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35 views

Atd Form

Uploaded by

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

AUTHORIZATION TO DEDUCT FROM PAYROLL

I hereby authorized SSDI and its representative to deduct


from my payroll covering period _____________________

Amount in words: ONE HUNDRED FIFTY SIX


one hundred fifty six pesos only
Amount in Peso: Php 156.00

Reason for deduction:


( ) cash shortage ( ) broken
( ) cash overage ( / ) expired BCP (SKU 58971)
( ) others pls specify _____________________

LORIMAY MONTIEL CE986345 11/12/2023


Name & Signature of Employee Date

Kindly effect the deductio on payroll period _________________


and following the recommended scheme:

( / ) one time deduction ( ) 3 equal payments


( ) 2 equal payments ( ) 4 equal payments

Approved by: Noted by:

LORIMAY MONTIEL CE986345


Store Manager Cash Dept. Head
SOUTH STAR DRUG
AUTHORIZATION TO DEDUCT FROM PAYROLL

I hereby authorized SSDI and its representative to deduct


from my payroll covering period _____________________

Amount in words: ONE HUNDRED FIFTY SIX


one hundred fifty six pesos only
Amount in Peso: Php 156.00

Reason for deduction:


( ) cash shortage ( ) broken
( ) cash overage ( / ) expired BCP (SKU 58971)
( ) others pls specify _____________________

CAMILLE FONTARUM CE982351 11/12/2023


Name & Signature of Employee Date

Kindly effect the deductio on payroll period _________________


and following the recommended scheme:

( / ) one time deduction ( ) 3 equal payments


( ) 2 equal payments ( ) 4 equal payments

Approved by: Noted by:

LORIMAY MONTIEL CE986345


Store Manager Cash Dept. Head
SOUTH STAR DRUG
AUTHORIZATION TO DEDUCT FROM PAYROLL

I hereby authorized SSDI and its representative to deduct


from my payroll covering period _____________________

Amount in words: FIFTY ONE PESOS & FIFTY CENTS


one hundred fifty six pesos only
Amount in Peso: Php 51.50

Reason for deduction:


( ) cash shortage ( ) broken
( ) cash overage ( / ) expired BCP(SKU 56684)CLOVIX
( ) others pls specify _____________________

CAMILLE FONTARUM CE982351 12/6/2023


Name & Signature of Employee Date

Kindly effect the deductio on payroll period _________________


and following the recommended scheme:

( / ) one time deduction ( ) 3 equal payments


( ) 2 equal payments ( ) 4 equal payments

Approved by: Noted by:

CONCHITA BAGUHIN CE5060


Store Manager Cash Dept. Head
SOUTH STAR DRUG
AUTHORIZATION TO DEDUCT FROM PAYROLL

I hereby authorized SSDI and its representative to deduct


from my payroll covering period _____________________

Amount in words: FIFTY ONE PESOS & SEVENTY CENTS


one hundred fifty six pesos only
Amount in Peso: Php 51.70

Reason for deduction:


( ) cash shortage ( ) broken
( ) cash overage ( / ) expired BC (SKU 56684)CLOVIX
( ) others pls specify _____________________

CONCHITA , BAGUHIN 12/06/2023


Name & Signature of Employee Date

Kindly effect the deductio on payroll period _________________


and following the recommended scheme:

( / ) one time deduction ( ) 3 equal payments


( ) 2 equal payments ( ) 4 equal payments

Approved by: Noted by:

CONCHITA BAGUHIN CE5060


Store Manager Cash Dept. Head

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