Republic of the Philippines Document Code: SDO-PM-QF

Department of Education OSDS-ADMIN-PERS-014-D

Region III - Central Luzon
SCHOOLS DIVISION OF ZAMBALES
Zone VI, Iba, Zambales Revision: 000
Tel./Fax No. (047) 602 1391
E-mail Address: zambales@deped.gov.ph
website: www.depedzambales.ph Effectivity date:

UNPAID SALARY Name of Office:

SDO Personnel Section

Memorandum
To : Payroll Services Unit
From : Personnel Unit
Date :
Subject REQUEST FOR PAYMENT OF UNPAID SALARY

Name :
Position ATM Accnt No.
Division Code : 050 Emp. No.
Station Code:

BASIC SALARY 0.00 PERA/ACA: 2,000.00 Total: 2,000.00

Inclusive Dates No. of Days/Mos. BASIC SALARY PERA/ACA AMOUNT

0.00 0.00 0.00

Total 0.00 0.00 0.00

DEDUCTIONS No of Days/Mos Basic Salary PERA/ACA AMOUNT

0.00 0.00 0.00

0.00 0.00 0.00

Total 0.00 0.00 0.00

GROSS PAY 0.00 0.00 0.00

Deductions Personal Share Government Share Amount

GSIS (RLIP) 0.00 0.00
Philhealth (Medicare) 0.00 0.00
Withholding tax 0.00
Pag-Ibig Premium 0.00 0.00
ECIP -
Total 0.00
0.00

Prepared by: Certified correct:

JESSA LYN D. MORA MARIA NICHOLETTE C. ROJO

Clerk Administrative Officer IV
HRMO II
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