Salary Deduction

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Students' Loan Bureau

SALARY DEDUCTION ORDER


Name of Company:

__________________________________________________

Address of Company:

__________________________________________________
__________________________________________________

Dear Sirs,
Please make monthly deduction of ________________________________________________________________________________ Dollars
(Words)

and Cents ($__________________________) for credit to Account No. ___________________________.


(Figures)

from my salary with effect from __________________________20


(Month)

Kindly remit the amount deducted no later than the last day of each month to:
Students Loan Bureau
5th Floor North Tower
Mutual Life Building
2 Oxford Road
Kingston 5
THIS ORDER IS TO REMAIN IN FORCE UNTIL FURTHER NOTICE AND MAY BE CANCELLED OR ALTERED ONLY WITH THE WRITTEN
AUTHORIZATION OF THE STUDENTS LOAN BUREAU.

Name of Borrower:

________________________________________________________________

Address:

________________________________________________________________
________________________________________________________________

Email Address

____________________________________________

Institution Attended:

_____________________________________________

Telephone # __________________________

Yours faithfully,
______________________________________________
Print Full Name

__________________________________________
Signature

______________________________________________
Employee No. (if applicable)

__________________________________________
Date

N.B. This salary deduction order shall only take effect in the event of a default on the part of the borrower and failure of the borrower and/or Guarantors
to bring the account current one month after written notice of the said breach is sent to the last address given by the Borro wer and the Guarantors.
The sum endorsed thereon in these circumstances is derived from the total arrears which includes principal arrears, interest arrears as per contract and any
late fees or charges on the account at the time of enforcement payable in monthly installments.
Revised August 13, 2012

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