• Farmers Center, Puguis La Trinidad
  • ltvtp_mpc@yahoo.com
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Online Membership Application

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 *
Enter names of beneficiaries separated by a comma.

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 Aid 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.