Authorization For Payroll Deduction: (Employee's Printed Name)

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AUTHORIZATION FOR PAYROLL DEDUCTION

I __________________________________________ hereby
authorized
(Employee’s Printed Name)
BICOL ISAROG TSI, PEÑAFRANCIA TOURS & TRAVEL, LEGASPI ST.
JUDE TRANSPORT LINES INC., VS PINTADOS; Central Accounting
Office to deduct from my wages
__________________________________________________________________
(Reason for deduction)
the amount of ____________________________________________________
Php.____________________ in: Installments of
__________________________________________________________________
(P) ___________________________ per cut-off. Effective date
______________________________________________________________.

In the event my employment ends for any reason before the final deduction is
made, the entire may be deducted from my final wages/pay.

--------------------------------------- --------------------------------
(Employees Signature over Printed Name) (Date Signed)

-------------------------------------- --------------------------------
(Position) (Unit Dept.)

NOTED:

----------------------------------------- Copy furnished:


Name/Position/Date Central Accounting Office
Personal office
Employee

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