Salary Packaging
Payroll Details
First Name
*
Last Name
*
Payroll Number
Email address
*
Salary Packaging details
Date effective from
Percentage to be salary packaged per fortnight
A maximum of 40% may be salary packaged
Authorisation
I request and authorise the Bendigo Anglican Diocesan Corporation to
apply
the above salary packaging to my pay before tax
I request and authorise the Bendigo Anglican Diocesan Corporation to
cancel
the above salary packaging to my pay before tax
Signature
*
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Date submitted
*
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