CooPay

Personal Information

Complete all required fields to proceed to the next step.

Personal Information

First Name *

Middle Name

Last Name *

Date of Birth *

Gender *

Civil Status *

Contact Number *

Email Address *

Names of Dependents

Name

Relationship

Date of Birth

Present Address

Region *

Province *

City / Municipality *

Barangay *

Complete Address *

Zip Code *

Resident Type *

Length of Stay in Present Address *

Permanent Address

Same as Present Address (auto-fill and disable fields below)

Region *

Province *

City / Municipality *

Barangay *

Complete Address *

Zip Code *

Resident Type *

Length of Stay in Permanent Address *

Spouse Details

Check this if you are not married or if spouse details are not applicable. This will disable all spouse fields below.

Name of Spouse

Employer / Business

Office / Business Address

Position / Rank

Years in the Company / Business

Contact Number

Email Address

Employment & Contract

Employment & Contact Details

(Optional)

Employment Details

Company Name

Department

Date of Hire

Position / Rank

Length of Service

Membership Type

Monthly Income

Employment Status

TIN (Tax Identification Number)

SSS Number

Company Address

Region

Province

City / Municipality

Barangay

Complete Address

References

Character References

Complete all required fields to proceed to the next step.

Reference 1

First Name *

Middle Name

Last Name *

Address *

Contact Number *

Reference 2

First Name *

Middle Name

Last Name *

Address *

Contact Number *

Subscription Agreement

Complete all required fields to proceed to the next step.

Share Subscription Details

Share Amount * Minimum amount is PHP 75,000

Number of Shares

Par Value

Payment Frequency

Installment Amount

Membership Fee

I hereby pledge to subscribe additional shares of Php 750.00 equivalent to 750 (NO. OF SHARES) common/preferred shares with a par value of Php 100.00.
Based on the bylaws of our cooperative, due and unpaid subscribed share capital shall be subject to a fine of 2% for every month of delinquency.

I agree to the Subscription Terms and Conditions * You agree to our membership terms, loan policies, and cooperative bylaws.

I agree to the Policies and Procedures * You agree to DMFMPC Lending and Savings Policies and Procedures.

I authorize Auto Deductions * You authorize automatic savings deduction from your salary for the installment payments.

Documents

Complete all required fields to proceed to the next step.

Required Documents

Government-Issued ID *

Driver's License, Passport, or National ID

Upload Document

Payment Proof *

Screenshot or receipt of payment

Upload Document

Proof of Employment *

Certificate of Employment or Business Permit

Upload Document

Proof of Income (Optional)

Payslip, ITR, or Financial Statement

Upload Document

Account Setup

Complete all required fields to proceed to the next step.

Account Information

Username * Enter your username using your last name (e.g., Dela Cruz).

Password *

Confirm Password *

Important Reminder: Please remember your account credentials, as you will use them to log in once your membership application has been approved.

Review & Submit

Complete all required fields to proceed to the next step.

Application Review

Personal Information

Full Name

Date of Birth

Gender

Civil Status

Contact

Dependants Information

Present Complete Address

Region

Province

City / Municipality

Barangay

Zip Code

Resident Type

Length of Stay

Permanent Complete Address

Region

Province

City / Municipality

Barangay

Zip Code

Resident Type

Length of Stay

Spouse Information

Full Name

Employer / Business

Position / Rank

Office / Business Address

Contact Number

Years in Company / Business

Email Address

Employment Information

Company Name

Department

Date of Hire

Position / Rank

Length of Service

Membership Type

Monthly Income

Employment Status

Company Complete Address

Region

Province

City / Municipality

Barangay

Reference 1

Full Name

Address

Contact Number

Reference 2

Full Name

Address

Contact Number

Subscription Summary

Share Amount

Number of Shares

Par Value

Payment Frequency

Installment Amount

Membership Fee

Document Status

Government-Issued ID

Payment Proof

Proof of Employment

Proof of Income (Optional)

Account Information

Username

Digital Signature

By signing below, you acknowledge that this signature will be electronically captured and applied to all other related important documents within this application.

After submission, your application will be reviewed by our staff. You will receive email updates on your application status.