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Renewal Form

This document is a renewal application form for a loan from the Bukidnon Government Employees Multi-Purpose Cooperative (BUGEMCO). It requests personal information such as name, address, contact details, employment details, and financial information. It also asks the applicant to specify the type and amount of loan requested, the term, purpose, and how they will make payments. The applicant warrants the truth of the information provided and agrees any false information will void the application.

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jojomancao046
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100 views2 pages

Renewal Form

This document is a renewal application form for a loan from the Bukidnon Government Employees Multi-Purpose Cooperative (BUGEMCO). It requests personal information such as name, address, contact details, employment details, and financial information. It also asks the applicant to specify the type and amount of loan requested, the term, purpose, and how they will make payments. The applicant warrants the truth of the information provided and agrees any false information will void the application.

Uploaded by

jojomancao046
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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BUKIDNON GOVERNMENT EMPLOYEES MULTI-PURPOSE COOPERATIVE

(BUGEMCO)
RENEWAL APPLICATION FORM

BRANCH: _________________
Date Filed:
Type of Loan__________________
NAME: _____________ Amount applied: ________________________________
Civil Status: ___________Age: ______ Term of loan: _________________________________
Mother’s Maiden Name:_ ___________
Sex: ( ) Female ( ) Male Purpose of loan: ________________________________
Permanent Address: ____________________________________________________________________________
___________________________________________ ______________________________________________
Present Address: __________________________ Employer: BUGEMCO___________________________
___________________________________________ Employer Contact #: _____________________________
Contact #: __________________________________ Employment Status/Position Held: __________________
Email address: _____________________________ Business Name: _________________________________
Length of Coop Membership: ______.___________ Business Address: _______________________________
Name of Spouse: ___________________________
Spouse Occupation: _________________________
Contact No: ________________________________

Collateral/ Security Offered Source of Payment


___ Real Estate –REM ___ Savings/Time Deposit ___ Salary ___ Commission/Incentives
___ Vehicle- Chattel ___ Appliances ___ Pension ___ Income from business
___ ATM Deposit ___ None ___ Allotment ___ Financial Assistance
___ Others: ________________________________ Others: _____________________________

Mode of Payment Manner of Payment


___ Daily ___ thru Coop/OTC ___ PDC
___ Weekly ___ Collector ___ Auto-Debit
___ Semi-Monthly ___ Payroll deduction
___ Quarterly

I warrant for the truth and correctness of all data and information herein to the best of my knowledge.
I expressly submit to any credit investigation and hereby agree that any false information that will be discovered
will automatically cause the disapproval of this application.

_____________________________________ ________________________
Member- Borrower’s Name & Signature Date

IN THE EVENT OF THE APPROVAL OF MY MEMBERS PAYROLL BANK NO.


SIGNATURE OF APPLICANT
APPLICATION FOR___________, I HEREBY
AUTHORIZE BUGEMCO TO CREDIT MY LOAN
NAME OF BANK/BRANCH
PROCEEDS THROUGH MY PAYROLL BANK
ACCOUNT THAT I HAVE INDICATED ON THE RIGHT
BANK ADDRESS
PORTION

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