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APPLICATION FOR MINORS (DEPOSITORS)

I, (Mr. Mrs. Ms) *

ON BEHALF OF *

Address:

Home : *
Tel :

School/Work :

Cell : *
Email :

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.

He/She already belongsto the following Co-operative Societies:

(1)

(2)

Date of Birth: *

(of child)

Signature:

(on behalf of child)

ID: *


Date:


APPOINTMENT OF BENEFICIARIES

In accordance with Section 17 of the Co-operative Societies’ Act, Chapter 82, Rule 8 of the Cooperative Societies’ Rules, made there under, and the By-Laws of the above mentioned Society, I 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 me in the said Society shall in the event of my death be paid or transferred (in the proportions respectively shown hereunder).
Beneficiaries & Relation Address / Telephone No. Proportion to be Paid or Transferred
(1)
(2)
(3)
(4)
(5)

Signature of Applicant:

Attesting Witness 1: *

Attesting Witness 2:

Recorded in Register of Members on:

Date:

Date:

Date:



Secretary