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Carecu Application Form 1

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annbelle d loja
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0% found this document useful (0 votes)
5 views

Carecu Application Form 1

Uploaded by

annbelle d loja
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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CARAGA REGIONAL UNION COOPERATIVE (CARECU)

Poblacion, San Jose, Dinagat Islands


CDA Registration No. 9520-201600034446
TIN: 633-691-277-000

GENERAL INFORMATION
Name of the Cooperative: Acronym:
TAGO AGRO-BASED AGRICULTURE COOPERATIVE TABACO

Mailing Address: Owned


P-BAHAY, BARANGAY UNIDOS, TAGO, SURIGAO DEL SUR
Rented
Sponsored
Contact Numbers: 09600992400 Email Address:
anndlojaGmail.com

Tax Identification Number (TIN): CDA Registration Number:


622-902-911-00000 9520-101600033209

Number of Areas of Operation: Types of Services:


Branches:
Barangay Credit & Lending
Number of MALE:
Employees 5
Municipal Savings Deposit
FEMALE: l
City Consumer Retail
Number of Members MALE:
(Based on Sex) 32 District Marketing
FEMALE
25 Provincial Education

Number of Members REGULAR: Regional Producer


(Based on 57
Membership National Manufacturing
Classification)
ASSOCIATE: Others: Others, please
specify:
Type of Organization Community Institutional Farm Machinery Servicing
by Membership: (Open) (Close)

APPLICATION FOR MEMBERSHIP FORM 01

MANAGER’S PROFILE

Name: Rogelio T. Lacorte Jr

Birthdate: Sex: Marital Status:


April 23,1984 Male Married
Home Address:
P-Lower Mambago, Barangay Dayoan, Tago, Surigao del Sur

Contact Numbers: Email Address:


09709112378 [email protected]

Number of Years in the Cooperative: Number of Years as Manager:


2 2
CARAGA REGIONAL UNION COOPERATIVE (CARECU)
Poblacion, San Jose, Dinagat Islands
CDA Registration No. 9520-201600034446
TIN: 633-691-277-000

REPRESENTATIVE’S PROFILE
(Representing the Cooperative to CARECU)
Name:
ANNABELLE D. LOJA

Birthdate: Sex: Marital Status:


August 17,1972 Female Married

Home Address:
P-Bahay, Barangay Unidos, Tago, Surigao del Sur

Contact Numbers: Email Address:


09600992400 [email protected]

Number of Years in the Cooperative: Position/Designation in the Cooperative:


2 Chairperson

________________________________________________
Signature Over Printed
Authorized Representative

Checked by:

_______________________
Membership Committee

Approved by the Board of Directors pursuant to Resolution Number:


____________dated______________________________.

For the Board of Directors:

By:

JERNIE A. CABUSOG
Chairperson

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