AUTHORIZATION FOR VOLUNTARY PAYROLL DEDUCTION

I, __________________ of ______________, hereby authorize Elite Jinzai Marketing

(Name of Employee) (Brand & Branch)

Services Inc. to deduct from my salary the sum of ________________________ ( Php ______.00)
(Amount in words)

I am authorizing this voluntary deduction as specified for ____________________________.

(please specify)

In the event my employment ends for any reason before the final deduction is made, the entire
balance may be deducted from my final wages.

Amount to be deducted ___________________every cut off.

Start date of deduction: _____________________

End date of deduction: _____________________

Last payment amount: _____________________

______________________________ ______________
Employee’s signature Date

Unit 4f Cypress Garden Bldg 112 V.A. Rufino st.Legaspi Village, Makati City, Philippines 1223
Tel: (02) 893-6251. Fax: (02) 519-2394