You are on page 1of 1

Republic of the Philippines

Department of Education
REGION X - NORTHERN MINDANAO
Division of: EL SALVADOR CITY
Name of School/District:

Date
THE REGIONAL DIRECTOR
Department of Education
Regional Office 10 - Northern Mindanao
Velez St., Cagayan de Oro City
Thru: The Schools Division Superintendent

Attention: The Chief, Regional Payroll Services Unit

Sir:

Please adjust/deduct/stop the deduction(s) being effected in my salary effective


as indicated below:

( ) ADJUST FROM:

TO:

Remarks:

( )DEDUCT:
(name of deduction and deduction code)

From:_________________________ To:_______________________

(amount of deduction)

( ) S T O P :
(name of deduction and deduction code)

Reason:

(amount of deduction)

Very truly yours,

Signature:

Printed Name of Teacher/ Employee:

Employee Number:

Recommending Approval/Action:

OLGA C. ALONSABE
Schools Division Superintendent

Note: In case of Stoppage/Adjustment, please attach the approval/certification of the concerned Government Financial Institution
(GFI) or Accredited Private Lending Institution (PLI).

You might also like