NOVADECI: Application Form

Personal Information
Address / Education
Source of Income / Identification
Dependents / Beneficiaries
Upload Requirements

By filling out the MEMBERSHIP APPLICATION FORM you are consenting to the collection, processing and use of the information in accordance to Republic Act 10173 or Data Privacy Act of 2012.

Member's personal data obtained from this portal is entered and stored within the company's authorized information and communications system and will be accessed by Membership Department authorized personel.

The MIS Department have instituted appropriate organizational, technical and physical security measures to ensure the protection of the member's personal data.
To proceed with your membership application, please prepare the following requirements:
✓Mandatory - [Photo w/ white background] [Proof of Billing] [Residence Sketch]
✓Optional - [Payslip/Code] [Mayor's Permit] [DTI Certificate] [Marriage Contract] [Birth Certificate] [Birth Certificate of Dependent/Beneficiaries]
Membership Process:
STEP 1: Fill up application form
STEP 2: Pay online via GCASH or PAYMAYA. Send the screenshot of the proof of transaction/payment thru this link https://bit.ly/3Rg2QlR or thru NOVADECI official Facebook page https://bit.ly/3exHwVo
STEP 3: Wait for the ZOOM LINK to be sent via text message. Make sure to type your FULL NAME upon joining the zoom meeting.
Accept

Personal Information

Last Name *

First Name *

Middle Name *

Suffix

Birthdate *

Age

Birth Place *

Sex *

Civil Status *

Nickname

Nationality *

Religion *

Branch/Satellite *

CONTACT INFORMATION

Landline No.

Mobile No.(ex.0966xxxxxxx) *

Email *

SPOUSE INFORMATION

Last Name *

First Name *

Middle Name *

Suffix

Birthdate *

PB No./MemId

Permanent Address / Educational Information

Unit/Room#/Floor

Building Name

Lot/Block/House/Bldg.No. *

Street *

Subdivision/Village

Barangay *

Municipality/City *

Province *

Zip Code *

Resident Status *

Lot Status *

Length of Stay *

PREFERRED MAILING ADDRESS

Mailing Address *

EDUCATIONAL INFORMATION

Educational Attainment *

School

Course

Source of Income / Identification

SOURCE OF INCOME (FOR EMPLOYEES)

Position/Occupation

Employer Name

Employer Address

Office Number

Employment Status

Years in Service

Salary

SOURCE OF INCOME (FOR SELF-EMPLOYED)

Nature of Business

Business Name

Business Address

Office Number

Form of Business

Years in Current Business

Monthly Income

IDENTIFICATION

TIN #*

SSS #*

GSIS #

PAGIBIG #

Philhealth #

Driver's License #

Passport #

PRC #

NBI #

Dependents / Beneficiaries

DEPENDENTS

1. Name *

Birthdate *

Relationship *

Contact No.(ex.0966xxxxxxx) *

2. Name

Birthdate

Relationship

Contact No.(ex.0966xxxxxxx)

3. Name

Birthdate

Relationship

Contact No.(ex.0966xxxxxxx)

4. Name

Birthdate

Relationship

Contact No.(ex.0966xxxxxxx)

5. Name

Birthdate

Relationship

Contact No.(ex.0966xxxxxxx)

6. Name

Birthdate

Relationship

Contact No.(ex.0966xxxxxxx)

BENEFICIARIES

1. Name *

Civil Status *

Birthdate *

Contact No.(ex.0966xxxxxxx) *

2. Name

Civil Status

Birthdate

Contact No.(ex.0966xxxxxxx)

3. Name

Civil Status

Birthdate

Contact No.(ex.0966xxxxxxx)

PARENT'S INFORMATION

FATHER'S DETAILS

Father's Last Name *

Father's First Name *

Father's Middle Name *

Suffix

Birthdate *

PB No.

MOTHER'S DETAILS

Mother's Last Name *

Mother's First Name *

Mother's Middle Name *

Suffix

Birthdate *

PB No.

FAMILY MEMBERS / RELATIVES WHO ARE MEMBERS OF NOVADECI

1. Name

Relationship

Address

Contact No.(ex.0966xxxxxxx)

2. Name

Relationship

Address

Contact No.(ex.0966xxxxxxx)

3. Name

Relationship

Address

Contact No.(ex.0966xxxxxxx)

4. Name

Relationship

Address

Contact No.(ex.0966xxxxxxx)

5. Name

Relationship

Address

Contact No.(ex.0966xxxxxxx)

Requirements

MEMBER WHO RECOMMENDED /REFERRED YOU TO NOVADECI: (MGM PROMO)

Name

Contact No.(ex.0966xxxxxxx)

PB No./Member ID

QUESTIONS THAT NEED TO BE ANSWERED

Have you been a member of NOVADECI? * Yes No

What motivates you in joining NOVADECI? *

UPLOAD REQUIREMENTS

Upload your Photo*

Upload Payslip/COE

Upload Proof of Billing*

Upload Mayor's Permit

Upload DTI

Upload Marriage Contract

Upload Birth Certificate

Upload Residence Sketch*

1. Birth Certificate - Beneficiaries/Dependent

2. Birth Certificate - Beneficiaries/Dependent

3. Birth Certificate - Beneficiaries/Dependent

DOCUMENTS SUBMITTED

Proof of Billing

Payslip/COE

Mayor's Permit

DTI

Marriage Contract

Birth Certificate

Birth Certificate (Beneficiaries)

Others

MEMBERSHIP AND SUBSCRIPTIONS AGREEMENT

The Board of Directors
Novaliches Development Cooperative
NOVADECI Main Office Bldg., 123 General Luis St.,
Novaliches, Quezon City

Gentlemen:

               I      , a resident of         hereby agree to be a member of NOVADECI. I will undergo the training course prescribed for prospective members and I understand the puposes and objectives of this cooperative.

               In connection with such membership, I hereby agree to the following terms and conditions:

               1. To comply with the provision of the Articles of Cooperation, the By-laws, Code of Ethics and other policies set by the Board, the General Assembly as well as acts of duly constituted
                   authorities and failure on my part to do so, NOVADECI, at its option, may:
                   a). Fine
                   b). Suspend or
                   c). Expel me from membership, whereupon all my shareholding in, shall be answerable for my liabilities' to NOVADECI.

               2. To attend general assembly, meetings, conference, seminars as required by the Board of Directors and failure to my part to do so, unless previously excused by the Board, to pay the fine of
                   P____________ and make up for the activity I have missed.

               3. To participate in the planned thrift and savings program by:
                   a). Subscribing for atleast 150 shares valued at FIFTEEN THOUSAND PESOS (Php15,000) and paying for them either in lump sum or in regular installments within ten (10) years. if the 150
                        shares has already been paid, I will continue on subscribing another shares of at least php1,500.00 annually.
                   b). Share Capital shall not be withdrawn and should not be used in offsetting obligations whether past due or current while the membership subsists (RA #9520 Rule 10 Sec. 3).
                   c). Contributing at least 5% of every loan granted me and at least 50% of the annual interest and patronage refund due to me with automatic deduction on loan proceeds or ICPR. Failure on
                        my part to comply with my financial obligation unless excused by the Board, shall make me liable for a fine of 2% a month on the amount default.

               4. To pay the membership fee of Php ____________.

               5. To patronize the NHCP, NMSB and other services of NOVADECI and pay my obligations on time.

               6. To maintain my member in good standing (MIGS) status at all time.

               7. To comply with the directives of duly constituted authorities as well as the decision of the Board regarding the operating policies of NOVADECI.

               ( Note: Other conditions may be included depending upon the nature of the business of the cooperative. )

               The provisions of this agreement, the articles of incorporation and by-laws have been explained to me and understand them and agree to abide with all of them.

               In all of the above undertakings, I am aware that the Board of Directors and the cooperative may impose sanctions against me or perform any acts necessary to make the sanction(s) effective without going to court.

                  DIR. LEONISA A. FAUSTO
               Chairperson of the Board

Conforme / Accept

NOVADECI - MEMBERSHIP FORM

Personal Information

Permanent Address / Educational Information

Source of Income / Identification

Dependents / Beneficiaries

Requirements

MEMBERSHIP AND SUBSCRIPTIONS AGREEMENT