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Republic of the Philippines

Department of Education
REGION X- NORTHERN MINDANAO
Division of:
Name of School/District:
Address:

The Regional Director


Department of Education
Regional Office 10- Northern Mindanao
Masterson’s Ave. Upper Balulang
Zone 1, Cagayan de Oro City
Thru: The School Division Superintendent

Attention: The Chief Regional Payroll Service Unit

Ma’am/Sir:

Please stop the deduction being effected in my salary effectiveas indicated below:

()STOP: (name of deduction and deduction code)

Reason:

(amount of deduction)

Very truly yours,

Signature:

Printed Name of teacher/Employee:

Employee Number :

Recommending Approval/Action:

School Division Superintendent/Authorized Representative

Note:Please attach the official Receipt/Certification of the Government Financial Institution (GFI) or Accredited
Private Lending Institution (PLI).

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