Salary / Wage Advice - Tranquillity Credit Union

I,

with account number:

and Employee Number:

hereby authorize Tranquillity Credit Union to deduct from my salary/wages the sum of $

on a

—Please choose an option—Weekly basesMonthly bases

—Please choose an option—TemporarilyPermanently

commencing from

In the event of leaving the employ of NPMC & Subsidiaries / PETROTRIN / SCS, I further authorize Tranquillity Credit Union to cause to be forthwith deducted from all monies due and payable to me by the company such sum or sums as may be necessary to settle in full any balance due and owing by me to the Credit Union in respect of any loan or loans made to me by it.

This authorization shall remain in force and binding upon me and may not be revoked except by joint written instructions received by you from Tranquility Credit Union Co operative Society Limited and myself.