SWEAP form

APPLICATION NO.
: _______________________ Revised 041213
SWEAP MEMBERSHIP APPLICATION AND UPDATE FORM

NAME: ______________________________ Contact No.__________
(Given Name) (Middle Name) (Family Name)
Address: _____________________________ E-mail: _____________
Office/Bureau/Division/Unit: _____________ Designation:__________
1x1 Gender: ________ Birthdate:________ Employment Status: ________

ID Picture
Educational Attainment: _______________Skills/Hobbies;__________
This is to attest that the following persons are the undersigned beneficiaries in the
union’s welfare program.(For Married Members – Include in the list both living parents, spouse and
children; For Single - Include both living parents, children (if applicable), one (1) sibling, nephew or
niece being supported.)
Name (Given Name) (Middle Name) (Family Name) Relationship Birthday Age
_____________________________________________ ___________ _______ _____

_____________________________________________ ___________ _______ _____
_____________________________________________ ___________ _______ _____
_____________________________________________ ___________ _______ _____
_____________________________________________ ___________ _______ _____
_____________________________________________ ___________ _______ _____
_____________________________________________ ___________ _______ _____
This is to signify my interest to apply for the programs/services stated hereunder

opposite my signature and subject to salary deduction. (Please check all applicable answers
and sign the opposite side.)
Signature Welfare Program/Services Applicability
_________________ Philhealth iGroup (Voluntary/Self-Employed) (MOA Only)
_________________ Pag-ibig (Voluntary/Self-Employed) (MOA Only)
___________________ Pag-ibig II (5-year savings, PhP500 min.)

Amount of contribution;_____________ (MOA/Regular)
_________________ SSS (Self-Employed, salary based) (MOA/Regular)
_________________ SSS (Voluntary, Amount of Premium;_________) (MOA/Regular)
_________________ GSIS Group Insurance (Php 600/year or as prescribed by

by GSIS for PhP 1Million accident insurance coverage for
each SWEAP member. (Note: Upon signing this form
you are already a member (MOA/Regular)
_________________ SWEAP Multi-Purpose Cooperative (MOA/Regular)
_________________ Petty Cash Loan (MOA/Regular)
_________________ Modified Bereavement Assistance Program (PhP 20.00

For the death of the beneficiary/relative of SWEAP
Member as declared above and PhP 100.00 for the the
Death of a SWEAP Member.) Note: Compulsory if the
Majority of members joined and signed. (MOA/Regular)
I agree to join and participate with the projects, activities and programs of the following Committee/s:
(Please check all applicable answers)
Education, information and Research Disaster Volunteer
Organizing and Membership PSB/PSC
Grievances PRAISE
Welfare PDC
Finance Election
Sports, Wellness and Culture Others, Please Specify__________
FOR: THE CHIEF

Personnel/Cash Division
In connection with my obligation as member of the Social Welfare Employees Association of the
Philippines – Central Office (SWEAP-CO), I hereby authorize the DSWD Field Office to deduct from my
salary and to remit the same (as applicable) to the SWEAP – CO Chapter the following:
All the welfare programs and services contributions and/or premiums I signed above
Membership Fee – Php 100.00 and Monthly Union Dues – Php 30.00
_______________________
Signature Over Printed Name
I hereby certify to the veracity of the above information and voluntarily apply for the membership,
programs and services. Furthermore, I hereby agree to abide by rules and regulations of SWEAP as set forth in
its constitution and by-laws including policies and guidelines promulgated by its officers and majority of members.
________________________________
Signature of SWEAP Member
Referred by: ____________________
Date: __________________________ Social Welfare Employees Association of the Philippines, 2nd Floor, DSWD
Signature: ______________________ Building, Batasan Hills, Quezon City
Contact No.s 931-8101 loc. 229,442-0680 / Email: sweaphil@yahoo.com.ph

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APPLICATION NO.

: _______________________ Revised 041213

SWEAP MEMBERSHIP APPLICATION AND UPDATE FORM

Address: _____________________________ E-mail: _____________

Office/Bureau/Division/Unit: _____________ Designation:__________

1x1 Gender: ________ Birthdate:________ Employment Status: ________

_____________________________________________ ___________ _______ _____

This is to signify my interest to apply for the programs/services stated hereunder

Signature Welfare Program/Services Applicability

_________________ Philhealth iGroup (Voluntary/Self-Employed) (MOA Only)

_________________ Pag-ibig (Voluntary/Self-Employed) (MOA Only)

___________________ Pag-ibig II (5-year savings, PhP500 min.)

_________________ SSS (Self-Employed, salary based) (MOA/Regular)

_________________ SSS (Voluntary, Amount of Premium;_________) (MOA/Regular)

_________________ GSIS Group Insurance (Php 600/year or as prescribed by

_________________ SWEAP Multi-Purpose Cooperative (MOA/Regular)

_________________ Petty Cash Loan (MOA/Regular)

_________________ Modified Bereavement Assistance Program (PhP 20.00

Education, information and Research Disaster Volunteer

Organizing and Membership PSB/PSC

Sports, Wellness and Culture Others, Please Specify__________

FOR: THE CHIEF

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Address: _________________ E-mail: _

Office/Bureau/Division/Unit: ___ Designation:

1x1 Gender: Birthdate: Employment Status:

_______________________________________ _ _ ___

_________ SSS (Voluntary, Amount of Premium;_) (MOA/Regular)