako sa lahat ng patakaran.
  • Sa lahat ng nabanggit sa itaas, batid ko na ang Lupon ng Patnugutan ng Kooperatiba ay maaaring magtakda ng anumang kaparusahan laban sa akin nang hindi na kinakailangang magdaan sa hukuman.
  • Pinatutunayan ko at inilalakip ang aking lagda ngayong ika- ng 20 dito sa tanggapan ng Manatal Multi-Purpose Cooperative sa Bunsuran 2d, Pandi, Bulacan.

  • KAHILINGAN SA PAGSAPI AT PANANAGUTANG KASUNDUAN

  • Ako, si G./Gng./Bb. {firstName} {middleName} {lastName} nakalagda sa ibaba nito, ay humihiling na maging kasapi ng Manatal Multi-Purpose Cooperative at ako ay nangangakong tutupad sa mga sumusunod: 

  • 1. Bayaran ang kasapiang butaw (Membership Fee) na may halagang Php500.00.
  • 2. Magbayad ng itinakdang Saping Puhunan (Share Capital).
  • 2.1. Na, ang aking nauunawaan na ang Saping Puhunan ay salaping taya.
  • 2.2. Na, ang nasabing Saping Puhunan ay hindi ko maaaring kuhanin o non-withdrawable maliban na kung ako ay titiwalag na bilang kasapi.
  • 2.3. Na, hindi ko kukuhanin ang Saping Puhunan nang paunti-unti o partial withdrawal.
  • 2.4. Na, kung sakaling dumating ang panahon na kailangan kong kuhanin ang aking Saping Puhunan, ako na bilang kasapi ay kailangang sumulat sa Lupon ng Patnugutan 60 araw patiuna para sa kanilang pag-sang-ayon.
  • 2.5. Na, aking nauunawaan na sa oras na kuhanin ko ang aking Saping Puhunan, ako ay awtomatikong kumakalas bilang kasapi ng Kooperatiba at ang lahat ng pribilehiyo at benepisyo bilang isang kasapi ay awtomatikong mawawala.
  • 2.6. Na, bilang isang kasapi na may gulang na LIMAMPU'T SIYAM (59) na taon pababa ay obligado kong bayaran ang aking Life Saving Deposit (Mortuary Assistance Contribution - Insurance Premium) taun-taon na may halagang APAT NA RAANG PISO (Php400.00).
  • 2.7. Na, pananagutan ko na magsadya sa opisina ng Kooperatiba upang punuan o bayaran ang anumang kakulangan sa aking taunang kontribusyon sa Life Saving Deposit (Mortuary Assistance Program).
  • 2.8. Na, pananagutan ko na magsadya sa opisina ng Kooperatiba upang punuan o bayaran ang anumang kakulangan sa aking taunang kontribusyon sa Care for Members Program (Abuluyan).
  • 2.9. Na, kung ako ay may pagkakautang o pananagutan ng lagpas na sa takdang panahon (past due), ako ay kusang loob na sumasang-ayon na kuhanin ng Kooperatiba ang aking Salaping Lagak (Deposits) at ibayad sa aking pagkakautang na hindi na kailangang bigyan pa ng abiso.
  • 2.10. Na, kung ako bilang kasapi ay patuloy na lalabag sa mga alituntunin ng pagbabayad ng pananagutan, ang Patnugutan ay may karapatan na ako ay itiwalag sa ating Kooperatiba ng hindi na kailangang bigyan pa ng abiso.
  • 2.11. Na, kung ako bilang kasapi ay makikisangkot o masasangkot sa anumang hakbang laban sa Kooperatiba, ang Patnugutan ay may karapatan na ako ay itiwalag sa ating Kooperatiba ng hindi na kailangang bigyan pa ng abiso.
  • 3. Makilahok sa palatuntunan na pag-iimpok gaya ng Pagpapalaki ng Saping Puhunan (Capital Build-Up)/ Savings & Time Deposit.
  • 3.1. Tuparin ang pagbabayad ng Ipinangakong Saping Puhunang Bibilhin (Subscribed Capital).
  • 3.1.1. Regular Member
    Bilang ng Subscribe Capital (Common Share / minimum of Php 12,000.00) ________ na nagkakahalaga ng Php1,000.00 bawat sapi (share) na magsisimula sa ika-_______ ng ________ hanggang ika-_______ ng ________ at Preferred Share / minimum of Php4,000.00) na magsisimula sa ika-_______ ng ________ hanggang ika-_______ ng ________
  • 3.2. Sumunod sa itinakdang polisiya ng Pangasiwaan ukol sa nabanggit na pag-iimpok ayon sa sumusunod:
  • 3.2.1. Hindi kukulangin sa limang porsyento (5%) ng salaping naiutang kung ang Saping Puhunan ay wala pang Php 16,000.00;
  • 3.2.2. Hindi kukulangin sa dalawang porsyento (2%) ng kinikita kung ang Saping Puhunan ay wala pang Php 16,000.00;
  • 3.2.3. Hindi kukulangin sa limampung porsyento (50%) ng interes ng Saping Puhunan at Balik-Tangkilik kung ang Saping Puhunan ay wala pang Php 16,000.00;
  • 3.2.4. Magdagdag ng APAT NA LIBONG PISO (Php4,000.00) kada taon hanggang umabot sa kategorya bilang Ruby Regular Member na may Common Share na Php12,000.00 at Preferred Share na Php4,000.00;
  • 3.2.5. Na, kung sakaling umabot na bilang Ruby Regular Member ako ay nangangako na magdadagdag ng hindi bababa sa Isang Libong Piso (Php1,000.00) kada taon hanggang umabot bilang Emerald member na may Common Share na Php30,000.00 at Preferred Share na Php10,000.00.
  • 4. Dumalo sa lahat ng pagpupulong, panayam at pag-aaral na itinakda ng Patnugutan at ang hindi ko pagtupad dito ng walang sapat na dahilan ay nangangahulugan na ako'y mumultahan, masususpindi o matitiwalag sa kooperatiba sang-ayon sa pasya ng Patnugutan nang hindi na kailangang bigyan pa ng abiso ang isang kasapi.
  • Ang mga pasubali sa kasunduang ito at mga alituntuning panloob at artikulo ng kasapian ay naipaliwanag sa akin. Ito ay malinaw kong naunawaan at sumasang-ayon ako sa lahat ng patakaran.
  • Sa lahat ng nabanggit sa itaas, batid ko na ang Lupon ng Patnugutan ng Kooperatiba ay maaaring magtakda ng anumang kaparusahan laban sa akin nang hindi na kinakailangang magdaan sa hukuman.
  • Pinatutunayan ko at inilalakip ang aking lagda ngayong ika-________________ ng ________________ 20____ dito sa tanggapan ng Manatal Multi-Purpose Cooperative sa Bunsuran 2nd, Pandi, Bulacan.

  • PINAGTIBAY:

  • DATA PRIVACY CONSENT FORM

  • By signing this document, I voluntarily grant my consent to Manatal Multi-Purpose Cooperative (hereinafter referred to as the "Cooperative") to collect, store, and utilize my personal infor-mation, including my account details and transaction records. I acknowledge and understand that any information I provide, wheth-er submitted personally or through an authorized representative, shall be processed exclusively by the Cooperative or its duly author-ized personnel for legitimate and specified purposes as detailed herein.
  • I understand that the handling of my information shall strictly adhere to the provisions of Republic Act No. 10173, otherwise known as the Data Privacy Act of 2012, and all related rules and regulations issued by the National Privacy Commission.
  • I further understand that "Personal Data" refers to any infor-mation from which my identity may be directly or reasonably ascer-tained, such as my full name, address, birthdate, contact details, signatures, photographs, or when combined with other available information. This also includes sensitive personal information, such as my race, ethnic origin, age, sex, digital contact info, place of birth, occupation/position and employer (if employed), name and nature of business (if any), home ownership, parents name, marital status, marriage date, spouse information (such as name, date of birth, occupation and contact number), education, religious or politi-cal affiliations, Agrarian reform beneficiaries and location of farm-land, Monthly income bracket, social categories, recommended by, beneficiaries, health condition, photocopy of my valid ID, infor-mation concerning any legal proceeding or offense involving me, and government-issued identifiers, includi including my Tax Identification Number, Social Security System number, Pag-ibig number, Phil-health Number, or similar identification numbers.
  • I agree that the Cooperative may collect, process, and use my personal data for the following purposes:
    1. To administer, manage, and process my membership, accounts, and/or services availed;
    2. To perform identity verification, customer due diligence, and validation procedures, including Know-Your-Customer (KYC), Anti-Money Laundering (AML), and fraud prevention measures, as well as to verify the authenticity of documents and information submitted by me;
    3. To conduct credit investigation, background checking, risk scoring, and assessment of my fina financial capacity, eligibility, and suitability in relation to membership, loans, and and other fi-nancial products or services offered by the Cooperative;
    4. To facilitate official communications, including notices, disclo-sures, statements, service advisories, and d other relevant relev info mation through various communication channels, and to en-hance customer experience through service monitoring, quality assurance, and feedback mechanisms;
    5. To ensure compliance with all applicable laws, rules, regula-tions, circulars, and issuances of relevant authorities, including but not limited to the Cooperative Development Authority (CDA), Bureau of Internal Revenue (BIR), Credit Information. Corporation (CIC), as well as accredited agencies and service providers, including reporting, disclosure, and record-keeping requirements;
    6. To conduct data analytics, statistical analysis, customer profil-ing, and research for product development, service improve-ment, and business planning purposes;
    7. To detect, prevent, investigate, and respond to fraud, unauthor-ized transactions, or any unlawful activities, and to enforce the Cooperative's legal rights and remedies
    8. To promote, market, and offer the Cooperative's products and services, including conducting marketing campaigns, surveys, and promotional activities through various communication plat-forms, in accordance with applicable data privacy laws and subject to my consent where required.
  • 9. To process and administer employment-related records and information, including payroll, benefits, performanceevalua-tion, compliance with legal and regulatory requirements, audit, and other legitimate human resource functions, in the event that I am presently employed or may hereafter be em-ployed by the Cooperative.
  • I understand that the Cooperative is required by law to collect and submit certain personal data to government agencies such as the Cooperative Development Authority (CDA), Bureau of Internal Revenue (BIR), Credit Information Corporation (CIC), and the Anti -Money Laundering Council (AMLC) to comply with its legal and regulatory obligations.
  • I acknowledge that the Cooperative shall keep my information. strictly confidential and shall not use it for purposes other than those stated above without my separate consent, unless otherwise permitted by law. The Cooperative shall retain my personal data for a period of twenty (20) years following the termination of my mem-bership or closure of my account, or for such longer period as may be required by law, necessary for the resolution of any claim, or throughout the duration of any litigation. Notwithstanding the fore-going, physical copies 1 copies of my data shall be securely destroyed within five (5) years from the date of termination. However, where a law or regulation mandates a longer retention period, the Cooperative shall comply strictly for only as long as such mandate remains in effect.
  • I understand that during such retention period, my data shall be kept secure and processed solely for the purposes oses to which I have consented or as otherwise permitted by law. Upon the expiry of the applicable retention period, the Cooperative shall securely destroy or permanently anonymize my data.
  • I understand and agree that the Cooperative shall not be re-quired to provide separate notice upon the deletion, destruction, or permanent anonymization of my personal data following the expiга-tion of the applicable retention period.
  • I understand that, in the event I am presently employed or may hereafter be employed by the Cooperative, all personal information, employment records, payroll data, performance evaluations, disci-plinary records, benefits information, government-mandated contri-butions, and other employment-related documents pertaining to me shall likewise be subject to the same confidentiality, processing, retention, and disposal policies stated herein;
  • I have been fully informed of my rights as a data subject under the Data Privacy Act of 2012 with respect to my personal infor-mation. I may exercise these rights by contacting the Cooperative's Data Protection Officer (DPO) through the Cooperative's office.
  • Notwithstanding the foregoing, I understand that if exercising any of my right under the Data Privacy Act of 2012 directly pre-vents the Cooperative from meeting a legal obligation, performing its contractual duties, or completing a pending investigation, the Cooperative may decline a request for deletion or continue pro-cessing my data. Likewise, should the exercise of my rights render the maintenance of my membership or the provision of services impracticable, the Cooperative reserves the right to terminate my account following the issuance of reasonable prior notice. The Co-operative shall bear no liability for any refusal to act, continued processing of data, or termination of services carried out in good faith and in compliance with applicable law.
  • I further certify that I have read and fully understood the fore-going terms and conditions, and I hereby voluntarily consent to, agree with, and accept the same by affixing my signature below.
  • Signed at the office of Manatal Multi-Purpose Cooperative.
  • Date
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