PERSONAL AND CONFIDENTIAL

SALARY TRANSFER AND TERMINAL BENEFITS

Date: DD/MM/YYYY
To:
Director of HR & Communications
In consideration of (Name of Bank) extending consumer/personal loan to the
undersigned, I hereby request you to transfer my monthly salary to my account
number (Account Number) with (Name of Bank) effective (DD/MM/YYYY).
Furthermore, I hereby authorize you, in case of termination or resignation prior to
settlement of the loan in full, to inform the bank in writing regarding my
termination/resignation and to transfer my final settlement, if any, to (Name of
Bank) to liquidate the outstanding balance.
This instruction shall remain irrevocable and can be altered only with the prior
written consent or a discharge letter from the (Name of Bank).
Labour ID:
Unique Identifier as provided by Ministry of Labour. (Also referred to as Person ID).

Bank Routing
Number:
9-digit

IBAN Number:
23-digit

Sincerely,

Employee Signature

Employee Name

Employee Number

Feb 2014