MAGIS CREDIT COOPERATIVE UPDATED INFORMATION SHEET
Series of 2021
Data Protection Consent Declaration
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I AGREE AND I GIVE MY CONSENT.
MEMBER'S NAME
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First Name
Middle Name
Last Name
DATE OF BIRTH
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DEPARTMENT
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EARLY EDUCATION
GRADE SCHOOL
JUNIOR HIGH SCHOOL
SENIOR HIGH SCHOOL
MAINTENANCE STAFF
NON-TEACHING STAFF
SECURITY PERSONNEL
HOME ADDRESS
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House No., Street Address
Subdivision, Barangay
City
Province
Postal/ Zip Code
E-MAIL ADDRESS
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MOBILE PHONE NUMBER
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Please enter a valid phone number.
PERSONAL TAX IDENTIFICATION NUMBER (TIN)
SHARE CAPITAL SUBSCRIPTION
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Php 3,000
NUMBER OF MONTHS
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12
BANK ACCOUNT NUMBER
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NAME OF BANK
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GCASH NUMBER
PRIMARY BENEFICIARY
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First Name
Middle Name
Last Name
RELATIONSHIP OF PRIMARY BENEFICIARY TO MEMBER
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PRIMARY BENEFICIARY'S MOBILE PHONE NUMBER
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Please enter a valid phone number.
SECONDARY BENEFICIARY
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First Name
Middle Name
Last Name
RELATIONSHIP OF SECONDARY BENEFICIARY TO MEMBER
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SECONDARY BENEFICIARY'S MOBILE PHONE NUMBER
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Please enter a valid phone number.
ID PHOTO (Optional)
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CERTIFICATION
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I hereby certify that all information entered are true and correct.
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