Name.............S/O.............. Employee No.

Date of Joining: ...../..../...... Department.

Date: ..../.../...... Signature of Employee
Approved Not Approved
Date:.../...../...... Signature
(Department Head)
Any Salary Advance outstanding with type:
Amount outstanding in his name: Rs......../-
Signature
Date:.../...../...... (HR Department)
Date:.../...../...... Signature
(HR Department)
Date:.../...../...... Signature
(HR Department)
SaIary Advance Format
The Salary Advance amount Rs.......... Sanctioned will be deducted in ......
equal monthly installments from Month.........To ........
Total Amount Claimed ............/- (n Words)........................
Basic Amount: ............./-
Reason for taking salary sdvance:-
(Attach proof)
Proof (1)
Proof (2)
Commendation