Submit Your Application

Data Privacy Statement

BUPCC collects this information solely to process your Membership Application, consistent with the Data Privacy Act (RA 10173). Read the full Data Privacy Notice.

I have read and consent to BUPCC's Data Privacy Notice

How Did You Hear About BUPCC

Referral Source

About You

Title (optional)

First Name

Middle Name (optional)

Last Name

Suffix (optional, e.g. Jr., Sr., II)

Birthdate

Place of Birth

Gender

Civil Status

Citizenship

TIN (Tax Identification Number, optional)

Government-Issued ID Details

Type of ID

Name Shown on ID

ID Number

Date Issued

Date of Expiry

Government Issuing Institution

You'll upload a photo of this ID (or tell us you'll bring a physical copy) later, in the Documents step.

Where You Live

Current Address

Street Address

Barangay

City or Municipality

Province

ZIP Code

How Long Have You Lived Here? (years, optional)

Permanent Address

Your registered home address, if different from your Current Address above — this matters for reference checking and, later, loan collection. Leave blank if it's the same as your Current Address.

Street Address

Barangay

City or Municipality

Province

ZIP Code

How to Reach You

Mobile Phone Number

Telephone Number (optional)

Email Address

If you have any of these, they help BUPCC Personnel reach you if your mobile number is ever unreachable (all optional).

Facebook Account Name

WhatsApp Number

Viber Number

Emergency Contact

Full Name

Relationship

Mobile Number

Address

Employment and Business Profile

Employment Type

Occupation

Employer or Business Name

Monthly Income Range

Nature of Business (if applicable)

Years in Current Livelihood

Your Skills or Business Experience (Brief Snapshot)

Primary Skill or Trade

Years of Experience

Currently active in this skill/trade

Why Do You Want to Join BUPCC

Savings discipline

Access to affordable loans

Business support

Community & belonging

Other

Tell us more (optional)

Type of Membership

Membership Type

Full voting rights, eligible for elected and appointed posts.

Where Would You Like to Start Your Share Capital?

This is for illustration only — it helps you see the range you can start within. The real conversation happens with BUPCC Personnel after your application is approved.

Subscribed Capital Amount (₱)

₱4,000 ₱15,000 ₱20,000

₱

Minimum: ₱4,000 (40 shares) · Suggested for Regular Membership: ₱15,000 (150 shares) · Maximum: ₱20,000 (200 shares)

Paid-Up Capital Due at Application ₱3,750.00

Plus a flat ₱100.00 Membership Fee — separate, non-refundable, always due at application. ₱100.00

25% of Subscribed Capital, rounded up to the nearest whole ₱100 share.

How would you like to pay the balance after Paid-Up Capital?

Estimated Monthly Amount ₱0.00

Illustrative only — your actual plan will be worked out with BUPCC Personnel.

Note: every figure above is for illustration and computation only. Once your application is approved, the real conversation happens by phone, Messenger, or in person to determine what actually goes into your Subscription Agreement — the legal, binding obligation.

Savings Account Intention

Yes, I would like to open a savings account

What are you hoping to save toward? (optional)

Beneficiaries

The people who will receive your benefits from BUPCC in the event of your demise or disability. If you can share this now, that's great — if not, no problem at all. BUPCC Personnel can complete or update this with you later, and if you have more than 2 beneficiaries, let them know and they can add these to your record.

Beneficiary 1 (Recommended)

Full Name

Relationship with You

Birth Date

Email Address

Mobile Phone Number

Beneficiary 2 (Optional)

Full Name

Relationship with You

Birth Date

Email Address

Mobile Phone Number

Character References (2, non-relatives)

BUPCC Personnel will call both references directly as part of verification — no action needed from them right now.

Reference 1 — Full Name

Relationship

Reference 1 — Contact Number

Reference 2 — Full Name

Relationship

Reference 2 — Contact Number

Cooperative Membership History

I am currently or have previously been a member of another cooperative

Preferred PMES Schedule

PMES Preference

Profile Photo

A clear photo of your face — helps BUPCC Personnel recognize and reach you later.

Barangay Clearance

Required before your application can go to the Board for review. Upload it now, or bring a physical copy in before then.

How will you provide it?

Government-Issued ID Upload

Required before your application can go to the Board for review, same as your Barangay Clearance. Upload it now, or bring a physical copy in before then.

How will you provide it?

Before You Submit

About your signature: the Member Code of Conduct signature is a separate, unhurried step — you can complete it now, on the day of PMES, or afterward, in whichever way is most accessible to you. It isn't part of this submission. BUPCC Personnel will follow up with you on this once your application is lodged.

Something didn't go through — please check the required fields above and try again, or call us at 0917 170 2419.

Submit Your BUPCC Membership Application

Verification

Before You Begin: What You'll Need