Documente Academic
Documente Profesional
Documente Cultură
Department of Education
Region IVA (CALABARZON)
City Schools Division of Bacoor
__________________
Madam:
Please adjust this deduction(s) being effected from my monthly salary effective
___________ (Month/Year) as indicated hereunder:
DISCONTINUE/ ____________________________________
STOP (Name of Loan/Insurance Company Code)
____________________________________
(Amount of Deduction)
DEDUCT ____________________________________
(Name of Loan/Insurance Company Code)
____________________________________
(Amount of Deduction)
ADJUST ____________________________________
(Name of Loan/Insurance Company Code)
____________________________________
(Amount of Deduction)
________________________
Signature Over Printed Name
Division/Station: _________________________
Employee No.:___________________________
School: ________________________________
*Attached personal letter, photocopy of latest payslip, PRC/DepEd ID, Agency Certification
(SUBMIT IN 3 SETS)