authority to deduct union subscriptions from salary

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To whom it may concern
Deduction of Napo Union Subscriptions From Salary
I hereby authorise you, in respect of my membership of this Association, to make
deductions from my salary at the rate commensurate with my salary per month
commencing ______________________________ (please backdate, if
possible).
I authorise my monthly deductions to be changed per month according to
changes in my salary as and when they occur.
I understand that, notwithstanding this instruction, responsibility for the payment
of my subscriptions correctly and at the proper time rests with myself.
My salary is paid by bank credit direct to my bank account.
Signed……………………………………………Date………………………………….
Name (Block Capitals)……………………………………………………………………
Pay Reference (if known)……………………………………………………………….
National Insurance Number…………………………………………………………….
Current place of work……………………………………………………......................
If you are employed by PBNI, a CRC or RISE please send this completed
form to your payroll department.
If you are employed by the NPS, please send this form to:
MoJ Payroll Services
Building 6.2 Redgrave Court
Merton Road
Liverpool
L20 7HS
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