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EMERGENCY LOAN REQUEST AUTHORITY TO DEDUCT

Amount: (Php 5,000.00 )


Employee Name____________ Schedule of Deduction Start Deduction Schedule Amount of Deduction per Schedule
Branch/Dep’t.__ [ / ] Semi-Monthly Payroll Cut-Off Date:
Position: _Auditor___________________________________ [ ] Monthly February 20, 2020_________ _P 1, 000.00_____________________
Date Filed: _February 10, 2020________________________ [ ] Others:
Consultation/Out-Patient { } Hospitalization { / } Others { } _________________

I hereby request for an emergency loan & give my consent for


automatic salary deduction from my payroll for below stated Requested by: Recommended by: __________________________
purpose/s; Name of Employee BH/Immediate Head

For hospitalization of my nephew.__________________________


_______________________________________________________ Approved by: ______________________ Approved by: _________________________
_______________________________________________________ General Manager CSSO/COO
_______________________________________________________
_______________________________________________________ Outstanding Previous Loans:
_______________________________________________________ Salary/Emergency Loan Balance:______________
_______________________________________________________ Current Amount Approved: _________________
_______________________________________________________ (only HR/Acctg. to fill up this section for checking and verification)
_______________________________________________________

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