Co-Operative Societies Act 2008
First Schedule
Forms
FORM 1
(Regulation 3)
Co-Operative Societies Act
Co-Operative Societies Regulations
Application for Registration
(Complete In Printed or Typed Form Only)
To: The Registrar of Co-operative Societies
1. Application for registration pursuant to the Co-operative Societies Act is hereby made by the persons whose names and signatures appear hereunder.
2. The name of the society is:
3. The registered address of the society is:
4. The area of operation of the society is:
5. The objects of the society as stated in the By-Laws are:
6. The membership fee is:
7. The financial year will terminate on the ______ day of ______________ in each year.
8. The liability of the members for the debts of the society is limited/unlimited.
9. The society was established on ________ day of _____________ 20___ and at the date of this application there are_______ members in the society.
10. Enclosed herewith are three copies of the proposed By- the society.
11. The amount of $__________ is enclosed, being the fee for registration.
12. Particulars relating to the applicants are as follows:
Full Name (Please Print): __________________________________________
Date of Birth: _____________________ Occupation: __________________
Address: _______________________________________________________
_______________________________________________________________
Signature: ___________________________
13. The following persons have been appointed and have consented to act as provisional directors:
Full Name (Please Print): __________________________________________
Date of Birth: _______________________ Occupation: __________________
Address: _______________________________________________________
_______________________________________________________________
Signature: ___________________________
Full Name (Please Print): __________________________________________
Date of Birth: _______________________ Occupation: __________________
Address: ______________________________________________________________________________________________________________________
Signature: ___________________________
Full Name (Please Print): __________________________________________
Date of Birth: _______________________ Occupation: __________________
Address: ______________________________________________________________________________________________________________________
Signature: ___________________________
Full Name (Please Print): __________________________________________
Date of Birth: _______________________ Occupation: __________________
Address: ______________________________________________________________________________________________________________________
Signature: ___________________________
Full Name (Please Print): __________________________________________
Date of Birth: _______________________ Occupation: __________________
Address: ______________________________________________________________________________________________________________________
Signature: ___________________________
14. The full name and address of the Secretary are as follows:
______________________________________________________________________________________________________________________________
_______________________________________________________________
Dated the _______ day of _______________ , 20_______
_____________________________Secretary
Form 2
(Regulation 3)
Co-Operative Societies Act
Co-Operative Societies Regulations
Certificate of Registration
Certified that the application dated __________________ made by _______________
to be registered under section 6 of the Co-operative Societies Act as the ________________________________has been accepted and that the said society has been registered accordingly as No. ______ subject to the provisions of the said Act and the Regulations made there under.
Dated this ________ day of _______________________________ 20____________________________
Form 3
(Regulation 3)
Co-Operative Societies Act
Co-Operative Societies Regulations
Certificate of Change of Name
Certified that ____________________________________ pursuant to a directive given by the Registrar on the ______ day of ________________________________20 _____ under section 14 of the Co-operative Societies Act has amended its By-Laws and will hence forth be known as ____________________________ and that the said amendments have been duly registered.
Dated this __________ day of ____________________________20____________________________
Form 4
(Regulation 3)
Co-Operative Societies Act
Co-Operative Societies Regulations
Certificate of Change of Name
(Voluntary Change of Name)
Certified that ___________________________________________________ by a resolution passed in accordance with sections 10 and 43 of the Co-operative Societies Act and regulation 19 of the Co-operative Societies Regulations has amended its By-Laws and will hence forth be known as ________________________ and that the said amendments have been duly registered.
Dated this __________ day of ____________________________20____________________________
Form 5
(Regulation 3)
Co-Operative Societies Act
Co-Operative Societies Regulations
Notice of Change of Directors
Name of Society:
Registration No:
On the _________ day of ______________________ 20______, the following persons ceased to be directors of the above-named society:
Full Name (Please Print): _________________________________________
Date of Birth: _______________ Occupation: ________________________
Address: ______________________________________________________
______________________________________________________________
Signature: ___________________________
Full Name (Please Print): _________________________________________
Date of Birth: _________________ Occupation: __________________
Address: _______________________________________________________
______________________________________________________________
Signature: ___________________________
Full Name (Please Print): _________________________________________
Date of Birth: _____________________ Occupation: __________________
Address: _______________________________________________________
______________________________________________________________
Signature: ___________________________
On the _________ day of _______________________ 20______, the following
persons ceased to be director of the society:
Full Name (Please Print): ________________________________________
Date of Birth: _________________ Occupation: __________________
Address: _______________________________________________________
______________________________________________________________
Signature: ___________________________
Full Name (Please Print): _________________________________________
Date of Birth: ____________________ Occupation: __________________
Address: _______________________________________________________
______________________________________________________________
Signature: _____________________________________________________
Full Name (Please Print): _________________________________________
Date of Birth: ___________________ Occupation: __________________
Address:______________________________________________________________
______________________________________________________________
Signature: _____________________________________________________
The directors of the society are-
Full Name (Please Print): ________________________________________
Co-operative Societies CAP. 11.21 137
Date of Birth: ________________ Occupation: __________________
Address: _______________________________________________________
______________________________________________________________
Signature: ____________________________________________________
Full Name (Please Print): ________________________________________
Date of Birth: ___________________ Occupation: __________________
Address: ______________________________________________________
______________________________________________________________
Signature: _____________________________________________________
Full Name (Please Print): _________________________________________
Date of Birth: __________________ Occupation: __________________
Address: _______________________________________________________
______________________________________________________________
Signature: ____________________________________________________
Certified correct this _______ day of ____________________________ 20_______________________
Signature Officer
Form 6
(Regulation 3)
Co-Operative Societies Act
(Sections 102, 103 and 106)
Co-Operative Societies Regulations
Instrument of Charge
I _________________________________________________________
of ___________________________________________________________________
(hereinafter called “the Borrower”), being owner of the property described in the Schedule hereto, and being a member of _____________________________________(hereinafter called “the Society”), in consideration of the sum of _____________________________________________________ dollars lent to me this day by the Society, the receipt whereof is hereby acknowledged, I do hereby create a charge on the property described in the Schedule hereto, in favour of the Society as security for the repayment to the Society of the said sum of ____________________________________________ dollars together with interest thereon at the rate of _____________ per cent a year, by ______________________ installments of _________________________ dollars as from the _________________ day of _______________20 _____.Now these presents witness that in consideration of the sum lent to the Borrower as aforesaid the Borrower hereby created is subject to the following covenants and conditions, that is to say:
(1) That he will repay the principal together with interest thereon on the ___________day of ___________________ 20____.
(2) That he will not, at any time while any moneys remain owing hereunder, do or allow to be done any act whereby the property may become prejudicially affected.
(3) That he is entitled to retain possession and use of the property unless he makes default-
(a) in the payment of any installment or of the principal or interest thereon; or
(b) in the observance or performance of any covenant or condition herein expressed in which case the Society may immediately upon such default or at anytime thereafter, through an agent authorised by the Society in that behalf-
(i) seize and take possession of the property or any part thereof; and
(ii) sell the property so seized and taken possession of either at auction or by private treaty and in either case the property may be sold separately or together or in lots or for a lump sum payment or for payment by installments as the Society may deem expedient.
(4) That upon a sale of the property or of any part thereof by the Society the following provisions shall have effect, that is to say:
(a) the proceeds of sale shall be applied in accordance with sections 102 and 106 of the Co-operative Societies Act;
(b) No purchaser of such property shall be bound to inquires to the propriety or regularity of the sale or shall be affected by an impropriety or irregularity of or at such sale;
(c) the Society shall not be answerable to the Borrower in damages or otherwise for any loss occasioned to the Borrower by the sale or for any act, neglect or default of the Society or of its authorised agent.
THE SCHEDULE
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
(Add additional sheet if space allotted is too small)
Executed in quintuplicate at ________________________________this ____________ day of _______________________ 20_________________
_________________________Signature of Borrowing Member
Signed in our presence by the said _________________________________________who is personally known to us.________________
President/Chairman _____________________
Secretaryof the __________________________________
NOTE: To be signed in quintuplicate in accordance with section 103(1) of the Cooperative Societies Act.
Form 7
(Regulation 3)
Co-Operative Societies Act
Co-Operative Societies Regulations
Determination and Order
IN THE MATTER OF A DISPUTE BETWEEN
___________________________________________________________ (Complaint)
AND
_________________________________________________ (Respondent) referred to me pursuant to section 187 of the Co-operative Societies Act.
I, __________________________________ Registrar/Commissioner of Cooperatives do order and determine as follows-
(1) _________________________________________________________________________________
____________________________________________________________________________________
(2) _________________________________________________________________________________
____________________________________________________________________________________
___________________________________________________________________________________
(3) The cost and expenses of hearing and determining the dispute are $__________ be paid by__________________________________to______________________________________________
(4) I direct that costs and expenses in the amount of $______________be paid by______________________________________________to_________________________________Given under my hand this ____________ day of _________________, 20__________________________________________Registrar/Commissioner of Co-operatives
NOTE: This Form is to be adapted in the case of an award by an arbitrator or arbitrators under section 187.
Form 8
(Regulation 3)
Co-Operative Societies Act
Co-Operative Societies Regulations
Certificate of Dissolution
Name of Society: _______________________________________________________
Registration No: _______________________________________________________
I hereby certify that the above-named Society, was this day dissolved pursuant to section 158 of the Co-operative Societies Act.
Given under my hand this __________ day of ______________________20_____________________
Form 9
(Regulation 3)
Co-Operative Societies Act
Co-Operative Societies Regulations
Certificate of Revival
Name of Society: _______________________________________________________
Registration No: _______________________________________________________
I hereby certify that the above-named Society, has been revived pursuant to section 163 of the Co-operative Societies Act.
Given under my hand this __________ day of _____________________ 20______________________
Form 10
(Regulation 3)
Co-Operative Societies Act
Co-Operative Societies Regulations
Certificate of Continuance
Name of Society: _______________________________________________________
Registration No: _______________________________________________________
I hereby certify that the above-named Society is this day continued as a registered society pursuant to section 241 of the Co-operative Societies Act.
Given under my hand this __________ day of ______________________20 _____._____________
