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PSU Form 101 - Blank Form

The document is a notice of a new deduction for employee Grace M. Albarracin, detailing a DECS Provident Loan deduction of 966.64 with an effective date of May 2021 and termination date of April 2026. It also includes a list of various government deductions with their corresponding codes. The form is part of the PSU Form 101 revised documentation.

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41 views1 page

PSU Form 101 - Blank Form

The document is a notice of a new deduction for employee Grace M. Albarracin, detailing a DECS Provident Loan deduction of 966.64 with an effective date of May 2021 and termination date of April 2026. It also includes a list of various government deductions with their corresponding codes. The form is part of the PSU Form 101 revised documentation.

Uploaded by

flordelys.balanga
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PSU FORM 101 Revised

Date:

NOTICE OF NEW DEDUCTION


Division Name / Number: 100

Station Name: DIVISION OFFICE


(School for Secondary / District for Elementary)

Station Number: 095

Employee Number: 1009001

Employee Name: ALBARRACIN, GRACE M.

Employee Signature:

DEDUCTION NAME CODE DEDUCTION DATE OF DATE OF


AMOUNT EFFECTIVITY TERMINDATION
DECS PROVIDENT LOAN 007 966.64 May 2021 April 2026

List of Government Deduction


DEDUCTION NAME DEDCODE DEDUCTION NAME DEDCODE
ADD'L GSIS PREMIUM 011 GSIS PABAHAY HOUSING PROG. 131
ADD'L PAG-IBIG PREMIUM 912 GSIS POLICY LOAN 001
GSIS ELA 099 GSIS PRUDENTIAL LIFE 006
GSIS C.E.A. PLAN 186 GSIS REAL ESTATE LOAN 031
GSIS EDU. LOAN 129 GSIS S O S 021
GSIS EDUCHILD 015 GSIS ENHANCED SALARY LOAN 002E
GSIS EMERGENCY LOAN 704 GSIS SALARY LOAN 002
GSIS GENESIS FLEXI 019 GSIS UNLIMITED OPT 090
GSIS HOSPT INS. PLAN 187 NHMFC 998
GSIS HOSPITALIZATION 016 PAG-IBIG EMER. LOAN 334
GSIS LIFE & RETIREMENT 003 PAG-IBIG HOUS. LA 332
GSIS L-PREM. ARREARS 018 PAG-IBIG KASIPAGAN LOAN 333
GSIS MEM CASH / SERVICE 022 PAG-IBIG LOT PURCHASE 331
GSIS MEM / GEN. 014 PAG-IBIG MULTI-PURPOSE LOAN 336
GSIS CAL (ECARD) 026 PAG-IBIG PREMIUM 222
GSIS OPT. INS, PREMIUM 013 PAG-IBIG PROV. LOAN 335
GSIS OPT POLICY LOAN 108 DECS PROVIDENT LOAN 110
GSIS CONSOLIDATED LOAN (CONSO) 132 GSIS ECARD PLUS (CASH 133
ADVANCE)

(STAMP RECEIVED BY COMPANY CONCERNED)


fn://psuform101.xls

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