Employee Authority to
Deduct
Planned Giving: Chancellors Circle and Ambition Fund 2020
Name:
Employee ID:
Please select fund:
Please select
payment option:
Chancellors Circle Global Studies Opportunities Fund 2020
Ambition Fund 2020
Option 1 I authorise BUL to deduct the amount of $..................each pay
period (fortnightly) commencing on (date)……………………… and ending on
(date)…………………… to the fund selected above
Option 2 I would like to make a one-off payment for the amount of
$............................. to the fund selected above
I agree that deductions are made from my pre-tax salary, unless advised otherwise. Payments are made
voluntarily and can be cancelled with written notice to the Payroll Department. Payroll deductions will be
detailed on the annual payment summary. It is highly recommended that independent financial advice be
sought about how planned giving may affect your personal tax and circumstances.
Signed
Dated
Payroll Use
Code: DDON
Commence Date: --/--/----
Cease Date: --/--/----
GL Credit: 301221
****** Please send completed form to Payroll for processing********
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