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APPLICATION FOR JOINT MEMBERSHIP

Applicant 1 *

Occupation

Work Place:

Home Address:*

Postal Address: *

Work Tel. #

Home Tel. #

Cell Phone # *

And

Applicant 2 *

Occupation

Work Place:

Home Address: *

Postal Address: *

Work Tel. #

Home Tel. #

Cell Phone # *


Holders of

Account #: *Applicant 1

Account #: *Applicant 2

ID *

ID *


Hereby make application for membership of

THE ST. LUCIA TEACHER' CREDIT CO-OPERATIVE LIMITED

And agree to conform By-Laws thereof and to the Co-operative Societies' Act and Rules and any amendments thereof.

Signature

Applicant 1

Applicant 2

Date


Signatories to Account

The following persons are authorized to sign on this account

Withdrawals:

Applicant 1

And / Or

Applicant 2


Loans:

Applicant 1

And / Or

Applicant 2


APPOINTMENT OF BENEFICIARIES

In accordance with Section 17 of the Co-operative Society’s Act, Chapter 82, Rule 8 of the Cooperative Society’s Rules, made thereunder, and By-Laws of the above mentioned Society, we hereby nominate the following person(s) to whom or to whose credit the share or interest or the value of such share or interest held by us in the said Society, shall, in the event of the death of allsignatories be paid or transferred (in the proportions respectively shown hereunder).
Beneficiary Address / Telephone No. Proportion

Signed:

Applicant 1:

Applicant 2:

Date:

Date:


Recorded in Register of Members on


Secretary