G.

P 7
(Address)..............................................................
.............................................................................
To: .........................................................................
Through:
PAYMENT OF SALARIES, ETC, TO BANKS
I, the undersigned, dohereby request you to pay all sums of money now due or which may hereafter become due to
me in respect of salary or allowances to the branch of the ..........................................Ltd
At...................................................................................................................for credit of my account there
The acknowledgement of the said branch of the Bank shall be your full and sufficient discharge. This Authority
cancels any other authority given by me prior to this date.
Dated the.....................................................day of ...........................................................20........................
Signature.........................................................................
Rank................................................................................
GPK (L)