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Republic of the Philippines

Department of Education
Region IVA (CALABARZON)
City Schools Division of Bacoor

__________________

Chief Administrative Officer


DepEd-Region IV-A (CALABARZON)
Cainta, Rizal

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)

From: _____________ To:_____________

Very truly yours,

________________________
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)

(046) 435-6100/ (046) 235-0021 bacoor.city@deped.gov.ph

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