NIUGINI SWIFT FINANCE LIMITED YOUR PERSONAL LOANS AND REFINANCING COMPANY P.O.Box 242, Waigani, NCD | Telephone: +675 71467379/+675 78504008 Email: owenmeti@gmail.com Website: www.niuginiswiftfinance.com LOAN DEDUCTION CEASE FORM Loan Information Source Code/Name Customer ID Application ID To: The Manager – Pay Office – Salaries Western Highlands Provincial Health Authority P.O.Box 36, Mt. Hagen, 281, WHP CUSTOMER DETAILS Given Names Date of Application Employment Type Date of Birth Commenced Date: File No Source Code/Name POSF/NASFUND Status AUTHORIZATION BY MEMBER I hereby request the pay office to cease my loan deduction of _______ % or PGK _______ to Colombus Finance Limited via _____________________. ______ / ______ / ______ Date Customer’s Signature PAYROLL OFFICE USE I, _____________________________, the Payroll Officer of the Western Highlands Provincial Health Authority do hereby acknowledge this cease form and have commenced ceasation accordingly. ______ / ______ / ______ Officer’s Signature Date OFFICAL USE ONLY Loan Deduction Cease Date ____ / ____ / ____ Pay Period Ending: Signature of Authorized Officer Official Stamp Date ______ / ______ / ______