You are on page 1of 1

AUTHORITY TO DEPOSIT

Date: _____________

Surname:
First Name:
Middle Name:
SSS#:
Contact #:

I authorized Staffwise Solutions, Inc to upload or debit may salary for my work
Rendered for this cut-off _________________ to (name of the owner of the ATM)
______________________ with account number (10 digits located at the back
Portion of the atm) _________________.

I will inform you as soon as I have my own BPI account number possible
Changes with my authorization letter.

Thank you! Approved by:

Blessie Jane V. Velasco


Signature over printed name Asst. General Manager

KINDLY ATTACHED HERE YOUR VALID ID AND


A PHOTOCOPY OF ATM CARD WITH ACCOUNT NUMBER

Unit 502 5th Floor The Praxedes Place Building,


5 East Capitol Drive co. Sta Rosa St, Bo. Kapitolyo, Pasig City 1603
Tel. No. : 954-6256
Email Add.: ssi@staffwise solutions.com

You might also like