AUTHORIZATION FOR SALARY DEDUCTION

Regional Payroll Services Unit

DepEd Regional Office VIII
Candahug, Palo Leyte

I hereby authorize the deduction of_________________________________________________________________PESOS

(P____________________) from my salary for ____________months, starting in______________,20______to
___________,20___________or until my total outstanding loan of________________________________________________ PESOS
(P_________________) has been fully paid. Amount deducted shall be credited to the account of the DepEd Provident
Fund as receivables on the said loans.

__________________________________
Signature over Printed Name

Borrower/ Employee No._______________ Status: ___________

Division: _____________________ Code: ___________
Designation: ____________________

Co-Maker/ Employee No.___________________

Station Code: ____________________________

________________________________________________________________________________________________________________________

AUTHORIZATION FOR SALARY DEDUCTION

Regional Payroll Services Unit

DepEd Regional Office VIII
Candahug, Palo Leyte

I hereby authorize the deduction of_________________________________________________________________PESOS

(P____________________) from my salary for ____________months, starting in______________,20______to
___________,20___________or until my total outstanding loan of________________________________________________ PESOS
(P_________________) has been fully paid. Amount deducted shall be credited to the account of the DepEd Provident
Fund as receivables on the said loans.

__________________________________
Signature over Printed Name
Borrower/ Employee No._______________ Status: ___________
Division: _____________________ Code: ___________
Designation: ____________________

Co-Maker/ Employee No.___________________

Station Code: ____________________________

AUTHORIZATION FOR SALARY DEDUCTION

Regional Payroll Services Unit

DepEd Regional Office VIII
Candahug, Palo Leyte

I hereby authorize the deduction of_________________________________________________________________PESOS

(P____________________) from my salary for ____________months, starting in______________,20______to
___________,20___________or until my total outstanding loan of________________________________________________ PESOS
(P_________________) has been fully paid. Amount deducted shall be credited to the account of the DepEd Provident
Fund as receivables on the said loans.

__________________________________
Signature over Printed Name
Borrower/ Employee No._______________ Status: ___________
Division: _____________________ Code: ___________
Designation: ____________________

Co-Maker/ Employee No.___________________

Station Code: ____________________________