Republic of the Philippines

Department of Education
Region III
SCHOOLS DIVISION OF ZAMBALES
Zone VI, Iba, Zambales
Tel./Fax No. (047) 602 1391
E-mail Address: zambales@deped.gov.ph
website: www.depedzambales.ph

_______________________
Date

The Regional Director

Department of Education
Regional Office III
Diosdado Macapagal Government Center,
San Fernando, 2000 Pampanga
Thru: The Schools Division Superintendent

Attention: The Chief, Regional Payroll Services Unit

Sir/Madam:

Please adjust/deduct/stop the deduction(s) being effected in my salary effective January 2020, as
indicate below.

( ) ADJUST FROM:
TO:

( ) DEDUCT:
(Name of deduction and deduction code)
From: To:
(Amount of deduction)

( ) STOP:
(Name of deduction and deduction code)

Reason:

(Amount of deduction)

Very truly yours,

Signature: ________________________
LAILANIE E. AGALON
Printed Name of Teacher/Employee
Employee Number _________________

Recommending Approval/Action:

_________________________________________________
Schools Division Superintendent/Authorized Representative