SAVINGS WITHDRAWAL FORM

Member’s Name: _______________________________________________ Date: ___________________________

Client Assignment: _________________________________________ ______ Contact No.: ___________________
Amount of Withdrawal: __________________________________________ Php __________________________
(amount in words) (amount in figures)
(Withdrawable amount is the excess of the Php 3,000.00 maintaining savings balance and existing loan balances.)

I hereby authorize the Cooperative to deduct from my total savings deposit the above stated amount.

Endorsed by:
_____________________________________ Member’s Signature over Printed Name
Member Supervisor/Branch Head

Endorsed to Savings and Credit Services

1.) Total Savings Deposit: ______________________________ as of: _________________________

Less:
Existing Loan Balance : _________________
Withdrawal : _________________
2.) Balance on Savings Deposit : _________________
3.) Verified by: 4.) Approved by:
_______________________________ _________________________________
SCS Facilitator/ Date SCS Head/ Date
SWF Version 1.2015-4

SAVINGS WITHDRAWAL FORM

Member’s Name: _______________________________________________ Date: ___________________________

Client Assignment: _________________________________________ ______ Contact No.: ___________________
Amount of Withdrawal: __________________________________________ Php __________________________
(amount in words) (amount in figures)
(Withdrawable amount is the excess of the Php 3,000.00 maintaining savings balance and existing loan balances.)

I hereby authorize the Cooperative to deduct from my total savings deposit the above stated amount.

Endorsed by:
_____________________________________
Member’s Signature over Printed Name
Member Supervisor/Branch Head

Endorsed to Savings and Credit Services

1.) Total Savings Deposit: ______________________________ as of: _________________________

Less:
Existing Loan Balance : _________________
Withdrawal : _________________
2.) Balance on Savings Deposit : _________________
3.) Verified by: 4.) Approved by:
_________________________________ _________________________________
SCS Facilitator/ Date SCS Head/ Date

SWF Version 1.2015-4