OYOD Programme: Authorisation for Salary Deductions

OYOD Programme: Authorisation for Salary Deductions
I, ___________________________ have chosen to purchase a Device in accordance with the
University of Waikato’s (University) Mobile Device Policy and OYOD Programme Terms and
Conditions.
I am liable to the University for the balance of the cost of the Device being $________________(ITS
to insert amount)(Balance).
I have chosen to pay the Balance through salary deductions, and agree deductions of $_____ (ITS to
insert amount) are to be made every 2 weeks starting from the first practicable salary payment I
receive from the University following the date of purchase of the Device, and ending when the
Balance has been fully paid.
If my employment with the University ceases for any reason before the Balance is paid in full, I
hereby authorise the University to deduct from my final salary, or any other monies due to me by
the University, an amount equal to the outstanding Balance owing on my Device.
In accordance with the Wages Protection Act 1983 I understand that I can withdraw consent for the
above salary deductions, or request adjustment of the amount of these deductions, by giving written
notice to the University. As I am liable to the University for the Balance I understand that if I
withdraw this consent, or if the University and I cannot agree on the minimum value of the
deductions, I must pay the Balance to the University immediately.
Signed:
________________________________
Staff member’s signature
________________________________
Line manager’s signature
______________________________
Print name
_______________________________
Print Name
______________________________
Date
_______________________________
Date
______________________________
ITS Signature
_______________________________
Dean’s/Head’s/Equivalent’s signature
______________________________
Print name
_______________________________
Print name
______________________________
Date
_______________________________
Date