Authority To Deduct

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HPP Employees Multipurpose Cooperative

11F Intellectual Property Center, McKinley Hill, Taguig City


Tel 975-4087
http://hpp.coop

AUTHORITY TO DEDUCT

WHEREAS, my employer, INFORMATION TECHNOLOGY SERVICES MANAGEMENT CORPORATION


(ITSM), has entered into a Memorandum of Agreement (MOA) with HPP EMPLOYEES MULTIPURPOSE
COOPERATIVE (HPPEMC), to allow ITSM employees to become Associate Members of HPPEMC and enjoy
the benefits afforded thereto;

WHEREAS, I, _________________________________, Filipino, of legal age, with residence at


____________________________________________________________, is an employee of ITSM and is
interested to become an Associate Member of HPPEMC;

NOW, THEREFORE, upon approval of my membership with HPPEMC, I hereby authorize my


employer, ITSM, to deduct from my salaries/wages/allowances my HPPEMC deductions including, but not
limited to, share capital contributions, savings deposits, and loan payments, and to remit the same to
HPPEMC;

FURTHER, this is to authorize my employer, ITSM, to deduct from my retirement benefits, last pay,
and other compensation due me upon my separation/retirement from the Company, any obligations I
have with HPPEMC, and to remit the same to HPPEMC;

FINALLY, this Authorization shall continue to be in effect for as long as I am an employee of


Information Technology Services Management Corporation and a member of the HPP Employees
Multipurpose Cooperative.

____________________________
NAME OF MEMBER
Signature over Printed Name

Date: ___________________

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