ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAGAHAIAJAKALAMAN
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Cooperative Development Authority
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Office: ________________________________
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For the Year Ending ______________________
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NO.NAME OF COOPERATIVECDA Registration NumberCETF ALLOCATION AND TREATMENTREMARKS
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CETF-LOCAL Year Utilized (2019 onwards)CETF-LOCAL UTILIZATION CETF-LOCALDUE TO FEDERATION CETF REMITTANCE TO FEDERATIONS AND UNIONS BALANCE, ENDING
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ACCUMULATED BALANCE, BEGINNING as of 2018CETF ALLOCATION FOR YEAR 2019TOTAL ALLOCATIONFOR MEMBERSFOR OFFICERSFOR EMPLOYEESOTHERSTOTAL AMT OF UTILIZATIONBALANCE, ENDINGBEGINNING BALANCE (as of 2018)ALLOCATION FOR THE UEAR (2019)TOTAL ALLOCATIONNAME OF FEDERATION OR UNION WHERE CETF WAS REMITTEDYear Remitted (2019 onwards)REMITTED TO FEDERATIONREMITTED TO UNIONTOTAL AMT REMITTED
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AMOUNTAMOUNTDATE REMITTEDPERCENTAGE
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PERCENTAGEAMOUNTPERCENTAGE
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(a)(b)(c)(d)(e)(f) = (d+e)(g)(h)(i)(j)(k)(l) = (h to k)(m) = (f-l)(n)(o)(p) = (n+o)(q)(r)(s)(t)(u)(v)(w) = (s+u)(x) = (p-w)
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Note:
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1. This form shall be submitted not later than January 31 of succeeding reporting year
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2. The purpose of this form is to monitor the remittances and utilization of the accumulated CETF
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in compliance of the cooperative to CDA MC No. 2019-08 and 2020-01
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Prepared byApproved by
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Senior CDSRegional Director
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CRITS
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