Membership Application

Membership Requirements

Membership Application Form

Police Membership
  1. Recent Passport Sized Photograph
  2. Copy of :
    • I.D. Card, Passport or Driver’s Permit
    • Birth Certificate
  3. B.I.R. Number
  4. Recent Pay Slip
  5. Utility Bill
  6. Member must apply for the LinCU Card and join the CUNA Plan
  7. Recommender of applicant must not be
    • Related to the applicant
    • Beneficiary to the applicant

After approval all applicants will be required to pay $10.00 Entrance Fee and $190.00 Administrative Fee.

  • Step 1: Please download the editable pdf Membership Form here.
    Step 2: Open with Adobe Acrobat and complete. (If you do not have Adobe Acrobat you can download here)
    Step 3: After completing and verifying all the information is accurate, Save the document.
    Step 4: Submit completed PDF Membership Form here
    0
  • Name*full name
    1
  • Files*upload files hereUpload
      2
    • 3
    Civilian Membership
    1. Recent Passport Sized Photograph
    2. Copy of :
      • I.D. Card, Passport or Driver’s Permit
      • Birth Certificate
      • B.I.R. Number
    3. Job Letter showing:
      • Pensionable or not
      • Deductions
      • Current Earnings
      • Position Currently Holding
    4. Recent Pay Slip
    5. Utility Bill
    6. Self Employed Applicants must submit:
      • Statement of Income
      • B.I.R. Number
      • V.A.T. Number
    7. Member must apply for the LinCU Card and join the CUNA Plan8.
    8. Recommender of applicant must not be
      • Related to the applicant
      • Beneficiary to the applicant

    After one year of membership with continuous contribution members can apply to join the CLICO Medical Plan

    After approval all applicants will be required to pay $10.00 Entrance Fee and $190.00 Administrative Fee.

    • Step 1: Please download the editable pdf Membership Form here.

      Step 2: Open with Adobe Acrobat and complete. (If you do not have Adobe Acrobat you can download here)
      Step 3: After completing and verifying all the information is accurate, Save the document.
      Step 4: Submit completed PDF Membership Form here
      0
    • Name*full name
      1
    • Files*upload files hereUpload
        2
      • 3
      Juvenile Membership

      Parent/Guardian servicing the account should submit the following:

      1. Recent passport size photo
      2. Copy of i.d. card, passport
      3. Recent pay slip/job letter of parent/guardian
      4. B.i.r. number of parent/guardian
      5. Recommender of applicant must not be family to the applicant
      6. Recommender of applicant must not be beneficiary to the applicant
      7. Copy of new birth paper
      • Step 1: Please download the editable pdf Membership Form here.
        Step 2: Open with Adobe Acrobat and complete. (If you do not have Adobe Acrobat you can download here)
        Step 3: After completing and verifying all the information is accurate, Save the document.
        Step 4: Submit completed PDF Membership Form here
        0
      • Name*full name
        1
      • Files*upload files hereUpload
          2
        • 3