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Authorization For Payroll Deduction Form

This document is an authorization form for payroll deduction from Ateneo de Manila University. It allows the employee to authorize the Central Accounting Office to deduct a specified amount from their pay in either a lump sum or installments for a designated purpose, subject to any noted conditions. The employee signs to approve the deduction along with their printed name, position, and department.

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Ana Flouressa Yap Cabanilla
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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2K views1 page

Authorization For Payroll Deduction Form

This document is an authorization form for payroll deduction from Ateneo de Manila University. It allows the employee to authorize the Central Accounting Office to deduct a specified amount from their pay in either a lump sum or installments for a designated purpose, subject to any noted conditions. The employee signs to approve the deduction along with their printed name, position, and department.

Uploaded by

Ana Flouressa Yap Cabanilla
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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Ateneo de Manila University

PERSONNEL OFFICE

AUTHORIZATION FOR PAYROLL DEDUCTION

__________________ 20_____

THIS IS TO AUTHORIZE the Central Accounting Office to deduct from my pay

the amount of ___________________________________________________________

_________________________________ PESOS (P __________________)

[ ] in lump sum, effective (paydate) _______________________

[ ] in installments of _____________________ PESOS (P_____________)

for ____ successive weekly/semi-monthly installments

beginning (paydate)_______________and ending (paydate)______________

= initial installment: P _____________

= succeeding ___ installments: P _____________

as _____________________________________________________________________

_______________________________________________________________________

subject to the following conditions: ___________________________________________

_______________________________________________________________________

_______________________________________________________________________

_____________________________
Signature of Employee
NOTED:

___________________________ ______________________________
Name/Position Title Employee’s Name in Print

Distribution: ______________________________
Central Accounting Office Position Title/Rank
Personnel Office
Employee ______________________________
Unit/Dept.

PA-601.7 (R6/94)

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