I, ______________________________________, _____________________________ under
of (Name) (Position) _______________________ of JREM CONSUMER GOODS TRADING hereby authorize the (Department) (Company) HUMAN RESOURCE DEPARTMENT of JREM CONSUMER GOODS TRADING to deduct (Company) from my wages with the amount under the following terms:
NATURE AMOUNT TO BE TOTAL AMOUNT START DATE END DATE OF
OF DEDUCTED NEEDED TO DEDUCTION DEDUCTION DEDUCTIONS PER PAY PERIOD ACCOMPLISH