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Name of Cooperative *

Cooperative Prefix *

Name of Administrator *

Email of Administrator*

Phone Number*

Number of Members*

Username Setup*

Cooperative Logo

Membership Entrance Fee*

Currency

Country *

Contact Address *

Username *

Password *

General Savings

Weekly Savings

Daily Savings

Loan Name (e.g. Personal loan, Asset Loan ...)*

Interest Rate *

Interest Type *

Interest Per *

Repayment Type *

Application Fee (if none enter 0 ) *

Application Rate *

Comments/Requirements

Evidence of Registration

Select Plan*