Authorization To DEDUCT

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AMORTIZATION FOR SALARY DEDUCTION

Personnel Division

Sir/Madam:

I HEREBY AUTHORIZE the deduction from my salary the amount of ________________________


_____(Php _______________) every month for THIRTY SIX (36) months starting on
______________________ or until my total loan amount of _____________________________ has
been paid. Amount deducted shall be credited to the account of the DepED Provident Fund as
amortization on said loan.

_______________________
Signature over Printed Name

EMPLOYEE NO. ______________ STATUS:PERMANENT DESIGNATION:_____________


DIVISION: CODE:_________________ SERVICE:___________________

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