Date: ______
Gentlemen/Madam:
In connection with my application of a ___________ loan under the ABCS Loan Program / Service in the amount of ______________. I hereby authorize the office in charge in the preparation of salary deduction of Employees at Oriental Enterprises headed by Finance and Management Service Director, Mr. Ariel Joshua in favor of ABCS to deduct from my salaries / wages / other income the amount of ______________ corresponding to the monthly amortization for the said loan.
This authority shall be in force during the term of my employment and until full payment of the said loan. In case I transfer to another government institution / agency, I shall inform my new employer of my existing Loan, and execute a new Authority to Deduct to ensure the continuity of my payroll deduction.
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Signature of Borrower over Printed Name