ONLINE FUTURE MEMBERSHIP
INFORMATION FORM (FMIF)

Welcome to Barangka Credit Cooperative. Kindly fill in the needed information below.

ONLINE FUTURE MEMBERSHIP INFORMATION FORM (FMIF)

Welcome to Barangka Credit Cooperative. Kindly fill in the needed information below.

ONLINE FUTURE
MEMBERSHIP
INFORMATION FORM
(FMIF)

Welcome to Barangka Credit Cooperative.
Kindly fill in the needed information below.

12/20/2024 10:58 pm

I. Interested In:
Please check what you interested in. (You may check more than one.)

You choose.

If you choose "Others", please specify.

II. Personal Information.
Kindly fill in the needed information below.

Last Name

First Name

Middle Name

Date of Birth

Age

Place of Birth

Civil Status

No. of Household/s

Present Address

Street & Subdivision/Barangay

City/Province

Type of Ownership

No. of Years Stay

*If others, full name (House Owner)

Provincial Address

Street & Subdivision/Barangay (PA)

City/Province (PA)

Email Address

Tax Identification Number (TIN)

If Yes, put your TIN No.

Mobile Phone No.

Telephone No.

Initial Membership Requirements
For faster evaluation, upload your documents. We would highly appreciate if the filename is relative to its document and its not more than 33MB.

For 18 Years/old and above:
- (2) valid Government Issued Identification Card
- Proof of Billing (where the applicant resides)
- Tax Identification Number or TIN ID.

For 17 Years/old below:
- School Identification Card or Birth Certificate (NSO/PSA)
- (1) valid identification card of parent or guardian)

File Attachments

III. Financial Information:
Kindly fill in the needed information below.

Current Source of Income

Estimated Monthly Income

Company / Business Name

Telephone / Mobile Phone Number

Company / Business Address

Building/House No.

Street

Subdivision/Barangay (CA)

City/Province (CA)

Position

Years in Service

Referred by

*Please select if you choose "BCC Office"

*If you choose "MIGS Member", please indicate his/her full name

Data Privacy Consent
"In compliance with the Data Privacy Act (DPA) of 2012 and its Implementing Rules and Regulations, I agree and authorize Barangka Credit Cooperative (BCC), a primary multi-purpose cooperative registered under the Cooperative Development Authority (CDA), to use my Personal Information to process any transaction related in the availment of Barangka Credit Cooperative's Products and Services, including the insurance services and administer the benefits as stated in the policy and other service agreements and inform me of future customer campaigns and base its offer using the personal information I shared with the company." *

*Click here to read full BCC's Data Privacy Consent.

Acceptance

I Agree & I confirm that the information given is this online form is true, complete, and accurate.

ONLINE FUTURE MEMBERSHIP
INFORMATION FORM (FMIF)

ONLINE FUTURE MEMBERSHIP INFORMATION FORM (FMIF)

ONLINE FUTURE
MEMBERSHIP
INFORMATION FORM
(FMIF)

GREAT! THANK YOU FOR ANSWERING BCC ONLINE FUTURE MEMBERSHIP INFORMATION FORM (FMIF)

GREAT! THANK YOU FOR ANSWERING BCC ONLINE FUTURE MEMBERSHIP INFORMATION FORM (FMIF)

GREAT! THANK YOU FOR ANSWERING BCC ONLINE FUTURE MEMBERSHIP INFORMATION FORM (FMIF)

ONLINE FUTURE MEMBERSHIPINFORMATION FORM (FMIF)

ONLINE FUTURE MEMBERSHIP INFORMATION FORM (FMIF)

ONLINE FUTUREMEMBERSHIPINFORMATION FORM(FMIF)

GREAT! THANK YOU FOR ANSWERING BCC ONLINE FUTURE MEMBERSHIP INFORMATION FORM (FMIF)

GREAT! THANK YOU FOR ANSWERING BCC ONLINE FUTURE MEMBERSHIP INFORMATION FORM (FMIF)

GREAT! THANK YOU FOR ANSWERING BCC ONLINE FUTURE MEMBERSHIP INFORMATION FORM (FMIF)

ONLINE FUTURE MEMBERSHIP
INFORMATION FORM (FMIF)

ONLINE FUTURE
MEMBERSHIP
INFORMATION FORM
(FMIF)