Application for Regular Membership

QUEZON PROVINCIAL GOVERNMENT OFFICIALS AND EMPLOYEES MULTI PURPOSE COOPERATIVE (QPGOE MPC) GENES AGUILAR ST. CAPITOL COMPD., BRGY. 10, LUCENA CITY Tel. No. 911-57-14 Email add: qpgoe_mpc@yahoo.com SHARE SUBSCRIPTION AGREEMENT This Share Subscription Agreement (the “AGREEMENT”) is made this ____ day of ____________, by and between: QUEZON PROVINCIAL GOVERNMENT OFFICIALS & EMPLOYEES MULTI-PURPOSE COOPERATIVE, a cooperative duly registered with the Cooperative Development Authority under Certificate of Registration No. 9520-04001913, represented herein by its BOD Chairman, ____________________, by virtue of a Resolution of its Board of Directors, authorizing her to enter into this Agreement, with principal address at QPGOE MPC Bldg., Genes Aguilar St., Brgy. Provincial Capitol Cmpd., Lucena City, hereinafter referred to as “QPGOE MPC”; -And- ______________________________, of legal age, Filipino citizen, and a permanent employee of the Provincial Government of Quezon, with principal address at ______________________________, hereinafter referred to as “SUBSCRIBER”. 1. Subscription for Share Capital. Subject to the terms and conditions of this Agreement, on the date hereof, QPGOE MPC will issue to Subscriber, and Subscriber agrees to purchase from QPGOE MPC, __________ shares (the “Shares”) of QPGOE MPC’s share capital, Par Value of which is One Hundred pesos (Php 100.00) per share, and for which Subscriber agrees to pay in __________________ pesos (Php __________) per share, for a total purchase price of __________________ pesos (Php __________). 2. Subscription The Subscription of the Shares under this Agreement shall occur at the principal office of QPGOE MPC simultaneously with the execution of this Agreement by the parties or on such other dates as QPGOE MPC and Subscriber shall agree (the “Subscription Date”). That pending full settlement of the individual obligations of the Subscribers, the said Subscriber will be classified as “Associate Member”. Upon full payment of the subscribed shares, QPGOE MPC will deliver to Subscriber a certificate representing the Shares subscribed for the Subscriber (which shall be issued in Subscriber’s name) in exchange for the Consideration and from then will be reclassified as “Regular Member”. 3. Payment The Subscriber shall promise to pay the remaining purchase price for the subscribed shares according to the amortization schedule herewith attached and made an integral part hereof. That should any Subscriber fail to pay an installment that becomes due and payable; the entire balance of the Subscription shall become due and demandable.

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UAT TEST VERSION — DEVELOPMENT ONLY 1. I certify that the information and supporting documents I provide in this membership application are true, complete, and correct to the best of my knowledge. 2. I authorize QPGOE MPC to verify my identity, government employment, membership eligibility, references, and documents submitted in connection with my Regular Membership application. 3. I agree to comply with the applicable by-laws, policies, rules, membership requirements, contribution requirements, and lawful decisions of QPGOE MPC that apply to Regular Members. 4. I understand that submission of this application does not automatically guarantee approval of my membership. Final acceptance remains subject to review and approval by the authorized officers of QPGOE MPC. 5. I confirm that typing my complete legal name in the Electronic Signature field constitutes my electronic signature for this membership application and related membership acknowledgments. 6. I consent to the collection, use, verification, retention, and processing of the information contained in my application for membership evaluation, cooperative administration, regulatory compliance, audit, security, and official recordkeeping. 7. I understand that the Terms and Conditions applicable to Regular Membership are maintained separately from the QPGOE MPC Share Subscription Agreement. Acceptance of these Terms and Conditions does not replace the separate acceptance of the applicable Share Subscription Agreement. 8. I acknowledge that this version is being used only for Development/UAT testing and must not be treated as final Board-approved production content.

UAT TEST VERSION — DEVELOPMENT ONLY 1. Pinatutunayan ko na ang lahat ng impormasyon at mga dokumentong aking isinumite sa aplikasyon para sa pagiging kasapi ay totoo, kumpleto, at tama ayon sa aking kaalaman. 2. Pinahihintulutan ko ang QPGOE MPC na beripikahin ang aking pagkakakilanlan, trabaho sa pamahalaan, kwalipikasyon sa pagiging kasapi, mga sanggunian, at mga dokumentong isinumite kaugnay ng aking aplikasyon bilang Regular Member. 3. Sumasang-ayon akong sumunod sa mga naaangkop na by-laws, patakaran, tuntunin, kinakailangan sa pagiging kasapi, kinakailangang kontribusyon, at mga legal na pasya ng QPGOE MPC na naaangkop sa Regular Members. 4. Nauunawaan ko na ang pagsusumite ng aplikasyong ito ay hindi awtomatikong garantiya ng pag-apruba sa pagiging kasapi. Ang panghuling pagtanggap ay nakasalalay pa rin sa pagsusuri at pag-apruba ng mga awtorisadong opisyal ng QPGOE MPC. 5. Pinatutunayan ko na ang pag-type ng aking buong legal na pangalan sa Electronic Signature field ay magsisilbing aking elektronikong lagda para sa aplikasyong ito at sa kaugnay na mga pagkilala at pahintulot. 6. Pumapayag ako sa pangongolekta, paggamit, beripikasyon, pag-iingat, at pagproseso ng impormasyong nakapaloob sa aking aplikasyon para sa pagsusuri ng pagiging kasapi, pangangasiwa ng kooperatiba, pagsunod sa regulasyon, audit, seguridad, at opisyal na pagtatala. 7. Nauunawaan ko na ang Terms and Conditions para sa Regular Membership ay hiwalay na pinamamahalaan mula sa QPGOE MPC Share Subscription Agreement. Ang pagtanggap sa Terms and Conditions na ito ay hindi kapalit ng hiwalay na pagtanggap sa naaangkop na Share Subscription Agreement. 8. Kinikilala ko na ang bersyong ito ay ginagamit lamang para sa Development/UAT testing at hindi dapat ituring bilang pinal o Board-approved na production content.