Date: _________________
The Chief
Regional Payroll Services Unit
Budget and Finance Division
DepEd-NCR
Dear Sir:
I hereby authorize your good office to please STOP/DEDUCT the following
effective as indicated hereunder:
STOP
EFFECTIVITY TERMINATION
CODE DESCRIPTION POLICY NO. AMOUNT
DATE DATE
DEDUCT
EFFECTIVITY TERMINATION
CODE DESCRIPTION POLICY NO. AMOUNT
DATE DATE
Attached herewith is my payslip/supporting document(s)
Hoping for your favorable action.
Very truly yours,
PRINTED NAME WITH SIGNATURE:
DIVISION/STATION CODE:
EMPLOYEE NO.: