STVPMPC PORTAL

Member Application Form
(NOTE: Please do not leave any blank space. If field is not applicable, please write “N/A”. Application processing will start only upon submission of all required documents)

Personal Information

First Name:

Last Name:

Middle Name:

Account Number:

Date of Birth:

Age:

Place of Birth:

Civil Status:

Gender:

No. of Dependents:

Educational Attainment:

Nationality:

Home Phone Number:

Mobile Number:

Email Address:

Facebook Account:

Present Home Address:

Status of Residency:

Length of Stay:

Permanent Home Address:

Status of Residency:

Length of Stay:

Previous Home Address:

Status of Residency:

Length of Stay:

Share Capital:

Saving Deposit:

Coop-Ipunan:

Time Deposit:

Other Deposit(1):

Other Deposit(2):

Are You related to any STVPMPC Officers or Employee?:

No:

Yes. Please provide name and relationship:

Employment / Business Information

Employer / Business Name:

Employee / Business Address:

Nature of Business:

Type of Employment:

Employment Status:

Rank:

Position:

Monthly Salary:

SSS / GSIS Number :

Tax Identification Number (TIN):

Date of Hire :

Length of Service:

Office Phone Number:

Office Email Address:

Immediate Supervisor / HR Contact Person :

Previous Employer :

Position :

Spouse And Family Information

First Name:

Middle Name:

Last Name:

Employer/Business Name :

Employer Business Address :

Position :

Monthly Salary :

Mobile Number :

Office Phone Number :

Email Address:

Facebook Account:

Are there other family member/ relatives who are members of STVPMPC?

No :

Yes. Please provide name and relationship. :

Expenditures Questionaire

Household Expenses

a. Food

b. Gasul

c. Electric Bill

d. Water Bill

e. Telephone Bill

f. House Amortization

g. Cable/Internet

h. Medical

i. Insurance

j. Credit Card

k. Payables

Total

School Expenses

a. Tuition Fee

b. Allowance

a. Others

Total

Member's Daily Allowance

a. Transportation

b. Food

c. Others

Total

TOTAL EXPENSES

Income

Monthly Income

Other Income

Please specify

Remittance

TOTAL INCOME

NETCASH

Membership Subscription Agreement

In connection with my membership to STVPMPC, I hereby subscribe Common/Preferred shares valued at One Hundred Pesos (Php 100.00) per share or equivalent to Pesos on the following terms and conditions:

1. I agree to pay the initial amount of at least One Thousand Pesos (Php1,000.00) upon subscribing and the balance payable in monthly installment of pesos until the whole subscription is fully paid. I agree that the unpaid balance of my subscribed capital is my liability to STVPMPC.
2. I agree that I could make claims to my total share capital contribution upon termination of membership without pending obligation and subject to STVPMPC’s applicable policies, systems and procedures.
3. I agree that in case of default in payment of loans, STVPMPC will have the right to terminate / offset my share capital after 3 months of loan maturity as payment to existing loan balance.

IN WITNESS WHEREOF, I have hereunto set my hand on this day of , 20 at , Philippines

Member Application Form(NOTE: Please do not leave any blank space. If field is not applicable, please write “N/A”. Application processing will start only upon submission of all required documents)

Personal Information

Employment / Business Information

Spouse And Family Information

Expenditures Questionaire

Membership Subscription Agreement

Member Application Form
(NOTE: Please do not leave any blank space. If field is not applicable, please write “N/A”. Application processing will start only upon submission of all required documents)