• Farmers Center, Puguis La Trinidad
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Apply Online in Just a Few Steps. Fill out the application form below and make sure all required fields are completed.

 

Membership Type

Personal Information

We collect this information to process your membership application and provide cooperative services.

ID Picture
Maximum file size: 5 MB
First Name
Middle Name
Last Name
Suffix (e.g. Jr, Sr, III)
Date of Birth
Gender
Contact Number
Email Address
Civil Status
Name of Spouse
Educational Attainment
Occupation
TIN No.
SSS/GSIS No.

Permanent / Home Address

House No.
Street / Sitio
Barangay
Municipality
Province

Present Address: Is your Present Address the same as your Permanent/Home Address?

House No.
Street / Sitio
Barangay
Municipality
Province
Number of Years with Present Address
Address Type

Mother's Maiden Name

First Name
Middle Name
Last Name

Father's Name

First Name
Middle Name
Last Name

Employment Information

This helps us understand your financial capacity as a cooperative member.
Are you an EMPLOYEE or a BUSINESS OWNER

Name of Employer
Complete Company Address
Number of Years Employed
Annual Income
Other Sources of Income
Name of Business
Years in Business
Office Contact Number
Business Address
Annual Income
Business TIN Number

Primary Beneficiaries

In case of death or incapacity, these individuals may be entitled to your cooperative benefits.

Name of Beneficiaries

Emergency Contact Information

This information is collected for emergency contact purposes

Name
Contact Number
Relationship
Address

I hereby certify that all information provided in this form is true and correct to the best of my knowledge. I understand that any false statement may result in the denial of my application or termination of my membership.

As a member, I agree to the Member's Duties and Responsibilities.

I hereby give my consent to La Trinidad Vegetable Trading Post Multipurpose Cooperative (LTVTP-MPC) to collect, use, store, and process my personal information as provided in this membership application form, in accordance with the Data Privacy Act of 2012 and other applicable laws and regulations.

I certify that I have read, understood, and agree to the terms and conditions of the LTVTP-MPC Mutual Aid Fund, Health Aid Fund and Damayan Fund and I have been provided a copy of this agreement as dated below.

I hereby apply for membership with LA TRINIDAD VEGETABLE TRADING POST MULTIPURPOSE COOPERATIVE. I agree to faithfully observe and conform to its rules and regulations as stated in its by-laws, amendments thereof, and elsewhere, as well as the decisions of the general membership through the General Assembly and those of the Board of Directors.