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Cooperative Profile Submission Form

The document is a cooperative profiling form that collects information such as the registered name and address, type, scale, business activities, products, assets, capital contribution, membership numbers, and contact details of officers of the cooperative for the year 2023. It requests financial information and profiles of the land, buildings, equipment, investments, and liquid assets owned by the cooperative.

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CCO Valencia City
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183 views1 page

Cooperative Profile Submission Form

The document is a cooperative profiling form that collects information such as the registered name and address, type, scale, business activities, products, assets, capital contribution, membership numbers, and contact details of officers of the cooperative for the year 2023. It requests financial information and profiles of the land, buildings, equipment, investments, and liquid assets owned by the cooperative.

Uploaded by

CCO Valencia City
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Provincial Cooperative Development Council (PCDC)

COOPERATIVE PROFILING FORM


CY 2023
Please Print legibly. Tick appropriate boxes ( ) and use separate sheet if necessary. Indicate N/A if not applicable.

Registered Name of Cooperative :


Amended Name (if any) :

Registered Address of Cooperative :


Amended Address (if any) :
Cooperative Identification No. (CIN) : Cooperative Registration No.:
Cooperative Manager: Contact Number:
Office E-Mail Address: Office Telephone Number:
Type of Cooperative:
Agrarian Reform Cooperative Marketing Cooperative
Agriculture Cooperative Multi-Purpose Cooperative
Consumer Cooperative Producers Cooperative
Cooperative Bank Service Cooperative
Credit Cooperative Transport Cooperative
Financial Service Cooperative Others______________________________
Scale of Cooperative:
Micro Medium
Small Large
Business Activity/ies Engaged In: Product/s Offered: (continue on another sheet if necessary)
1 1
2 2
3 3
4 4
5 5
Property Profile (provide amount value) (continue on another sheet if necessary)
Land Building Transport Equipment Investments Joint Venture Liquid Assets

Total

Financial Information:
Amount
Capital Contribution of Members
Total Paid Up Capital
Total Asset

Cooperative Member Information:


Male Female Total
No. of Regular Members
No. of Associate Members
Total No. of Members

Information on Officers and BOD Members:


Contact No. Contact No.
Chairperson Manager:
Vice Chairperson Secretary:
BoD Members: Treasurer:
1 Accountant:
2 Bookkeeper:
3 Cashier:
4
5
6
7

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