ADVANCE REQUEST FORM

(ARF)

Date (mm/dd/yyyy) *
Employee Name: *

Department:*

Employee # *

HR Grade: *

ADVANCE DETAILS
Amount *

Mode

Cash

Cheque

Bank Transfer

(Please tick the appropriate box)

Amount in words *
Type of advance *

Salary

IOU

Local Travel
(P l e a s e

Foreign Travel
t i c k

t h e

Expense

Relocation

a p p r o p r i a t e

Other

b o x)

Purpose &

Note: Brief purpose of taking advance on any of above type is mandatory.

Attachements *

Before seeking HR approval please attached financial clearance email with form.
1.
2.
3.

ADJUSTMENT PLAN *
In case of Travel, Expense, IOU, Relocation and Other Advance
Due Date

For house rent and salary advances

Installment #
Month

10

11

12

Amount

APPLICANT / EMPLOYEE
SIGNATURE

DECLARATION & RECEIVING *

I have received tha above requested amount and declare that I am aware of the policies related to clearance of this advance. I also
authorize Finance Department to deduct salary as per above adjustment plan (for salary or house rent advance) or within 15 days (or
10 working days) from the date of taking above advance (in case of advance other than salary or house rent)

EMPLOYEE SIGNATURE

APPROVALS *

DEPARTMENT HEAD

DIRECTOR HR / CHIEF

MANAGER / HEAD OF FINANCE

FOR FINANCE USE

Any previous advance outstanding
Due date of previous advance
Comments
*

Mandatory to fill-in by the applicant for the processing of advance request

(Version: 20121123)