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Withdrawal Form

A withdrawal slip from PLDT EMPLOYEES CREDIT COOPERATIVE (PECCI) allows a depositor to withdraw cash or receive a check. It contains fields for the depositor's name, ID number, type of withdrawal as cash, check, or ATM. The depositor provides the amount in words and figures and signs to authorize the transaction. If a representative is making the withdrawal on the depositor's behalf, both the depositor and representative must sign and the representative must provide ID.

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Joseph Pasia
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642 views1 page

Withdrawal Form

A withdrawal slip from PLDT EMPLOYEES CREDIT COOPERATIVE (PECCI) allows a depositor to withdraw cash or receive a check. It contains fields for the depositor's name, ID number, type of withdrawal as cash, check, or ATM. The depositor provides the amount in words and figures and signs to authorize the transaction. If a representative is making the withdrawal on the depositor's behalf, both the depositor and representative must sign and the representative must provide ID.

Uploaded by

Joseph Pasia
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

PLDT EMPLOYEES CREDIT COOPERATIVE (PECCI)

Withdrawal Slip Date :___________________ Withdrawal Slip No. __________________

Depositor’s Name ID No. ___________________ Check No. __________________


CASH
_____________________________________________________________________________
LAST NAME FIRST NAME M.I. PLDT Non-Payroll
CHECK
Others : _________________

(To be accomplished by PECCI personnel)


ATM Bal. S/D: PHP __________________
PESOS : ____________________________________________________________________
(Amount in words)
Other Instruction/s : Signature :
As of __________________
PHP : ____________________________________________________________________ ______________________________
_________________
(Amount in figures)

WITHDRAWAL THROUGH REPRESENTATIVE


(Please attach copy of ID of Depositor and Representative)
Evaluated by : __________________

I hereby authorize my representative whose signature appears below to make this withdrawal on my behalf.
Posted by : __________________

Signature of Representative Paid by : __________________

Signature of Depositor
Printed Name

Payment received by : _________________________ Date : _______________________ Revised 08/2018

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